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腰椎退行性疾病手术后与健康相关生活质量短期改善相关的术前运动功能:日本一项前瞻性队列初步研究

Preoperative Motor Function Associated with Short-Term Gain of Health-Related Quality of Life after Surgery for Lumbar Degenerative Disease: A Pilot Prospective Cohort Study in Japan.

作者信息

Ishibashi Yuya, Tomita Yosuke, Imura Shigeyuki, Takeuchi Nobuyuki

机构信息

Department of Physical Therapy, Graduate School of Health Care, Takasaki University of Health and Welfare, Takasaki 370-0033, Gunma, Japan.

Department of Rehabilitation, Harunaso Hospital, Takasaki 370-3347, Gunma, Japan.

出版信息

Healthcare (Basel). 2023 Dec 5;11(24):3103. doi: 10.3390/healthcare11243103.

Abstract

This study aimed to estimate the relationship between preoperative motor function and short-term recovery of health-related quality of life after lumbar surgery in patients with lumbar degenerative disease. This prospective cohort study involved 50 patients with lumbar degenerative disease at a general hospital in Japan. The primary outcome was the achievement of minimal clinically important difference (MCID) for EuroQOL 5 dimensions (EQ-5D) at discharge. Preoperative demographic, medication, surgical, and physical function data were collected. Logistic regression analysis was performed using the achievement of MCID for EQ-5D as the dependent variable and preoperative characteristics, including the Five Times Sit to Stand test (FTSTS), Oswestry Disability Index (ODI), and Self-rating Depression Scale (SDS), as the independent variables. The logistic regression analysis showed that Model 1 had a moderate predictive accuracy (Nagelkerke R: 0.20; Hosmer-Lemeshow test: = 0.19; predictive accuracy: 70.0%). Among the independent variables in the logistic regression model, the FTSTS was the only independent variable related to the achievement of MCID for EQ-5D at discharge (odds ratio: 0.03; 95% CI: 1.79 × 10, 0.18). Our results highlighted the importance of baseline motor function in the postoperative recovery of health-related quality of life in individuals with lumbar degenerative disease.

摘要

本研究旨在评估腰椎退行性疾病患者腰椎手术后术前运动功能与健康相关生活质量短期恢复之间的关系。这项前瞻性队列研究纳入了日本一家综合医院的50例腰椎退行性疾病患者。主要结局是出院时欧洲五维健康量表(EQ-5D)达到最小临床重要差异(MCID)。收集了术前人口统计学、用药、手术和身体功能数据。以EQ-5D达到MCID作为因变量,以术前特征(包括五次坐立试验[FTSTS]、奥斯威斯利残疾指数[ODI]和自评抑郁量表[SDS])作为自变量进行逻辑回归分析。逻辑回归分析显示,模型1具有中等预测准确性(Nagelkerke R:0.20;Hosmer-Lemeshow检验:=0.19;预测准确性:70.0%)。在逻辑回归模型的自变量中,FTSTS是唯一与出院时EQ-5D达到MCID相关的自变量(比值比:0.03;95%置信区间:1.79×10,0.18)。我们的结果强调了基线运动功能在腰椎退行性疾病患者术后健康相关生活质量恢复中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9378/10742417/35340163fa54/healthcare-11-03103-g001.jpg

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