Health-Related Quality of Life After Surgical Treatment for Lumbar Stenosis
| Autor: | Pietro Caliandro, Lorenzo Aulisa, G. Mastantuoni, Luca Padua, Leonardo Pitta, Roberto Padua |
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| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty Health Status Physical examination Central nervous system disease Spinal Stenosis Quality of life Lumbar stenosis Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine Rachis Aged Retrospective Studies Lumbar Vertebrae medicine.diagnostic_test business.industry Retrospective cohort study Middle Aged medicine.disease Natural history Stenosis Treatment Outcome Quality of Life Physical therapy Female Neurology (clinical) business Follow-Up Studies |
| Zdroj: | Spine. 29:1670-1674 |
| ISSN: | 0362-2436 |
| DOI: | 10.1097/01.brs.0000132313.84338.54 |
| Popis: | Study Design. We performed a retrospective study using the Short Form-36 Health Survey questionnaire (SF 38), clinical examination, and neuroradiologic and neurophysiologic measurements. Objectives. To avaluate patient outcomes, health-retated quality of life (HBOoL), and clinical and neurophysiologic picture in a follow-up study of surgery for lumbar stenosis (LS). Summary of Background Date. In LS patients, clinical, neuroradiologic, and neurophysiologic findings were norelated with validated measurement of the outcomes that are more relevant to patients such as functional status and symptoms. Methods. Thirty patients surgically treated for LS were recontacted and evaluated by means of self-administered questionnaires (SF-26), clinical examination, and neuroradiologic and neurophysiologic measurements. Preoperative and follow-up clinical and neurophysiologic findings were registered. Relations between patient-oriented data and validated conventional clinical, neuroradiologic, and neurophysiologic measurements were evaluated. Results. A comparison between preoperative and postoperative clinical picture above an improvement of most parameters lested. A comparison between preaparstive and postoperative neurophysiologic picture shows a worsening of most parameters tested. A comparison be tween the current sample and Italian numative data for the SF-36 showe a worsening of physical aspects of health-related quality of life; conversely, there is an improvement of some mental domains. Conctusions. Follow-up syaluation of surgical treatmetn for LS showed a mild impairment of physical aspacts of HRQoL, as measured by patient-oriented evefuation, Clinical examination lindings showed significant improvement. Conversely, neurophysiologic follow-up showed a discordent outcome. We think that, to better assess the surgical indication, further study should be performed focased on natural history and the association between neurophysiologic evolution and patient outcome, etc. |
| Databáze: | OpenAIRE |
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