Evaluation of quality of life parameters in patients who have syringomyelia
| Autor: | Florian Roser, C. Sixt, F. Riether, Marcos Tatagiba, Bernd E. Will |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Adolescent Health Status Disease cluster Neurosurgical Procedures Disability Evaluation Young Adult Quality of life Physiology (medical) Surveys and Questionnaires medicine Cluster Analysis Humans Syrinx (medicine) In patient Spinal Cord Neoplasms Young adult Aged Retrospective Studies Analysis of Variance business.industry Retrospective cohort study General Medicine Middle Aged medicine.disease Syringomyelia Neurology Physical therapy Disease Progression Quality of Life Surgery Female Neurology (clinical) business Progressive disease |
| Zdroj: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 16(12) |
| ISSN: | 1532-2653 |
| Popis: | Syringomyelia is a centromedullary syndrome that can be treated conservatively or with various neurosurgical procedures. We hypothesized that different clinical subgroups of patients exist, which would necessitate the need for individualised neurosurgical intervention and maintenance to achieve optimal quality of life (QoL). Using both the short-form 36-item (SF-36) questionnaire and the Syringomyelia Disability Index, clinical and QoL data was prospectively assessed in 142 patients with syringomyelia. Cluster analysis was then performed on the subscale results of the SF-36. The SF-36 scores of those with syringomyelia were significantly lower than those of the general German population, as well as when compared to those patients suffering from other chronic diseases. The SF-36 scores were independent of the syringomyelia patients' underlying syrinx pathology. Cluster analysis of the QoL patterns revealed four indicative patient groups. Syringomyelia is a chronic, progressive disease, and the syrinx itself appears to be the source of the symptoms, rather than the underlying pathology. The identified QoL subgroups in syringomyelia patients indicate the necessity of appropriate diagnosis and treatment of the pathology so that expansion of the syrinx cavity is reduced, maintaining QoL and functionality of these patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect