2024-03-28T10:15:03Z
https://soar-ir.repo.nii.ac.jp/oai
oai:soar-ir.repo.nii.ac.jp:00008021
2022-12-14T04:27:23Z
882:883
Evaluation of clinical results and quality of life after surgical reconstruction for rheumatoid cervical spine
Uehara, Masashi
Takahashi, Jun
Hirabayashi, Hiroki
Ogihara, Nobuhide
Mukaiyama, Keijiro
Kuraishi, Shugo
Shimizu, Masayuki
Hashidate, Hiroyuki
Kato, Hiroyuki
EuroQol
Japanese Orthopaedic Association score
Rheumatoid arthritis
Cervical reconstruction
Health-related quality of life
BACKGROUND CONTEXT: The 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. PURPOSE: The 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 DESIGN: A retrospective study of the patients who underwent surgical reconstruction of cervical disorders in RA. PATIENT SAMPLE: Twenty-five patients (seven men, 18 women, mean age 62.2 years) who underwent surgical reconstruction of cervical disorders in RA were enrolled. OUTCOME MEASURES: Japanese Orthopaedic Association (JOA) score and EQ-5D. METHODS: Clinical 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. RESULTS: Mean 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). CONCLUSIONS: The surgical reconstruction of rheumatoid cervical spine has been demonstrated to improve patients' health-related quality of life.
Article
SPINE JOURNAL. 13(4):391-396 (2013)
journal article
ELSEVIER SCIENCE INC
2013-04
application/pdf
SPINE JOURNAL
4
13
391
396
1529-9430
AA11563339
https://soar-ir.repo.nii.ac.jp/record/8021/files/Evaluation_clinical_results_quality_life.pdf
eng
23253692
https://pubmed.ncbi.nlm.nih.gov/23253692
10.1016/j.spinee.2012.11.012
https://doi.org/10.1016/j.spinee.2012.11.012
Copyright© 2013 Elsevier