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EUROSPINE 2017 FULL PAPER AWARD: Time to remove our rose-tinted spectacles: a candid appraisal of the relative success of surgery in over 4500 patients with degenerative disorders of the lumbar spine, hip or knee
- Publication Year :
- 2018
-
Abstract
- © 2018, Springer-Verlag GmbH Germany, part of Springer Nature. Purpose: Studies comparing the outcome of spine surgery with that of large-joint replacement report equivocal findings. The patient-reported outcome measures (PROMs) used in such studies are typically generic and may not be sufficiently sensitive to the successes/failures of treatment. This study compared different indices of “success” in patients undergoing surgery for degenerative disorders of the lumbar spine, hip, or knee, using a validated, multidimensional, and joint-specific PROM. Methods: Preoperatively and 12 months postoperatively, 4594 patients (3937 lumbar spine, 368 hip, 269 knee) undergoing first-time surgery completed a PROM that included the Core Outcome Measures Index (COMI) for the affected joint. The latter comprises a set of single items on pain, function, symptom-specific well-being, quality of life, and disability—all in relation to the specified joint problem. Other single-item ratings of treatment success were made 12 months postoperatively. Results: In multiple regression analyses, controlling for confounders, the mean improvement in COMI at 12 months was greatest for the hip patients and lowest for those with degenerative spinal deformity (= the statistical reference group) (p
- Subjects :
- musculoskeletal diseases
Adult
Male
medicine.medical_specialty
Knee Joint
Degenerative Disorder
Awards and Prizes
Pain
Prom
Osteoarthritis
Lumbar vertebrae
Klinikai orvostudományok
03 medical and health sciences
Disability Evaluation
0302 clinical medicine
Patient satisfaction
Postoperative Complications
Quality of life
Surveys and Questionnaires
Medicine
Humans
Orthopedics and Sports Medicine
Orthopedic Procedures
Registries
Prospective Studies
Patient Reported Outcome Measures
Prospective cohort study
Aged
030222 orthopedics
Lumbar Vertebrae
business.industry
Orvostudományok
Middle Aged
medicine.disease
Surgery
medicine.anatomical_structure
Orthopedics
Treatment Outcome
Patient Satisfaction
Quality of Life
Hip Joint
Spinal Diseases
Female
business
030217 neurology & neurosurgery
Subjects
Details
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....5c74718a23de15abb1b6b10fc0cd3415