Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 2: assessment of functional outcome following lumbar fusion.

Ghogawala, Zoher; Resnick, Daniel K; Watters, William C; Mummaneni, Praveen V; Dailey, Andrew T; Choudhri, Tanvir F; Eck, Jason C; Sharan, Alok; Groff, Michael W; Wang, Jeffrey C; Dhall, Sanjay S; Kaiser, Michael G

Ghogawala, Zoher; Resnick, Daniel K; Watters, William C; Mummaneni, Praveen V; Dailey, Andrew T; Choudhri, Tanvir F; Eck, Jason C; Sharan, Alok; Groff, Michael W; Wang, Jeffrey C; Dhall, Sanjay S; Kaiser, Michael G.

Afiliación

Ghogawala Z; Alan and Jacqueline Stuart Spine Research Center, Department of Neurosurgery, Lahey Clinic, Burlington, and Tufts University School of Medicine, Boston, Massachusetts;

J Neurosurg Spine ; 21(1): 7-13, 2014 Jul.

Article en En | MEDLINE | ID: mdl-24980579

RESUMEN

Assessment of functional patient-reported outcome following lumbar spinal fusion continues to be essential for comparing the effectiveness of different treatments for patients presenting with degenerative disease of the lumbar spine. When assessing functional outcome in patients being treated with lumbar spinal fusion, a reliable, valid, and responsive outcomes instrument such as the Oswestry Disability Index should be used. The SF-36 and the SF-12 have emerged as dominant measures of general health-related quality of life. Research has established the minimum clinically important difference for major functional outcomes measures, and this should be considered when assessing clinical outcome. The results of recent studies suggest that a patient's pretreatment psychological state is a major independent variable that affects the ability to detect change in functional outcome.

Asunto(s)

Vértebras Lumbares/cirugía; Guías de Práctica Clínica como Asunto; Recuperación de la Función; Enfermedades de la Columna Vertebral/psicología; Enfermedades de la Columna Vertebral/cirugía; Fusión Vertebral/normas; Evaluación de la Discapacidad; Medicina Basada en la Evidencia; Humanos; Vértebras Lumbares/patología; Calidad de Vida; Enfermedades de la Columna Vertebral/patología

Palabras clave

BIS = Balanced Inventory for Spinal Disorders; DRI = Disability Rating Index; HR-QOL = health-related quality of life; ICC = intraclass correlation coefficient; LSOQ = Lumbar Spine Outcomes Questionnaire; MCID = minimum clinically important difference; MCS = mental component summary; ODI = Oswestry Disability Index; PCS = physical component summary; RMDQ = Roland-Morris Disability Questionnaire; ROC = receiver operating characteristic; SF-12 = 12-Item Short Form Health Survey; SF-36 = 36-Item Short Form Health Survey; SIP = Sickness Impact Profile; SRS-22 = 22-Item Scoliosis Research Society; VAS = visual analog scale; fusion; lumbar spine; practice guidelines; treatment outcomes

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Columna Vertebral / Fusión Vertebral / Guías de Práctica Clínica como Asunto / Recuperación de la Función / Vértebras Lumbares Tipo de estudio: Guideline Aspecto: Patient_preference Límite: Humans Idioma: En Revista: J Neurosurg Spine Asunto de la revista: NEUROCIRURGIA Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos

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