Health-related quality of life and expectations of patients before surgical treatment of lumbar stenosis

Abstract

Objective: To evaluate the expectations of patients awaiting surgical treatment of lumbar canal stenosis and the association of Health-Related Quality of Life (HRQoL) with symptoms of anxiety and depression. Methods: The sample included 49 patients from a university hospital. HRQoL was assessed by the Oswestry Disability Index (ODI) and 36-item Medical Outcomes Survey Short Form (SF-36) and symptoms of anxiety and depression by the Hospital Anxiety and Depression Scale (HADS). Expectations were investigated by means of questions used in international studies. Data were analyzed descriptively and by Student's t test. Results: The mean time of disease progression was 34.5 months, the mean age was 58.8 years and 55.1% of the patients were women. Most patients had the expectation of improving with surgical treatment and 46.9% expected to be "much better" with regard to leg pain, walking ability, independence in activities and mental well being. The scores of anxiety and depression were respectively, 34.7% and 12.2%. We observed statistically significant differences between the groups with and without anxiety in the domains: General Health, Mental Health, and Vitality. Between the groups with and without depression there were statistically significant differences in the General Health and Mental Health domains. Conclusion: Patients showed great expectation to surgical treatment and the symptoms of anxiety and depression were related to some domains of HRQoL. Thus, the study contributes to broaden our knowledge and we can therefore guide the patients as to their expectations with respect to the real possibilities arising from surgery.

Anxiety and depression in spine surgery—a systematic integrative review

“…Three articles also based on the same study [19,31,32] were excluded because the instruments used lacked validation, the use of instruments varied, and missing data were not consistently dealt with. The remaining seven articles [24,[33][34][35][36][37][38] were excluded for a number of different reasons: it was not clear whether the sample was representative of the population, or whether it was based on a random sample, whether the outcomes of participants who withdrew were not described or included in the analysis, and in five of these studies it was questionable whether appropriate statistical analyses had been used. Assessment criteria and process are presented in Tables 5-7.…”

Prevalência E Fatores Associados À Problema Crônico De Coluna Em Mulheres Em Idade Fértil

“…O diagnóstico de depressão foi associado a 3 vezes mais chances de ter PCC, o que pode ser explicado pelas limitações que esta disfunção pode causar. Um estudo realizado com pacientes que sofriam de problema na coluna revelou que 12% apresentavam depressão em virtude da morbidade, e que a maioria deles tinha expectativa de melhorar com o tratamento 45 .…”

Prevalência e fatores associados a problema crônico de coluna em mulheres em idade fértil

“…The diagnosis of depression was associated with 3 times more chances of having CBP, which can be explained by the limitations that this dysfunction can cause. A study of patients suffering from a spinal disorder revealed that 12% had depression due to morbidity, and that most of them expected to improve with treatment 45 .…”