Health-related quality of life (EQ-5D) before and one year after surgery for lumbar spinal stenosis
- 1 February 2009
- journal article
- research article
- Published by British Editorial Society of Bone & Joint Surgery in The Journal of Bone and Joint Surgery. British volume
- Vol. 91-B (2), 210-216
- https://doi.org/10.1302/0301-620x.91b2.21119
Abstract
We investigated the pre-operative and one-year post-operative health-related quality of life (HRQoL) outcome by using a Euroqol (EQ-5D) questionnaire in 230 patients who underwent surgery for lumbar spinal stenosis. Data were obtained from the National Swedish Registry for operations on the lumbar spine between 2001 and 2002. We analysed the pre- and postoperative quality of life data, age, gender, smoking habits, pain and walking ability. The relative differences were compared to a Swedish EQ-5D population survey. The mean age of the patients was 66 years, and there were 123 females (53%). Before the operation 62 (27%) of the patients could walk more than 500 m. One year after the operation 150 (65%) were able to walk 500 m or more. The mean EQ-5D score improved from 0.36 to 0.64, and the HRQoL improved in 184 (80%) of the patients. However, they did not reach the level reported by a matched population sample (mean difference 0.18). Women had lower pre- and post-operative EQ-5D scores than men. Severe low back pain was a predictor for a poor outcome.Keywords
This publication has 50 references indexed in Scilit:
- The cost–utility of lumbar disc herniation surgeryEuropean Spine Journal, 2006
- Spinal stenosis surgery in Sweden 1987?1999European Spine Journal, 2003
- The Measurement and Valuation of Health Status Using EQ-5D: A European PerspectivePublished by Springer Science and Business Media LLC ,2003
- A long-term (4- to 12-year) follow-up study of surgical treatment of lumbar spinal stenosisEuropean Spine Journal, 2000
- EuroQol: the current state of playHealth Policy, 1996
- Measurement Properties of a Self-Administered Outcome Measure in Lumbar Spinal StenosisSpine, 1996
- Seven- to 10-year Outcome of Decompressive Surgery for Degenerative Lumbar Spinal StenosisSpine, 1996
- Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis.The Journal of Bone & Joint Surgery, 1995
- Assessment of Outcome in Patients with Low-Back PainSpine, 1992
- EuroQol - a new facility for the measurement of health-related quality of lifeHealth Policy, 1990