Correlation between the degree of correction of neuromuscular scoliosis and patient quality of life
| Autor: | Raphael Martus Marcon, Olavo Biraghi Letaif, Tarcísio Eloy Pessoa de Barros Filho, Alexandre Fogaça Cristante, David Gonçalves Nordon, Lucas Castrillon Carmo Machado, Ariel Falbel Lugão |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Scoliosis Degree (temperature) Correlation Young Adult 03 medical and health sciences symbols.namesake Postoperative Complications 0302 clinical medicine Patient satisfaction Quality of life Surveys and Questionnaires Humans Medicine Functional ability Young adult lcsh:R5-920 030222 orthopedics Questionnaire business.industry General Medicine Clinical Science medicine.disease Pearson product-moment correlation coefficient Treatment Outcome Patient Satisfaction Neuromuscular Quality of Life symbols Physical therapy Female Surgery lcsh:Medicine (General) business 030217 neurology & neurosurgery |
| Zdroj: | Clinics, Volume: 72, Issue: 2, Pages: 71-80, Published: FEB 2017 Clinics; v. 72 n. 2 (2017); 71-80 Clinics; Vol. 72 Núm. 2 (2017); 71-80 Clinics; Vol. 72 No. 2 (2017); 71-80 Clinics Universidade de São Paulo (USP) instacron:USP Clinics, Vol 72, Iss 2, Pp 71-80 |
| ISSN: | 1807-5932 1980-5322 |
| Popis: | OBJECTIVE: There are few data on patient satisfaction with surgery for the correction of neuromuscular scoliosis or on the correlation between patient satisfaction and the degree of curve correction achieved by surgery. Our aim was to determine the correlations between both patient satisfaction and perception of quality of life and the degree of curve correction. METHODS: We interviewed 18 patients and administered a questionnaire that collected social and economic data and information about functional ability, comorbidities and satisfaction. Statistical analysis was performed using chi-square tests, Pearson correlation and paired t-tests. RESULTS: The mean correction achieved was 42.8%, i.e., 34.17 degrees. Early and late complication rates were low (11.1% each). Almost all of the patients (94.4%) were satisfied with the surgery, and expectations were met for 61.1% of them. Quality of life and aesthetics were improved in 83.4% and 94.4% of cases, respectively. No correlation was found between satisfaction and degree of correction. CONCLUSION: Our surgical results are similar to those of other studies with respect to the degree of correction and patient satisfaction. The disparity between satisfaction and fulfillment of expectations may be due to unrealistic initial expectations or misunderstanding of the objective of surgery. Our findings corroborate the hypothesis that satisfaction is multifactorial and not restricted to a quantitative goal. The satisfaction of patients who undergo operation for neuromuscular scoliosis does not depend directly on the degree of deformity correction. The relationship between satisfaction and the success of the correction procedure is complex and multifactorial. |
| Databáze: | OpenAIRE |
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