Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)

Abstract Purpose This study was to evaluate clinical outcomes using a patient-oriented test that scores health-related quality of life (HRQOL) for patients after minimally invasive surgery using microendoscopic discectomy (MED) for lumbar disc hernia. Few studies regarding MED in terms of disease-specific quality of life measures using Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) have been published. Methods Retrospective analysis of the surgical and clinical outcomes with regard to reducing pain and improving the functional status for 31 patients who underwent MED for lumbar disc hernia was conducted. These patients were evaluated at 3-year follow-up. The evaluations were based on a visual analogue scale (VAS), the Japanese Orthopaedic Association (JOA) scoring system, and the JOABPEQ, which is an objective, patient-oriented test that assesses HRQOL in patients with lumbar disorders. Results A low rate of improvement was seen only in mental health until 1 year, the low rate of improvement in mental health and was independently correlated with body mass index (BMI), pre-operative scores on the Brief Scale for Psychiatric problems in Orthopaedic Patients (BS-POP), and scores on the BS-POP at 12 months post-operatively. Conclusions All categories of VAS, JOA scores, and all domains of JOABPEQ were significantly higher over 3 years than those obtained pre-operatively. But only mental health domain showed mild improvement until 1 year. Moreover, BMI showed a negative correlation with improvements in the mental health domain post-operatively. As patients may be mentally exhausted from lumbar disc herniation, pre-operative mental health may be improved by surgical treatment.

Download Full-text

Evaluation of quality of life and neuropathic pain in patients with low back pain using the Japanese Orthopedic Association Back Pain Evaluation Questionnaire

European Spine Journal ◽

10.1007/s00586-014-3723-y ◽

2014 ◽

Vol 24 (3) ◽

pp. 503-512 ◽

Cited By ~ 22

Author(s):

Akihiko Hiyama ◽

Masahiko Watanabe ◽

Hiroyuki Katoh ◽

Masato Sato ◽

Daisuke Sakai ◽

...

Keyword(s):

Quality Of Life ◽

Neuropathic Pain ◽

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Evaluation Questionnaire ◽

Japanese Orthopedic Association ◽

Pain Evaluation

Download Full-text

Chronic Musculoskeletal Pain, Self-Reported Health and Quality of Life among Older Populations in South Africa and Uganda

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15122806 ◽

2018 ◽

Vol 15 (12) ◽

pp. 2806 ◽

Cited By ~ 3

Author(s):

Chao Wang ◽

Run Pu ◽

Bishwajit Ghose ◽

Shangfeng Tang

Keyword(s):

Quality Of Life ◽

Mental Health ◽

South Africa ◽

Back Pain ◽

Musculoskeletal Pain ◽

Chronic Musculoskeletal Pain ◽

Self Rated Health ◽

Reported Health ◽

Older Populations

Chronic musculoskeletal pain (CMP) is a serious health concern especially among the elderly population and has significant bearing on health and quality of life. Not much is known about the relationship between chronic pain with self-reported health and quality of life among older populations in low-resource settings. Based on sub-national data from South Africa and Uganda, the present study aimed to explore whether the older population living with CMP report health and quality of life differently compared to those with no CMP complaints. This study was based on cross-sectional data on 1495 South African and Ugandan men and women collected from the SAGE Well-Being of Older People Study. Outcome variables were self-reported physical and mental health and quality of life (QoL). Mental health was assessed by self-reported depressive symptoms during the last 12 months. CMP was assessed by self-reported generalised pain as well as back pain. Multivariable logistic regression models were used to measure the association between health and QoL with CMP by adjusting for potential demographic and environmental confounders. The prevalence of poor self-rated health (61.2%, 95% CI = 51.7, 70.0), depression (37.2%, 95% CI = 34.8, 39.6) and QoL (80.5%, 95% CI = 70.8, 87.5) was considerably high in the study population. Mild/moderate and Severe/extreme generalised pain were reported respectively by 34.5% (95% CI = 28.9, 40.5) and 15.7% (95% CI = 12.2, 19.9) of the respondents, while back pain was reported by 53.3% (95% CI = 45.8, 60.4). The prevalence of both types was significantly higher among women than in men (p < 0.001). In the multivariate analysis, both generalised pain and back pain significantly predicted poor health, depression and QoL, however, it varied between the two different populations. Back pain was associated with higher odds of poor self-rated health [OR = 1.813, 95% CI = 1.308, 2.512], depression [1.640, 95% CI = 1.425, 3.964] and poor QoL [1.505, 95% CI = 1.028, 2.202] in South Africa, but not in Uganda. Compared to having no generalised pain, having Mild/Moderate [OR = 2.309, 95% CI = 1.219, 7.438] and Severe/Extreme [OR = 2.271, 95% CI = 1.447, 4.143] generalised pain was associated with significantly higher odds of poor self-rated health in South Africa. An overwhelmingly high proportion of the sample population reported poor health, quality of life and depression. Among older individuals, health interventions that address CMP may help promote subjective health and quality and life and improve psychological health.

Download Full-text

Prevalence of Low Back Pain and Relationship to Mental Health Symptoms and Quality of Life After a Deployment-related Lower Limb Amputation

Spine ◽

10.1097/brs.0000000000003525 ◽

2020 ◽

Vol 45 (19) ◽

pp. 1368-1375

Author(s):

Brittney Mazzone ◽

Shawn Farrokhi ◽

Brad D. Hendershot ◽

Cameron T. McCabe ◽

Jessica R. Watrous

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Low Back Pain ◽

Back Pain ◽

Lower Limb ◽

Lower Limb Amputation ◽

Limb Amputation ◽

Low Back ◽

Health Symptoms

Download Full-text

Clinical outcomes and quality of life in patients with acute and subacute type B aortic dissection after thoracic endovascular aortic repair

Journal of International Medical Research ◽

10.1177/0300060520945506 ◽

2020 ◽

Vol 48 (8) ◽

pp. 030006052094550

Author(s):

Yonghua Bi ◽

Mengfei Yi ◽

Xinwei Han ◽

Jianzhuang Ren

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Aortic Dissection ◽

Clinical Outcomes ◽

Thoracic Endovascular Aortic Repair ◽

Endovascular Aortic Repair ◽

Type B ◽

Type B Aortic Dissection ◽

Aortic Repair

Objective Thoracic endovascular aortic repair (TEVAR) is considered the mini-invasive treatment of choice for patients with Stanford type B aortic dissection (TBAD). This study aimed to investigate the clinical outcomes and quality of life (QoL) in patients with acute and subacute TBAD after TEVAR. Methods From January 2014 until July 2016, 22 acute patients (Group A) and 18 subacute patients received TEVAR (Group B), and 13 patients were managed non-operatively (Group C). The Medical Outcomes Study Short Form-36 was used to assess QoL preoperatively and after TEVAR. Operative techniques and complications were retrospectively analyzed. Results The role emotion, vitality, and mental health domains scored well preoperatively. Except for role emotion, vitality, and mental health, the remaining domains significantly improved after TEVAR. There was no significant difference in QoL metrics between Groups A and B. In Group C, bodily pain and social functioning domains were improved, and role emotion was decreased, with no improvement in the remaining domains. The 3-year survival rates were 95.5%, 100%, and 85.7% for Groups A, B, and C, respectively. Conclusions TEVAR may be safe and effective in patients with acute and subacute TBAD with similar and favorable clinical and QoL metrics.

Download Full-text

CORRELATION OF LUMBAR FORAMINAL STENOSIS DEGREE ON SAGITTAL MRI WITH JOABPEQ (JAPANESE ORTHOPAEDIC ASSOCIATION BACKPAIN QUESTIONNAIRE) AND ODI (OSWESTRY DISABILITY INDEX) ON LUMBAR FORAMINAL STENOSIS L5-S1 PATIENTS

Biomedika ◽

10.23917/biomedika.v11i2.7628 ◽

2019 ◽

Vol 11 (2) ◽

pp. 68-73

Author(s):

Bagas Widhiarso ◽

Anggita Tri Yurisworo ◽

Andhi Prijosedjati ◽

Pamudji Utomo ◽

Handry Tri Handojo

Keyword(s):

Quality Of Life ◽

Magnetic Resonance Imaging ◽

Oswestry Disability Index ◽

Japanese Orthopaedic Association ◽

Foraminal Stenosis ◽

Resonance Imaging ◽

Lumbar Foraminal Stenosis ◽

Pain Evaluation ◽

Magnetic Resonance Imaging Mri

Lumbar Foraminal Stenosis (LFS) dapat secara signifikan mengurangi fungsi dan kualitas hidup pasien dan Magnetic Resonance Imaging (MRI) adalah alat pendukung yang umum digunakan untuk mengukur beratnya stenosis. Lee score umumnya digunakan untuk mengukur derajat LFS pada MRI sagital. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) dan Oswestry Disability Index (ODI) digunakan untuk menilai disabilitas dan skor fungsional pada pasien LFS. Penelitian ini bertujuan untuk mengetahui korelasi antara derajat LFS pada MRI sagital dengan kualitas hidup pada pasien dengan LFS. Penelitian ini merupakan penelitian analitik observasional yang melibatkan 25 pasien dengan gejala klinis LFS di RS. X Surakarta. Pasien dinilai dengan mengisi kuesioner JOABPEQ dan ODI, kemudian dilakukan evaluasi MRI sagittal lumbar untuk menentukan derajat Lee score, kemudian melakukan uji korelasi pada data yang diperoleh. Penelitian ini menunjukkan korelasi yang signifikan antara Skor Lee dengan JOABPEQ dan ODI. Tingkat LFS berdasarkan Lee Score memiliki korelasi yang signifikan dengan tingkat disabilitas menggunakan JOABPEQ dan ODI. JOABPEQ memiliki korelasi yang lebih signifikan dengan Skor Lee dibandingkan dengan ODI. Kata Kunci : Lumbar Foraminal Stenosis, Lee Score, JOABPEQ, ODI Lumbar Foraminal Stenosis (LFS) can significantly reduce the patient’s function and quality of life and Magnetic Resonance Imaging (MRI) is commonly used supporting tool to measure the degree of stenosis. Lee Score is commonly used to measure the degree of LFS on sagittal MRI. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) and Oswestry Disability Index (ODI) to assess disability and functional scores in LFS patients. This study was conducted to determine the correlation between the degree of LFS on sagittal MRI images with quality of life in patients with LFS.This study is an observational analytics study involving 25 patients with clinical symptoms of LFS in X Hospital Surakarta. Patients were assessed by filling JOABPEQ dan ODI questionnaires, then performed sagittal lumbar MRI evaluation to determine the degree of Lee Score, then performed correlation test on the data obtained.This study shows a significant correlation between Lee Score with JOABPEQ and ODI. The degree of LFS based on Lee Score has a significant correlation with the degree of disability using JOABPEQ and ODI. JOABPEQ has a more significant correlation to Lee Score compared with ODI. Keywords:Lumbar Foraminal Stenosis, Lee Score, JOABPEQ, ODI

Download Full-text

The Impact of Sarcopenia on Low Back Pain and Quality of Life in Patients with Osteoporosis

10.21203/rs.3.rs-1012777/v1 ◽

2021 ◽

Author(s):

Shoji Iwahashi ◽

Ryuki Hashida ◽

Hiroo Matsuse ◽

Eriko Higashi ◽

Masafumi Bekki ◽

...

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Adult Spinal Deformity ◽

Japanese Orthopaedic Association ◽

Low Back ◽

Ambulatory Patients ◽

The Impact

Abstract Purpose: Osteoporosis combined with sarcopenia contributes to a high risk of falling, fracture, and even mortality. However, sarcopenia's impact on low back pain and quality of life (QOL) in patients with osteoporosis is still unknown. The purpose of this study is to investigate low back pain and QOL in osteoporosis patients with sarcopenia.Methods: We assessed 100 ambulatory patients who came to our hospital for osteoporosis treatment. Low back pain was evaluated using the Visual Analogue Scale (VAS) with 100 being an extreme amount of pain and 0 no pain. The Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) score was used to assess QOL after adjustment for age, history of vertebral fracture, and adult spinal deformity. Differences in low back pain intensity assessed by VAS between groups were evaluated by the Willcoxon rank-sum test. Covariance analysis was used to assess QOL. All data are expressed as either median, interquartile range, or average, standard error.Results: Patients were classified into the sarcopenia group (n=32) and the non-sarcopenia group (n=68). Low back pain intensity assessed by VAS was significantly higher in the sarcopenia group than in the non-sarcopenia group (33.0 [0-46.6] vs. 8.5 [0-40.0]; p<0.05). The subscales of the JOABPEQ for low back pain were significantly lower in the sarcopenia group than in the non-sarcopenia group (65.0±4.63 vs. 84.0±3.1; p<0.05). Conclusion:In this cross-sectional study, sarcopenia affected low back pain and QOL in ambulatory patients with osteoporosis. Sarcopenia may exacerbate low back pain and QOL. (244/250 words)

Download Full-text