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- Eneqvist, Ted, 1982, et al.
(författare)
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Lumbar surgery prior to total hip arthroplasty is associated with worse patientreported outcomes
- 2017
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Ingår i: Bone and Joint Journal. - 2049-4394. ; 99B:6, s. 759-765
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Tidskriftsartikel (refereegranskat)abstract
- Aims The aims of this study were to describe the prevalence of previous lumbar surgery in patients who undergo total hip arthroplasty (THA) and to investigate their patient-reported outcomes (PROMs) one year post-operatively. Patients and Methods Data from the Swedish Hip Arthroplasty Register and the Swedish Spine Register gathered between 2002 and 2012 were merged to identify a group of patients who had undergone lumbar surgery before THA (n = 997) and a carefully matched one-to-one control group. We investigated differences in the one-year post-operative PROMs between the groups. Linear regression analyses were used to explore the associations between previous lumbar surgery and these PROMs following THA. The prevalence of prior lumbar surgery was calculated as the ratio of patients identified with previous lumbar surgery between 2002 and 2012, and divided by the total number of patients who underwent a THA in 2012. Results The prevalence of lumbar surgery prior to THA in 2012 was 3.5% (351 of 10 082). Linear regression analyses showed an association with more pain (B = 4.35, 95% confidence interval (CI) 2.57 to 6.12), worse EuroQol (EQ)-5D index, (B =-0.089, 95% CI-0.112 to-0.066), worse EQ VAS (B =-6.75, 95% CI-8.58 to-4.92), and less satisfaction (B = 6.04, 95% CI 4.05 to 8.02). Conclusion Lumbar spinal surgery prior to THA is associated with less reduction of pain, worse healthrelated quality of life, and less satisfaction one year after THA. This is useful information to share in the decision-making process and may help establish realistic expectations of the outcomes of THA in patients who also have previously undergone lumbar spinal surgery. © 2017 The British Editorial Society of Bone & Joint Surgery.
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| 2. |
- Eneqvist, Ted, 1982, et al.
(författare)
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Patients with a previous total hip replacement experience less reduction of back pain following lumbar back surgery
- 2018
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Ingår i: Journal of Orthopaedic Research. - : Wiley. - 0736-0266. ; 36:9, s. 2484-2490
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Tidskriftsartikel (refereegranskat)abstract
- The coexistence of degenerative disorders from the hip joint and the lumbar spine, known as the hip-spine syndrome, is a common encounter in clinical practice. These degenerative conditions may cause similar symptoms which often entail diagnostic challenges in determining the origin of pain. Lumbar back surgery (LBS) with fusion and/or decompression, and total hip replacement (THR) are both often successful interventions. However, the knowledge is limited about the post-operative patient-reported outcome (PRO) following LBS in the presence of a prior THR. The aims of this study were to compare 1-year post-operative patient-reported outcome measures (PROMs) following lumbar back surgery (LBS) in patients with and without a prior total hip replacement (THR). Data from Swespine and the Swedish Hip Arthroplasty Register were linked in order to identify the study group of patients with THR prior to LBS. The study group (n=220) and a matched control group (n=220) with isolated LBS was defined by using a step-wise selection process. Linear- and logistic regression analyses adjusted for age, sex and pre-operative PROMs demonstrated that THR prior to LBS was associated with worse back-pain (VAS) at 1-year follow-up (B=5.3, 95%CI: 0.3;10.3). However, previous THR did not influence the EQ-5D index (B=0.01, 95%CI: -0.05;0.06), EQ VAS (B=-3.0, 95%CI: -6.9;1.0), leg pain (B=1.5, 95%CI: -4.0;7.0), Oswestry Disability Index (B=2.6, 95%CI: -0.5;5.6) or satisfaction (OR=1.1, 97.5%CI 0.7;1.6). This knowledge is important to communicate prior to LBS in order to set proper expectations on surgical outcomes. (c) 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:2484-2490, 2018.
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- Olafsson, G, et al.
(författare)
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Cost of low back pain: results from a national register study in Sweden
- 2018
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Ingår i: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. - : Springer Science and Business Media LLC. - 1432-0932. ; 27:11, s. 2875-2881
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