We also identified 7,780 patients for 1-year follow up and 2,361 patients (30.3%) did not achieve MCID. We captured 10,922 patients for 90-day follow up and 4,453 patients (40.8%) did not reach MCID. Change in HRQOL measures were similar between all groups at 12-months after surgery. After adjusting for gender, ASA score, invasiveness of surgery, and presence of a postoperative complication, older adults with pre-operative depression had a 4.0 fold increased odds of high-decisional regret (p=0.04). Comparing patient cohorts reporting medium/high- versus low-decisional regret, there were no differences in baseline demographics, comorbidities, invasiveness of surgery, length of hospital stay, discharge disposition, or extent of functional improvement 12-months after surgery. A total of 21% regretted the choice that they made, and 21% responded that surgery caused them harm. Overall, 80% agreed that having surgery was the right decision for them, and 77% would make the same choice in future. There were no differences in demographics, comorbidities, invasiveness of surgery, or severity of baseline functional disability, between patients consenting to study participation and those that declined. Of the 155 patients, 91 consented to participate (response rate, 59%). A total of 155 patients (mean, 69.5 years) met the study inclusion criteria.
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