Minimum Clinically Important Difference and Substantial Clinical Benefit in Pain, Functional, and Quality of Life Scales in Failed Back Surgery Syndrome Patients

Spine ◽  
2017 ◽  
Vol 42 (8) ◽  
pp. E474-E481 ◽  
Author(s):  
Ki Byung Park ◽  
Joon-Shik Shin ◽  
Jinho Lee ◽  
Yoon Jae Lee ◽  
Me-riong Kim ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Benefit ◽  
Minimum Clinically Important Difference ◽  
Failed Back Surgery Syndrome ◽  
Clinically Important Difference ◽  
Substantial Clinical Benefit ◽  
Failed Back Surgery ◽  
Back Surgery

scholarly journals Views of patients suffering from Failed Back Surgery Syndrome on their health and their ability to adapt to daily life and self-management: A qualitative exploration

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243329
Author(s):  
Tanja E. Hamm-Faber ◽  
Yvonne Engels ◽  
Kris C. P. Vissers ◽  
Dylan J. H. A. Henssen
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Daily Life ◽  
Failed Back Surgery Syndrome ◽  
Personal Health ◽  
Positive Health ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
The Web

Background The clinical outcomes of Spinal Cord Stimulation (SCS) therapy in patients with a Failed Back Surgery Syndrome (FBSS) is mostly done by standardized pain and quality of life measurements instruments and hardly account for personal feelings and needs as a basis for a patient-centred approach and shared decision making. Objectives The objective of this study is to explore perspectives on personal health and quality of life (QoL) in FBSS patients concerning their physical-, psychological and spiritual well-being prior to receiving an SCS system. Methods We performed face-to-face, semi-structured, in-depth interviews to obtain descriptive and detailed data on personal health, guided by the Web diagram of Positive Health (Huber et al.) and a topic list. The following main topics were assessed qualitatively: 1) Bodily functioning, 2) Mental function and perception 3) Spiritual dimension, 4) Quality of life, 5) Social and societal participation and 6) Daily functioning. Results Seventeen FBSS patients (eight male, nine female) were included from April–November 2019 at the department of pain medicine in the Albert Schweitzer Hospital in the Netherlands. Median age 49 years; range 28 to 67 years, and patients underwent between one and five lumbar surgical operations. The duration of their chronic pain was between four and 22 years. After analyzing the interviews, three themes emerged: 1) dealing with chronic pain, 2) the current situation regarding aspects of positive health, and 3) future perspectives on health and quality of life. These themes arose from eleven categories and a hundred ninety codes. Conclusion This qualitative study explored FBSS patients ‘views on their health and the ability to adapt to daily life having complex chronic pain, and showed that patients experienced shortcomings in daily life within the six dimensions of the Web diagram of Positive Health before the SCS implant.

scholarly journals Self-perception of quality of life and identification of alexithymia in failed back surgery syndrome patients

Revista Dor ◽  
2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Marielza Regina Ismael Martins ◽  
Ana Marcia Rodrigues da Cunha ◽  
Jose Eduardo Nogueira Forni ◽  
Randolfo dos Santos Junior ◽  
Lilian Chessa Dias ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Failed Back Surgery Syndrome ◽  
Self Perception ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
Perception Of Quality

scholarly journals EFFECTIVENESS OF AN INTERDISCIPLINARY PROGRAM IN PATIENTS WITH FAILED BACK SURGERY SYNDROME

2017 ◽  
Vol 16 (1) ◽  
pp. 48-51
Author(s):  
JOSÉ EDUARDO NOGUEIRA FORNI ◽  
ANA MARCIA RODRIGUES CUNHA ◽  
CARLOS EDUARDO D'AGLIO ROCHA ◽  
LILIAN CHESSA DIAS ◽  
MARCO HENRIQUE D'ALL AGLIO FOSS ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Failed Back Surgery Syndrome ◽  
Pain Clinic ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Interdisciplinary Program ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
The Mean

ABSTRACT Objective: To evaluate the results of an interdisciplinary program administered to patients with failed back surgery syndrome, aiming at functional improvement, modulation of pain, reduction of anxiety symptoms and depression, and improvement of quality of life. Method: This is a non-randomized prospective study with a sample of patients with failed back surgery pain syndrome diagnosed with persistent or recurrent pain after surgery to the lumbar spine (laminectomy and arthrodesis) referred to liaison in the Pain Clinic (n= 26). The instruments used were Brief Pain Inventory, Roland-Morris Questionnaire and Beck Anxiety and Depression Inventories. The generic WHOQOL-bref13 questionnaire was used to evaluate the quality of life and the fear of moving was assessed by the Tampa Scale for Kinesiophobia. Results: There was a predominance of females, the mean age was 42.3 ± 5.8 years, 43% were married and average schooling was 7 ± 4.5 years. The mean time of pain reported was 8 ± 6.8 months in addition to high levels of anxiety, depression and kinesiophobia. After the intervention, there was a significant improvement in the perception of quality of life and of all parameters evaluated (p<0.05), with functional gains as well as decreased pain threshold. Conclusion: The interdisciplinary intervention in patients with failed back surgery syndrome provides better functional performance, decreases the intensity of pain, anxiety and depression symptoms, and improves quality of life. The inclusion of this intervention associated with drug therapy may the patient develop an active and independent lifestyle.

scholarly journals Factors related to Quality of Life of Patients with Failed Back Surgery Syndrome

2021 ◽  
Vol 28 (3) ◽  
pp. 311-319
Author(s):  
Yu Sun Jang ◽  
Sun Young Jung
Keyword(s):  
Quality Of Life ◽  
Family Support ◽  
Failed Back Surgery Syndrome ◽  
Intervention Programs ◽  
Pain Clinic ◽  
Stepwise Multiple Regression ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
One Way Anova

Purpose: This study was done to investigate factors related to quality of life of patients with failed back surgery syndrome.Methods: One hundred and eighty four patients were recruited from a hospital pain clinic. Data were collected from March 12 to April 9, 2018 using structured questionnaires which included questions about quality of life, hope, and family support. Data analysis was done with descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis with SPSS version 25.0.Results: The factors related to quality of life were hope, family support, and frequency of pain. These three factors accounted for 53.1% of the total variance in quality of life.Conclusion: In order to increase quality of life of patients with failed back surgery syndrome, it is necessary to design intervention programs that effectively manage hope, family support, and frequency of pain.

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