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休曼病患者的生活质量仅有轻微变化。

There are only minor changes in quality of life in patients with Scheuermann's disease.

作者信息

Damborg Frank, Engell Vilhelm, Andersen Mikkel O, Kyvik Kirsten O, Thomsen Karsten

机构信息

Ortopædkirurgisk Afdeling, Sygehus Lillebælt, Kolding, Skovvangen 2-8, 6000 Kolding, Denmark.

出版信息

Dan Med J. 2014 Mar;61(3):A4790.

Abstract

INTRODUCTION

The impact of Scheuermannss disease (SD) on health-related quality of life (HRQoL) is unclear. The aim of this study was to study HRQoL based on The Medical Outcome Study Short Form-12 (SF-12) in adult life in a group of SD patients.

MATERIAL AND METHODS

A total of 46,418 twins were sent a questionnaire. 75.3% answered. Included in the questionnaire were questions from the SF-12. We compared SF-12 values in SD patients and control patients. We also identified 259 "non-concordant" twin pairs and compared SF-12 values from the SD twin with values from the healthy twin.

RESULTS

In all, 943 persons were identified to have SD, leaving 33,064 persons in the control group. SF-12 Physical Component Summary (PCS) (mean (standard deviation)) was found to be 50.50 (9.89) in SD and 53.21 (8.00) in controls (p < 0.001), and SF-12 Mental Component Summary (MCS) was found to be 51.52 (8.49) in SD and 51.81 (8.45) in controls (p = 0.71). In the non-concordant twin pairs, SF-12 PCS was found to be 50.74 (9.87) in SD and 52.74 (8.84) in controls (p < 0.001), and SF-12 MCS was found to be 53.91 (8.19) in SD and 53.72 (8.70) in controls (p = 0.64).

CONCLUSION

SF-12 PCS is moderately, though highly statistically significantly worse in SD patients than in controls in this big group of twins. We found no statistical difference in SF-12 MCS between the two groups. SD patients evaluate their physical health worse and their mental health like controls.

FUNDING

This study was funded by The Sahva Foundation. The sponsor had no influence on the study or its publication. No conflicts of interest exist between the sponsor and the authors.

TRIAL REGISTRATION

Approved by the Scientific-ethical Committee in Denmark (no. 20010202).

摘要

引言

休曼氏病(Scheuermann's disease,SD)对健康相关生活质量(HRQoL)的影响尚不清楚。本研究旨在基于医学结局研究简明健康调查问卷(Medical Outcome Study Short Form-12,SF-12),对一组成年SD患者的生活质量进行研究。

材料与方法

共向46418对双胞胎发放了问卷。75.3%的双胞胎进行了回复。问卷中包含了SF-12中的问题。我们比较了SD患者和对照患者的SF-12值。我们还识别出259对“不一致”的双胞胎,并比较了SD双胞胎与健康双胞胎的SF-12值。

结果

总共识别出943名患有SD的患者,对照组有33064人。发现SD患者的SF-12身体成分总结(PCS)(均值(标准差))为50.50(9.89),对照组为53.21(8.00)(p<0.001);SD患者的SF-12心理成分总结(MCS)为51.52(8.49),对照组为51.81(8.45)(p = 0.71)。在不一致的双胞胎对中,发现SD患者的SF-12 PCS为50.74(9.87),对照组为52.74(8.84)(p<0.001);SD患者的SF-12 MCS为53.91(8.19),对照组为53.72(8.70)(p = 0.64)。

结论

在这一大组双胞胎中,SD患者的SF-12 PCS虽有统计学显著差异,但只是中度较差。我们发现两组之间的SF-12 MCS没有统计学差异。SD患者对其身体健康的评价较差,但对其心理健康的评价与对照组相似。

资助

本研究由萨瓦基金会(The Sahva Foundation)资助。资助方对研究及其发表没有影响。资助方与作者之间不存在利益冲突。

试验注册

经丹麦科学伦理委员会批准(编号20010202)。

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