Assessment of health-related quality of life after surgical treatment of focal symptomatic spinal stenosis compared with osteoarthritis of the hip or knee

Rampersaud, Y. Raja; Ravi, B.; Lewis, Stephen J.; Stas, Venessa; Barron, Ronald; Davey, Roderick; Mahomed, Nizar

doi:10.1016/j.spinee.2007.05.003

Cited by 67 publications

(55 citation statements)

References 41 publications

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“…The results of this study support previous findings that patients undergoing elective LDS due to SpS do not achieve a quality of life comparable to that of patients undergoing THA due to HA 1 year following surgery [9,18,21].…”

Section: Discussionsupporting

confidence: 88%

“…With that in mind, it seems important that elderly patients keep fit and socially active after treatment for musculoskeletal diseases, as for example spinal stenosis (SpS) and hip arthrosis (HA). Well-established surgical procedures such as lumbar decompression surgery (LDS) and total hip arthroplasty (THA) are frequently performed in the older population, and the general demographics and health status in patients with SpS and HA are very similar [9,18,19,21]. Reindl et al found comparatively low complication rates of the two types of surgery for patients aged 65?…”

Section: Introductionmentioning

confidence: 99%

“…Reindl et al found comparatively low complication rates of the two types of surgery for patients aged 65? years, and other studies have furthermore shown significant improvements in the level of function, pain and quality of life after both LDS [12,18,26] and THA procedures [8,16]. Although LDS patients seem to have a significant improvement in quality of life after surgery, the effect may not reach that of THA surgery [9,21].…”

Section: Introductionmentioning

confidence: 99%

“…Although LDS patients seem to have a significant improvement in quality of life after surgery, the effect may not reach that of THA surgery [9,21]. A recent study comparing the SF-36 score of matched LDS and THA patients preoperatively and 1 and 2 years postoperatively found that although LDS patients achieved a significant pre-to postoperative improvement in the physical component of the SF-36, their score was still significantly lower than that of THA patients 1 and 2 years after the operation [18].…”

Section: Introductionmentioning

confidence: 99%

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Physical activity level, leisure activities and related quality of life 1 year after lumbar decompression or total hip arthroplasty

et al. 2012

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Purpose Lumbar decompression surgery (LDS) and total hip arthroplasty (THA) are frequently performed in the elderly population, but very little is known about their subsequent physical capacity and participation in leisure activities. Despite similar demographics and comorbidities, it is questionable whether LDS patients achieve equally high levels of physical capacity and quality of life postoperatively as do THA patients. The aim was to compare the physical activity level, participation in leisure activities and related quality of life 1 year after an LDS and THA procedure. Methods Data from 95 THA patients and 83 LDS patients were gathered from questionnaires on self-reported physical activity level, leisure activities and quality of life. Results LDS and THA patients reported equally moderate levels of physical activity. The median score was 42.3 METs/day (IQR 37.9; 47.7) for the LDS group and 41.0 METs/day (IQR 38.5; 48.5)

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physical activity level, leisure activities and related quality of life 1 year after lumbar decompression or total hip arthroplasty

et al. 2012

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“…Several treatment options exist and although the choice of procedure is still debatable [5], there is evidence for the effect of decompression of neural structures with or without concomitant fusion [1,19,29]. Studies have shown the improvement in general health to be comparable with other well-established orthopaedic procedures such as hip and knee replacements [23].…”

Section: Introductionmentioning

confidence: 99%

Long-term health care utilisation and costs after spinal fusion in elderly patients

2012

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Purpose Spinal fusion surgery rates in the elderly are increasing. Cost effectiveness analyses with relatively short-length follow-up have been performed. But the longterm effects in terms of health care use are largely unknown. The aim of the present study was to describe the long-term consequences of spinal fusion surgery in elderly patients on health care use and costs using a health care system perspective. Methods 194 patients undergoing spinal fusion between 2001 and 2005 (70 men, 124 women) with a mean age of 70 years (range 59-88) at surgery were included. Average length of follow-up was 6.2 years (range 0.3-9.0 years). Data on resource utilisation and costs were obtained from national registers providing complete coverage of all reimbursed contacts with primary-and secondary health care providers. Data were available from 3 years prior fusion surgery until the end of 2009. Results Use of hospital-based health care increased in the year prior to and the first year following surgery. Hereafter it normalised to the level of the background population and was mainly composed of diseases unrelated to the spine. In contrast, the use of primary health care appeared to increase immediately after surgery and continued to increase to a level that significantly exceeded that of the background population. It could be demonstrated that the increase was mainly due to an increasing number of general practitioner consultations. Conclusion Spinal fusion surgery in older patients does not generate excess hospital-based health care use in the longer term as compared with the background population, but primary care use increases.

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The Prevalence of Disabling Musculoskeletal Conditions and the Demand for Orthopedic Surgery in the Twenty-First Century

Saleh

2014

Perioperative Care of the Orthopedic Patient

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Assessment of health-related quality of life after surgical treatment of focal symptomatic spinal stenosis compared with osteoarthritis of the hip or knee

Cited by 67 publications

References 41 publications

Physical activity level, leisure activities and related quality of life 1 year after lumbar decompression or total hip arthroplasty

Physical activity level, leisure activities and related quality of life 1 year after lumbar decompression or total hip arthroplasty

Long-term health care utilisation and costs after spinal fusion in elderly patients

The Prevalence of Disabling Musculoskeletal Conditions and the Demand for Orthopedic Surgery in the Twenty-First Century

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