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An observational st...
An observational study on surgically treated adult idiopathic scoliosis patients' quality of life outcomes at 1- and 2-year follow-ups and comparison to controls.
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- Theis, Jennifer C (author)
- Faculty of Health Science and Medicine, Bond Institute of Health and Sport, Bond University; Department of Orthopaedics, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Karolinska University Hospital
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- Grauers, Anna (author)
- Department of Orthopaedics, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Karolinska University Hospital; Department of Orthopaedics, Sundsvall and Härnösand County Hospital
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- Diarbakerli, Elias (author)
- Karolinska Institutet
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- Savvides, Panayiotis (author)
- Department of Orthopaedics, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Karolinska University Hospital
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- Abbott, Allan, 1978- (author)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,Faculty of Health Science and Medicine, Bond Institute of Health and Sport, Bond University; Department of Physical Therapy, Karolinska University Hospital; Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet
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- Gerdhem, Paul (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2017-04-12
- 2017
- English.
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In: Scoliosis and spinal disorders. - : BioMed Central (BMC). - 2397-1789. ; 12
- Related links:
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https://liu.diva-por... (primary) (Raw object)
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https://scoliosisjou...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- BACKGROUND: Prospective data on health-related quality of life in patients with idiopathic scoliosis treated surgically as adults is needed. We compared preoperative and 1- and 2-year follow-up data in surgically treated adults with idiopathic scoliosis with juvenile or adolescent onset. Results were compared to untreated adults with scoliosis and population normative data.METHODS: A comparison of preoperative and 1- and 2-year follow-up data of 75 adults surgically treated for idiopathic scoliosis at a mean age of 28 years (range 18 to 69) from a prospective national register study, as well as a comparison with age- and sex-matched data from 75 untreated adults with less severe scoliosis and 75 adults without scoliosis, was made. Outcome measures were EuroQol-5 dimensions (EQ-5D) and Scoliosis Research Society (SRS)-22r questionnaire.RESULTS: In the surgically treated, EQ-5D and SRS-22r scores had statistically significant improvements at both 1- and 2-year follow-ups (all p < 0.015). The effect size of surgery on EQ-5D at 1-year follow-up was large (r = -0.54) and small-medium (r = -0.20) at 2-year follow-up. The effect size of surgery on SRS-22r outcomes was medium-large at 1- and 2-year follow-ups (r = -0.43 and r = -0.42 respectively). At the 2-year follow-up, the EQ-5D score and the SRS-22r subscore were similar to the untreated scoliosis group (p = 0.56 and p = 0.91 respectively), but lower than those in the adults without scoliosis (p < 0.001 for both comparisons).CONCLUSIONS: Adults with idiopathic scoliosis experience an increase in health-related quality of life following surgery at 2-year follow-up, approaching the health-related quality of life of untreated individuals with less severe scoliosis, but remain lower than normative population data.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Keyword
- Adults
- Idiopathic
- Scoliosis
- Surgery
Publication and Content Type
- ref (subject category)
- art (subject category)
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