کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6212664 1268587 2013 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Evaluation of clinical results and quality of life after surgical reconstruction for rheumatoid cervical spine
ترجمه فارسی عنوان
ارزیابی نتایج بالینی و کیفیت زندگی پس از بازسازی جراحی ستون فقرات گردن رحمی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

Background contextThe EuroQol (EQ-5D) is a widely used comprehensive measure of health-related quality of life. There has been no study that has evaluated the health-related quality of life before and after the surgical reconstruction of rheumatoid arthritis (RA) cervical spine lesions using EQ-5D.PurposeThe present study aimed to evaluate the improvement of quality of life before and after surgical reconstruction of rheumatoid cervical spine using EQ-5D, and the surgical outcomes of cervical spine affected by RA.Study designA retrospective study of the patients who underwent surgical reconstruction of cervical disorders in RA.Patient sampleTwenty-five patients (seven men, 18 women, mean age 62.2 years) who underwent surgical reconstruction of cervical disorders in RA were enrolled.Outcome measuresJapanese Orthopaedic Association (JOA) score and EQ-5D.MethodsClinical symptoms were evaluated before surgery and at 2 years after surgery by measuring the JOA score. We also investigated health-related quality of life before surgery and outcome at 2 years after surgery using the EQ-5D questionnaire.ResultsMean observation period was 46.3 months. Mean JOA score significantly improved from 9.1±4.5 points before surgery to 12.4±2.8 at the 2 years after surgery (p=.0001). All the EQ-5D data were improved at the 2 years after surgery, compared with the data before surgery; especially, pain (p=.005), usual activity (p=.005), mobility (p=.008), and anxiety/depression (p=.02) were significantly improved. Utility weight was 0.37±0.27 before surgery and 0.56±0.26 at the 2 years after surgery, showing significant improvement at the 2 years after surgery compared to before surgery (p=.002).ConclusionsThe surgical reconstruction of rheumatoid cervical spine has been demonstrated to improve patients' health-related quality of life.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Spine Journal - Volume 13, Issue 4, April 2013, Pages 391-396
نویسندگان
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