| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2021-12-01 |
| タイトル |
|
|
タイトル |
Factors associated with improved quality of life outcomes in patients undergoing surgery for adult spinal deformity |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
adult spinal deformity |
| キーワード |
|
|
主題 |
spino-pelvic parameters |
| キーワード |
|
|
主題 |
extensive corrective fusion surgery |
| キーワード |
|
|
主題 |
alignment |
| キーワード |
|
|
主題 |
minimum clinically important difference |
| キーワード |
|
|
主題 |
Scoliosis Research Society-22r |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
Arima, Hideyuki
Hasegawa, Tomohiko
Yamato, Yu
Togawa, Daisuke
Yoshida, Go
Yasuda, Tatsuya
Banno, Tomohiro
Oe, Shin
Mihara, Yuki
Ushirozako, Hiroki
Yamada, Tomohiro
Watanabe, Yuh
Ide, Koichiro
Nakai, Keiichi
Matsuyama, Yukihiro
|
| 書誌情報 |
Spine
巻 46,
号 6,
p. E384-E391,
発行日 2021-03-15
|
| 出版者 |
|
|
出版者 |
Wolters Kluwer Health |
| 権利 |
|
|
権利情報 |
This is a non-final version of an article published in final form in "Spine; 46(6): pE384-E391, 2021". |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Mini abstract
Patients with poor preoperative health-related quality of life were more likely to achieve functional improvement after extensive corrective fusion surgery for adult spinal deformity. Postoperative improvement to sagittal vertical axis increased the likelihood of MCID for the SRS-22r Subtotal domain. |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Structured abstract
Study design: Retrospective longitudinal cohort study.
Objective: This study aimed to elucidate factors affecting the likelihood of achieving minimum clinically important difference (MCID) to patient-reported outcomes defined by the Scoliosis Research Society-22r (SRS-22r) among patients with adult spinal deformity (ASD) who underwent extensive corrective fusion surgery from the thoracic spine to the pelvis.
Summary of background data: Achieving MCID for SRS-22r parameters was a measure of surgical efficacy. Patient characteristics and surgical and radiographic factors that affect the likelihood of achieving MCID for SRS-22r parameters are unknown.
Methods: Data from patients with ASD who underwent extensive corrective fusion surgery from the thoracic spine to the pelvis during 2010-2016 were retrospectively reviewed. Data from a total of 167 patients with ≥2 years of follow-up were included. Multivariate analysis was used to investigate factors associated with the likelihood of achieving MCID for each of the SRS-22r domains (Function, Pain, Subtotal) 2 years after surgery. The following MCID values were used: 0.90 for Function, 0.85 for Pain, and 1.05 for the Subtotal.
Results: MCID achievement rate was 36.5% for Function, 46.1% for Pain, and 44.3% for the Subtotal domain. In multivariate analysis, preoperative SRS-22r Function (OR=0.204, 95% CI, 0.105-0.396) increased the likelihood of achieving MCID for SRS-22r Function. Preoperative SRS-22r Subtotal (OR=0.211, 95% CI, 0.107-0.413), preoperative pelvic tilt (OR=1.072, 95% CI, 1.012-1.136), preoperative pelvic incidence minus lumbar lordosis (OR=0.965, 95% CI, 0.934-0.997), and postoperative sagittal vertical axis (OR=0.985, 95% CI, 0.974-0.995) affected the likelihood of achieving MCID for the SRS-22r Subtotal.
Conclusions: Patients with poor preoperative health-related quality of life were more likely to achieve improvement in SRS-22r parameters after extensive corrective fusion surgery for ASD. Achieving postoperative sagittal alignment increased the likelihood of achieving MCID for the SRS-22r Subtotal domain. |
| 注記 |
|
|
内容記述 |
Key points
• Patients with poor preoperative health-related quality of life were more likely to achieve improvement in SRS-22r parameters after extensive corrective fusion surgery for adult spinal deformity.
• Postoperative improvement to sagittal vertical axis increased the likelihood of MCID for the SRS-22r Subtotal domain.
• Revision surgery negatively affected the likelihood of meaningful functional improvements; therefore, minimizing the risk of revision surgery is important. |
| ISSN |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0362-2436 |
| EISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1528-1159 |
| PubMed番号 |
|
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関連タイプ |
isVersionOf |
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|
識別子タイプ |
PMID |
|
|
関連識別子 |
33394978 |
| 出版社DOI |
|
|
関連タイプ |
isVersionOf |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
10.1097/BRS.0000000000003908 |
| 著者版フラグ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
Spine-46-E384.pdf (975.9 kB)
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