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Clinical factors of...
Clinical factors of importance for outcome after lumbar disc herniation surgery : long-term follow-up
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- Silverplats, Katarina, 1969 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Lind, Bengt, 1948 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Zoëga, Björn, 1964 (författare)
- Department of Orthopaedics, Landspitali University Hospital, Reykjavik, Iceland
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- Halldin, Klas, 1967 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Gellerstedt, Martin, 1966- (författare)
- Högskolan Väst,Avd för juridik, politik och ekonomi,Department of Orthopaedics, Trollhättan/Uddevalla University, Uddevalla, Sweden
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- Brisby, Helena, 1965 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Rutberg, L. (författare)
- Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden
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(creator_code:org_t)
- 2010-05-29
- 2010
- Engelska.
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Ingår i: European spine journal. - : Springer. - 0940-6719 .- 1432-0932. ; 19:9, s. 1459-1467
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Abstract
Ämnesord
Stäng
- Factors as age, sex, smoking, duration of leg pain, working status, type/level of disc herniation and psychosocial factors have been demonstrated to be of importance for short-term results after lumbar discectomy. There are few studies with long-term follow-up. In this prospective study of lumbar disc herniation patients undergoing surgery, the result was evaluated at 2 and 5-10 (mean 7.3) years after surgery. Predictive factors for satisfaction with treatment and objective outcome were investigated. Out of the included 171 patients undergoing lumbar discectomy, 154 (90%) patients completed the 2-year follow-up and 140 (81%) completed the long-term follow-up. Baseline data and questionnaires about leg- and back pain intensity (VAS), duration of leg pain, disability (Oswestry Disability Index), depression (Zung Depression Scale), sick leave and employment status were obtained preoperatively, at 2-year- and long-term follow-up. Primary outcome included patient satisfaction with treatment (at both time points) and assessment of an independent observer at the 2-year follow-up. Secondary outcomes at 2-year follow-up were improvement of leg and back pain, working capacity and the need for analgesics or sleeping pills. In about 70% of the patients excellent or good overall result was reported at both follow-ups, with subjective outcome measurements. The objective evaluation after 2 years was in agreement with this result. Time on sick leave was found to be a clinically important predictor of the primary outcomes, with a potential of changing the probability of a satisfactory outcome (both objective and subjective) from around 50% (sick leave >3 months) to 80% (sick leave <2 months). Time on sick leave was also an important predictor for several of the secondary outcomes; e.g. working capacity and the need for analgesics.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Clinical outcome
- Disc herniation
- Long-term follow-up
- Predictive factor
- Surgery
- MEDICINE
- Vårdvetenskap
- Disc herniation
- Surgery
- Long-term follow-up
- Clinical outcome
- Predictive factor
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Silverplats, Kat ...
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Lind, Bengt, 194 ...
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Zoëga, Björn, 19 ...
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Halldin, Klas, 1 ...
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Gellerstedt, Mar ...
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Brisby, Helena, ...
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Rutberg, L.
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Högskolan i Skövde
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