Disability and health-related quality of life in patients undergoing spinal fusion: a comparison with a general population sample.
Disability and health-related quality of life in patients undergoing spinal fusion: a comparison with a general population sample.
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DOI：
10.1186/1471-2474-14-211
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发表时间：
2013-07-17
影响因子：
2.3
通讯作者：
Häkkinen A
中科院分区：
文献类型：
--
作者：
Pekkanen L;Neva MH;Kautiainen H;Dekker J;Piitulainen K;Wahlman M;Häkkinen A
本研究的目的是比较脊柱融合患者与年龄和性别匹配的普通人群之间的残疾和健康相关生活质量（HRQoL）的一年随访数据。融合患者的数据是使用芬兰两家医院的脊柱融合数据库前瞻性收集的。从芬兰人口登记册中抽取了年龄、性别和居住地区相匹配的一般人口样本。所有参与者完成了一份问卷，主要结果指标是奥斯韦斯特里残疾指数（ODI）和简明健康调查问卷（SF-36）。共有252例（69%为女性）融合患者和682例（67%为女性）人群样本受试者参加了研究。在一般人群中，女性的平均ODI为15（SD 17），男性为9（SD 13）。相应的术前ODI值为47（SD 16）和40（SD 15），1年随访值为22（SD 17）和23（SD 20）。在两种性别中，ODI在手术后显著降低，但仍高于一般人群，p < 0.001。在术前和1年随访时，患者的SF-36身体成分总分（PCS）低于一般人群样本（p < 0.001）。术前心理健康总分（MCS）较低（p < 0.001），但男性（p = 0.42）和女性（p = 0.61）均在术后1年达到一般人群水平。在一年的随访中，脊柱融合手术后残疾和HRQoL显著改善。然而，患者当时在ODI或HRQoL的身体部分中没有达到一般人群的水平，尽管在精神部分中差异消失了。
The aim of the present study was to compare one-year-follow-up data on disability and health-related quality of life (HRQoL) between spinal fusion patients and age- and sex-matched general population. The data on fusion patients were collected prospectively using a spinal fusion data base in two Finnish hospitals. A general population sample matched for age, sex and residential area was drawn from the Finnish Population Register. All participants completed a questionnaire and the main outcome measures were the Oswestry Disability Index (ODI) and the Short Form-36 questionnaire (SF-36). Altogether 252 (69% females) fusion patients and 682 (67% females) population sample subjects participated in the study. In general population the mean ODI was 15 (SD 17) in females and 9 (SD 13) in males. The corresponding preoperative ODI values were 47 (SD16) and 40 (SD 15) and one year follow-up values 22 (SD 17) and 23 (SD 20). In both sexes the ODI decreased significantly after surgery but remained higher than in the general population, p < 0.001. The physical component summary score (PCS) of the SF-36 was lower in the patients than general population sample both preoperatively and at one-year follow-up (p < 0.001). The mental component summary score (MCS) was lower preoperatively (p < 0.001), but reached the general population level after one year in both men (p = 0.42) and women (p = 0.61). Disability and HRQoL improved significantly after spinal fusion surgery during a one- year follow-up. However, the patients did not reach the level of the general population in the ODI or in the physical component of HRQoL at that time, although in the mental component the difference disappeared.
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DOI：
10.1016/j.spinee.2005.09.004
发表时间：
2006-01-01
期刊：
The spine journal : official journal of the North American Spine Society
影响因子：
--
作者：
Glassman, Steven;Gornet, Matthew F;Carreon, Leah
通讯作者：
Carreon, Leah
影响因子：
3
作者：
DeVine, John;Norvell, Daniel C.;Andersson, Gunnar
通讯作者：
Andersson, Gunnar
影响因子：
3
作者：
Pekkanen, Liisa;Kautiainen, Hannu;Hakkinen, Arja
通讯作者：
Hakkinen, Arja
影响因子：
3
作者：
Fritzell, P;Hägg, O;Nordwall, A
通讯作者：
Nordwall, A
影响因子：
4.5
作者：
Copay, Anne G.;Glassman, Steven D.;Carreon, Leah Y.
通讯作者：
Carreon, Leah Y.