Impact of the COVID-19 Pandemic on Middle-Aged and Older Patients With Adolescent Idiopathic Scoliosis Who Underwent Spinal Fusion: A Questionnaire-Based Survey.
Impact of the COVID-19 Pandemic on Middle-Aged and Older Patients With Adolescent Idiopathic Scoliosis Who Underwent Spinal Fusion: A Questionnaire-Based Survey.
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DOI：
10.7759/cureus.34370
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发表时间：
2023-01
期刊：
影响因子：
--
通讯作者：
Minami S
中科院分区：
文献类型：
--
作者：
Akazawa T;Kotani T;Sakuma T;Iijima Y;Torii Y;Ueno J;Yoshida A;Niki H;Ohtori S;Minami S
目的探讨COVID-19大流行对接受脊柱融合术的青少年特发性脊柱侧凸（AIS）中老年患者的影响。方法对1968 ~ 1988年间行脊柱融合术的252例AIS患者进行回顾性分析。该等调查于2019冠状病毒病大流行之前（于二零一四年进行初步调查）及于大流行期间（于二零二二年进行二次调查）进行。将自填问卷邮寄给患者。我们分析了35例患者（33名女性和2名男性）谁回答这两个调查。结果11例（31.4%）患者受疫情影响较小。两名患者报告说，由于担心去诊所或医院而不去看医生，八名患者报告说，大流行影响了他们的工作，五名患者报告说外出的机会减少（基于多项选择答案）。24名患者报告说，他们的生活没有受到大流行病的影响。两次脊柱侧凸研究协会-22（SRS-22）的调查在任何领域（功能、疼痛、自我形象、精神或满意度）均未发现显著差异。奥斯韦斯特里残疾指数（ODI）问卷调查显示，与大流行前的调查相比，大流行期间的调查显著恶化。ODI恶化组（27.8%）和ODI稳定组（35.3%）之间的大流行影响没有显著差异。结论COVID-19大流行对31.4%接受脊柱融合术的中老年AIS患者的影响较低。疫情的影响在ODI恶化组和ODI稳定组之间没有显著差异。在手术后至少33年，大流行对AIS患者的影响较小。
Purpose To investigate the impact of the COVID-19 pandemic on middle-aged and older patients with adolescent idiopathic scoliosis (AIS) who underwent spinal fusion. Methods The subjects were 252 AIS patients who underwent spinal fusion between 1968 and 1988. The surveys were performed before the COVID-19 pandemic (a primary survey in 2014) and during the pandemic (a secondary survey in 2022). The self-administered questionnaires were mailed to the patients. We analyzed 35 patients (33 females and two males) who replied to both surveys. Results The pandemic had low impacts on 11 patients (31.4%). Two patients reported refraining from seeing a doctor because they were concerned about going to the clinic or hospital, eight reported that the pandemic impacted their work, and five reported fewer opportunities to go out (based on multiple-choice answers). Twenty-four patients reported that their lives were unaffected by the pandemic. No significant differences were detected between both surveys for Scoliosis Research Society-22 (SRS-22) in any domains (function, pain, self-image, mental, or satisfaction). The Oswestry Disability Index (ODI) questionnaires revealed a significant worsening of the survey during the pandemic compared with the survey before the pandemic. There was no significant difference in the impact of the pandemic between the ODI deterioration group (27.8%) and the ODI stable group (35.3%). Conclusion The COVID-19 pandemic had a low impact on 31.4% of middle-aged and older patients with AIS who underwent spinal fusion. The impact of the pandemic did not significantly differ between the groups with ODI deteriorations and the groups with stable ODI. The pandemic had a smaller impact on AIS patients at a minimum of 33 years after surgery.
影响因子：
2.4
作者：
Duarte, Matias Pereira;Joncas, Julie;Parent, Stefan;Duval, Mylene;Chemaly, Olivier;Brassard, Felix;Mac-Thiong, Jean-Marc;Barchi, Soraya;Labelle, Hubert
通讯作者：
Labelle, Hubert
影响因子：
1.2
作者：
Terai H;Iwamae M;Tamai K;Takahashi S;Hori Y;Ohyama S;Yabu A;Hoshino M;Nakamura H
通讯作者：
Nakamura H