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Surgical Outcome Predictor in Degenerative Lumbar Spinal Disease Based on Health Related Quality of Life Using Euro-Quality 5 Dimensions Analysis

DC FieldValueLanguage
dc.contributor.author문성환-
dc.contributor.author박준영-
dc.contributor.author양재호-
dc.contributor.author이환모-
dc.date.accessioned2017-10-26T07:14:57Z-
dc.date.available2017-10-26T07:14:57Z-
dc.date.issued2016-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151796-
dc.description.abstractPURPOSE: We aim to introduce the predictive value of a quantitatively described formula model in a multicenter prospective analysis using the EuroQol-5 dimensions (EQ-5D) health scale to anticipate postoperative improvement in patients with degenerative lumbar spine disease (DLSD). MATERIALS AND METHODS: Quality of life was evaluated in 376 patients from 17 tertiary hospitals before and after spinal decompression and fusion surgery. The five items of the EQ-5D, mobility (M), self-care (S), usual activities (A), pain/discomfort (P), and anxiety/depression (D), were checked as level 1, 2, or 3, with 3 being the worst. A minimal significant change in the calculated EQ-5D (cEQ-5D) was set as 0.05. Logistic regression analysis was performed to predict the highest successful outcome (cEQ-5D improvement after operation >0.05) with the given sets of 5 items of the EQ-5D. RESULTS: In the cEQ-5D analysis, among patients with a formula score of S+A+2×P+D≤8, 18/68 (27%) showed significant improvement in the cEQ-5D at 1 year postoperatively (p<0.05). However, in patients with a formula score of ≥9, 265/308 (86%) demonstrated significant improvements in the cEQ-5D at 1 year postoperatively (p<0.05). CONCLUSION: We suggest that S+A+2×P+D≥9 in the EQ-5D can quantitatively describe the better surgical outcome predictors for DLSD. With a definite DLSD lesion confirmed by an imaging study, patients who meet the formula scores of 9 or over and have refractory symptoms to non-operative treatment could be better surgical candidates resulting in satisfactory surgical outcomes of over 86%, than those who scored 8 or lower.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherYonsei University-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHDecompression, Surgical/adverse effects-
dc.subject.MESHFemale-
dc.subject.MESHHealth*-
dc.subject.MESHHumans-
dc.subject.MESHLumbar Vertebrae/surgery*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostoperative Complications/etiology-
dc.subject.MESHPostoperative Complications/psychology-
dc.subject.MESHPostoperative Period-
dc.subject.MESHPrognosis-
dc.subject.MESHProspective Studies-
dc.subject.MESHQuality of Life*-
dc.subject.MESHSelf Care-
dc.subject.MESHSpinal Diseases/diagnosis-
dc.subject.MESHSpinal Diseases/surgery*-
dc.subject.MESHSurveys and Questionnaires-
dc.subject.MESHTreatment Outcome-
dc.titleSurgical Outcome Predictor in Degenerative Lumbar Spinal Disease Based on Health Related Quality of Life Using Euro-Quality 5 Dimensions Analysis-
dc.typeArticle-
dc.publisher.locationKorea (South)-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Orthopedic Surgery-
dc.contributor.googleauthorByung Ho Lee-
dc.contributor.googleauthorJae-Ho Yang-
dc.contributor.googleauthorHwan-Mo Lee-
dc.contributor.googleauthorJun-Young Park-
dc.contributor.googleauthorSang-Eun Park-
dc.contributor.googleauthorSeong-Hwan Moon-
dc.identifier.doi10.3349/ymj.2016.57.5.1214-
dc.contributor.localIdA04940-
dc.contributor.localIdA02317-
dc.contributor.localIdA03333-
dc.contributor.localIdA01365-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid27401654-
dc.subject.keywordLumbar vertebrae-
dc.subject.keyworddegenerative-
dc.subject.keywordoutcome assessment-
dc.subject.keywordspinal disease-
dc.subject.keywordsurgical procedure-
dc.contributor.alternativeNameMoon, Seong Hwan-
dc.contributor.alternativeNamePark, Jun Young-
dc.contributor.alternativeNameYang, Jae Ho-
dc.contributor.alternativeNameLee, Hwan Mo-
dc.contributor.affiliatedAuthorPark, Jun Young-
dc.contributor.affiliatedAuthorYang, Jae Ho-
dc.contributor.affiliatedAuthorLee, Hwan Mo-
dc.contributor.affiliatedAuthorMoon, Seong Hwan-
dc.citation.volume57-
dc.citation.number5-
dc.citation.startPage1214-
dc.citation.endPage1221-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.57(5) : 1214-1221, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid45807-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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