A post-hoc analysis of risk factors for poor quality of life after surgical treatment of spondylodiscitis.

Autor: Sircar K; Department of Orthopaedics and Trauma Surgery, University Hospital Cologne, Faculty of Medicine, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany. krishnan.sircar@uk-koeln.de., Jochimsen D; Department I of Internal Medicine, University Hospital Cologne, Faculty of Medicine, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany., Meyer-Schwickerath C; Department I of Internal Medicine, University Hospital Cologne, Faculty of Medicine, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany., Jung N; Department I of Internal Medicine, University Hospital Cologne, Faculty of Medicine, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany., Kernich N; Department of Orthopaedics and Trauma Surgery, University Hospital Cologne, Faculty of Medicine, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany., Eysel P; Department of Orthopaedics and Trauma Surgery, University Hospital Cologne, Faculty of Medicine, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany., Yagdiran A; Department of Orthopaedics and Trauma Surgery, University Hospital Cologne, Faculty of Medicine, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Nov 17; Vol. 14 (1), pp. 28365. Date of Electronic Publication: 2024 Nov 17.
DOI: 10.1038/s41598-024-79828-8
Abstrakt: Patient-reported outcome measures for quality of life (QoL) like the Oswestry-Disability-Index (ODI) are useful for a quick, comprehensive and comparable evaluation of spondylodiscitis treatment. While it is known that even after successful surgical treatment, the QoL of spondylodiscitis patients remains below that of the general population, risk factors for a poor outcome have not been described so far. We did a retrospective post-hoc analysis of 130 surgically treated spondylodiscitis patients from 2008 to 2022. Biographical, clinical und QoL data were prospectively collected before (T 0 ) and one year (T 1 ) after surgery. The primary outcome was QoL at T 1 . Patients were grouped according to their ODI score at T 1 (Group 1: ODI < 35, favorable QoL; Group 2: ODI ≥ 35, poor QoL) and analyzed for risk factors present at T 0 . Poor QoL at T 1 occurred in 51 patients (39%). Multivariate analysis identified a higher preoperative leg pain (odds ratio: 1.2) and the presence of a malignant disease (odds ratio: 1.9) as independent preoperative risk factors for a poor QoL at T 1 . Spondylodiscitis patients with malignancy and/or preoperative leg pain may be at increased risk for poor QoL after surgical treatment. These results can be used to individualize patient information and provide a better assessment of prognosis before surgery.
Competing Interests: Declarations Competing interests The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
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