The impact of spinal problems on the health status of patients - Have we underestimated the effect?
The impact of spinal problems on the health status of patients - Have we underestimated the effect?
复制标题
DOI：
10.1097/00007632-200006150-00009
复制
发表时间：
2000-06-15
期刊：
影响因子：
3
通讯作者：
Weinstein, JN
中科院分区：
文献类型：
--
作者：
Fanuele, JC;Birkmeyer, NJO;Weinstein, JN
研究设计.对17,774例脊柱中心就诊的患者进行前瞻性研究，评估脊柱疾病和合并症对身体功能状态的影响。与其他常见疾病相比，量化脊柱诊断对患者身体功能状态（SF-36身体成分总结[PCS]评分）的影响，并量化合并症对脊柱患者身体功能状态的影响。脊柱疾病对患者功能的负担以及合并症在这种痛苦中所起的作用在文献中缺乏量化。通过国家脊柱网络前瞻性地收集了来自炉膛调查问卷的数据，国家脊柱网络是一个以脊柱为重点的实践的非营利性联盟，患者的SF-36评分被汇总为单个PCS评分。采用多元线性回归分析诊断和合并症与PCS评分的相关性。研究患者平均年龄为47.5岁，54.7%为女性，52.3%有腰骶部诊断，82.0%有3个月或以上的疼痛。该人群的平均PCS评分为30.4 +/- 9.95（SD），而美国普通人群为50.0 +/- 10.00。患者的合并症越多，PCS评分越低（斯皮尔曼等级相关性-0.27）。降低PCS最多的五种共病包括充血性心力衰竭（CHF）、慢性阻塞性肺疾病（COPD）、肾衰竭、类风湿性关节炎和狼疮（均P
Study Design. A prospective study of 17,774 patients who consulted spine centers in which the impact of spinal disorders and comorbidities on physical functional status were evaluated.Objectives. To quantify the effect spinal diagnoses have on patients' physical functional status (SF-36 Physical Component Summary [PCS] score) compared with other common conditions and to quantify the effects of comorbidities on physical functional status in spine patients.Summary of Background Data. The burden of spinal conditions on a patient's function and the role that comorbidities play in this affliction are poorly quantified in the literature.Methods. Data from the Hearth Survey Questionnaire were prospectively gathered through the National Spine Network, a nonprofit consortium of spine-focused practices patient's SF-36 score was summarized into a single PCS score. The correlation between diagnosis and comorbidity and PCS score was assessed using multivariate linear regression.Results. The study patients were a mean of 47.5 years of age, 54.7% were female, 52.3% had lumbosacral diagnoses, and 82.0% had had 3 or more months of pain. The population had a mean PCS score of 30.4 +/- 9.95 (SD) compared with 50.0 +/- 10.00 for the general United States population, The more comorbidities in a patient, the lower the PCS score (Spearman rank correlation -0.27). The five comorbid conditions that lowered the PCS the most included congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), renal failure, rheumatoid arthritis, and lupus (all P