Quality of life in post lumbar microdiscectomy patients using the EuroQol 5-dimension 5-level scale

2020 ◽  
Vol 8 (1) ◽  
pp. 21
Author(s):  
Ibrahim Alnaami ◽  
Saad Shakir ◽  
Khalid Almalwi ◽  
Abdullah Alquzi ◽  
Muhannad Asiri ◽  
...  
2021 ◽  
Author(s):  
Jennifer Gotta ◽  
Stefan Bielack ◽  
Stefanie Hecker-Nolting ◽  
Benjamin Sorg ◽  
Matthias Kevric ◽  
...  

Abstract Background Increasing numbers of patients surviving malignant bone tumors around the knee joint have led to an increasing importance to investigate long-term results. This study assessed the long-term results of rotationplasty after resection of malignant bone tumors regarding functional outcome and quality of life to allow better comparison with other treatment options in bone cancer treatment. Procedure 60 participants who underwent rotationplasty due to bone cancer took part in this multicentric questionnaire-based study. The long-term functional outcome was measured by the Musculoskeletal tumor society score (MSTS) and the Tegner activity level scale. The health-related quality of life (HRQL) was assessed by using the Short Form Health Survey (SF-36). Results Patients treated with rotationplasty (median follow-up of 22 years, range 10–47 years) regained a high level of activity (median MSTS score of 24). Even a return to high level sports was possible (mean Tegner activity level scale of 4). Duration of follow-up did not influence the functional outcome. HRQL scores were comparable to the general German population. Concerns of psychological problems due to the unusual appearance of the rotated foot have not been confirmed. Conclusion Rotationplasty can be a good alternative to endoprosthetic replacement or amputation, either as primary surgery or as a salvage procedure. Especially for growing children and very active patients rotationplasty should be considered.


Author(s):  
Jennifer Gotta ◽  
Stefan Bielack ◽  
Stefanie Hecker Nolting ◽  
Benjamin Sorg ◽  
Matthias Kevric ◽  
...  

Background Increasing numbers of patients surviving malignant bone tumors around the knee joint have led to an increasing importance to investigate long-term results. This study assessed the long-term results of rotationplasty after resection of malignant bone tumors regarding functional outcome and quality of life to allow better comparison with other treatment options in bone cancer treatment. Procedure 60 participants who underwent rotationplasty due to bone cancer took part in this multicentric questionnaire-based study. The long-term functional outcome was measured by the Musculoskeletal tumor society score (MSTS) and the Tegner activity level scale. The health-related quality of life (HRQL) was assessed by using the Short Form Health Survey (SF-36). Results Patients treated with rotationplasty (median follow-up of 22 years, range 10-47 years) regained a high level of activity (median MSTS score of 24). Even a return to high level sports was possible (mean Tegner activity level scale of 4). Duration of follow-up did not influence the functional outcome. HRQL scores were comparable to the general German population. Concerns of psychological problems due to the unusual appearance of the rotated foot have not been confirmed. Conclusion Rotationplasty can be a good alternative to endoprosthetic replacement or amputation, either as primary surgery or as a salvage procedure. Especially for growing children and very active patients rotationplasty should be considered.


2018 ◽  
Vol 146 (9-10) ◽  
pp. 554-560
Author(s):  
Elvis Mahmutovic ◽  
Radoslava Doder ◽  
Zana Dolicanin ◽  
Ksenija Boskovic

Introduction/Objective. The quality of life (QL) is a modern concept of observing the outcome of the disease and the success of the therapeutic procedure in all fields of medicine. The aim was to assess the QL of surgically treated patients with lumbar radiculopathy (LR) at the beginning of treatment and three and six months after the initiation of prescribed and applied medical rehabilitation. Methods. The study group included randomized and stratified sample of 50 patients treated with lumbar microdiscectomy (LM). Conservative treatment was carried out using physical therapy procedures, and kinetic and ergonomic therapeutic procedures and educational training program in ergonomics were carried out in all the patients. To assess the condition of the patients, the QL and the efficacy of the rehabilitation treatment, we used two standardized questionnaires, the Short Form Survey Instrument (SF-36) and the Oswestry Disability Index (ODI). Results. The lowest values of the SF-36 ? PCS, SF-36 ? MCS, and of the ODI were recorded at the beginning of the rehabilitation (PCS: 28.8; MCS: 37.8; ODI: 56.1%). The most significant improvements of the scores were observed three months after the treatment initiation (PCS: 42.8; MCS: 45.2; ODI: 38.9%). At six months of treatment, the scores were slightly higher (PCS: 49.2; MCS: 52.5; ODI: 23.7%) (p < 0.001). Conclusion. The QL and the functional status of patients after LM are significantly better after three and six months in comparison with the beginning of rehabilitation, and the state for six months compared to the state for three months.


Author(s):  
Elvis Mahmutović ◽  
Radoslava Doder ◽  
Zana Dolićanin ◽  
Jasmin Nurković ◽  
Zoran Bajin ◽  
...  

2020 ◽  
Vol 20 (8) ◽  
pp. 1196-1202
Author(s):  
Sohrab Virk ◽  
Milan Sandhu ◽  
Sheeraz Qureshi ◽  
Todd Albert ◽  
Harvinder Sandhu

2010 ◽  
Vol 112 (7) ◽  
pp. 557-562 ◽  
Author(s):  
K. Bošković ◽  
T. Cigić ◽  
M. Grajić ◽  
S. Todorović-Tomašević ◽  
A. Knežević

2019 ◽  
Author(s):  
Jeong-Cheol Shin ◽  
Jae-Hong Kim ◽  
Dongwoo Nam ◽  
Gwang-Cheon Park ◽  
Jeong-Soon Lee

Abstract Background Evidence on the add-on effect of Kinesiotape (KT) on acupuncture for treating ankle sprains remains insufficient. We assessed the add-on effect of KT on ankle sprain by comparing acupuncture combined with KT(AcuKT) with acupuncture alone in patients with acute lateral ankle sprain (ALAS). Methods This study was a multicenter, randomized, controlled clinical trial that included a per-protocol analysis of the add-on effect of KT on ALAS. The randomization was software-based and only the assessors were blinded. Sixty participants(20 each from three centers) with grade I or II ALAS were randomly assigned to an acupuncture (n=30) or AcuKT (n=30) group. Both groups received acupuncture treatment once daily, 5 days per week for 1 week. The AcuKT group received additional KT treatment. Visual analog scale (VAS) scores for pain and Foot and Ankle Outcome Score (FAOS) were obtained, and edema measurements were performed at baseline (week 0), at the end of the intervention (week 1), and at 4 weeks after the intervention (week 5).The European Quality of Life Five Dimension-Five Level Scale (EQ-5D-5L) measurements were conducted at week 0, week 1, week 5, and 26 weeks after the intervention. The number of recurrent ankle sprains was determined at 4,8,12, and 26weeks after the intervention. Results Fifty-six patients with ALAS completed the trial (AcuKT group, 27; acupuncture group, 29). There were significant changes(week 0 vs. week 1;week 0 vs. week 5) in VAS, FAOS, and EQ-5D-5L in both groups and in edema measurement in the AcuKT group alone. There were no significant differences between both groups regarding any outcome and in a subanalysis based on symptom severity. Conclusions These results indicate that AcuKT did not show the positive add-on effects of KT on acupuncture regarding pain reduction, edema, recovery of function, activities of daily living, quality of life, and relapse of ALAS.


2020 ◽  
Vol 11 ◽  
pp. 339
Author(s):  
Lena Mary Houlihan ◽  
James Meeke ◽  
Orla Dunlea ◽  
Michael G. J. O’Sullivan ◽  
Chris Lim ◽  
...  

Background: Lumbar microdiscectomy is one of the most frequently performed neurosurgical procedures. In this review, we ask why patients’ outcomes vary so widely even within the same unit, with the same surgeon performing the procedure and utilizing the technique? Methods: In a cohort of 87 patients, we investigated how/whether multiple patient variables impacted outcomes following single-level lumbar microdiscectomy. We studied whether early surgical intervention improved the patients’ quality of life (QOL) versus late intervention. Furthermore, we assessed other variables that could influence patient-perceived improvement. Preoperatively and postoperatively, we additionally utilized the following internationally standardized questionnaires (EQ-5D, Oswestry, and Core Outcome Measures Index [COMI]). Results: A generalized substantial improvement in QOL was identified throughout the cohort population (<0.05). There was no difference in health measurement scores for those undergoing early versus late surgery. However, there was a statistically significant improvement in all QOL scores for privately insured patients versus publicly insured patients (e.g., on COMI, EQ-5D, and ODI Scores). Conclusion: There was no objective statistically significant difference in QOL health scores between patients undergoing early versus late surgical lumbar microdiscectomy. This would suggest that the length of time patients is symptomatic before surgery did not significantly impact postoperative outcome. Of interest, however, was the difference in QOL health scores for private versus public patients suggesting that there are more subjective, complex, and psychosocial issues that influence outcome.


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