A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Disability, Health-Related Quality of Life and Mortality in Lumbar Spine Fusion Patients : A 5-Year Follow-Up and Comparison With a Population Sample (2022)
Toivonen, L., Pekkanen, L., Neva, M. H., Kautiainen, H., Kyrölä, K., Marttinen, I., & Häkkinen, A. (2022). Disability, Health-Related Quality of Life and Mortality in Lumbar Spine Fusion Patients : A 5-Year Follow-Up and Comparison With a Population Sample. Global Spine Journal, 12(6), 1052-1057. https://doi.org/10.1177/2192568220972977
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Toivonen, Leevi; Pekkanen, Liisa; Neva, Marko H.; Kautiainen, Hannu; Kyrölä, Kati; Marttinen, Ilkka; Häkkinen, Arja
Lehti tai sarja: Global Spine Journal
ISSN: 2192-5682
eISSN: 2192-5690
Julkaisuvuosi: 2022
Ilmestymispäivä: 18.11.2020
Volyymi: 12
Lehden numero: 6
Artikkelin sivunumerot: 1052-1057
Kustantaja: SAGE Publications
Julkaisumaa: Britannia
Julkaisun kieli: englanti
DOI: https://doi.org/10.1177/2192568220972977
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Kokonaan avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/72756
Tiivistelmä
Prospective follow-up study.
Objectives:
We aimed to assess the effect of lumbar spine fusion (LSF) on disability, health-related quality of life and mortality in a 5-year follow-up, and to compare these results with the general population.
Methods:
523 consecutive LSF operations were included in a prospective follow-up. Disability was assessed by the Oswestry Disability Index (ODI), and HRQoL by the 36-item Short Form (SF-36) questionnaire using the physical and mental summary scores (PCS and MCS). The patients were compared with an age-, sex-, and residential area matched general population cohort.
Results:
The preoperative ODI in the patients was 46 (SD 16), and the change at 5 years was −26 (95% CI: −24 to −28), p < 0.001. In the population, ODI (baseline 13, SD 16) remained unchanged. The preoperative PCS in the patients was 27 (SD 7), in the population 45 (SD 11), and the increase in the patients at 5 years was 8 (95% CI: 7 to 9), p < 0.001. The patients did not reach the population in ODI or PCS. The baseline MCS in the patients was 47 (SD 13), and the change at 5 years 4 (95% CI: 3 to 7), p < 0.001. MCS of the females reached the population at 5-year follow-up. When analyzing short and long fusions separately, comparable changes were seen in both subgroups. There was no difference in mortality between the patients (3.4%) and the population (4.8%), hazard ratio (HR) 0.86.
Conclusions:
Although the patients who had undergone LSF benefited from surgery still at 5 years, they never reached the physical level of the population.
YSO-asiasanat: selkäsairaudet; lanneranka; leikkaushoito; elämänlaatu; kuolleisuus; seurantatutkimus
Vapaat asiasanat: lumbar spinal fusion (LSF); outcome; longer follow-up; population sample; mortality
Liittyvät organisaatiot
OKM-raportointi: Kyllä
VIRTA-lähetysvuosi: 2023
JUFO-taso: 1
