Dysphagia, health-related quality of life, and return to work after occipitocervical fixation

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Dysphagia, health-related quality of life, and return to work after occipitocervical fixation

Singh, Aman (författare): Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.,Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden

von Vogelsang, Ann-Christin (författare): Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.

Tatter, Charles (författare): Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.

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El-Hajj, Victor Gabriel (författare): Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.,Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden

Fletcher-Sandersjöö, Alexander (författare): Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.

Cewe, Paulina (författare): Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.,Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden

Nilsson, Gunnar (författare): Löwenströmska Hosp, Capio Spine Ctr Stockholm, Upplands Väsby, Sweden.,Capio Spine Center Stockholm, Löwenströmska Hospital, Upplands-Väsby, Sweden

Blixt, Simon (författare): Karolinska Institutet,Karolinska Inst, Clin Sci Intervent & Technol CLINTEC, Stockholm, Sweden.

Gerdhem, Paul (författare): Karolinska Institutet,Uppsala universitet,Ortopedi och Handkirurgi,Karolinska Inst, Clin Sci Intervent & Technol CLINTEC, Stockholm, Sweden; Uppsala Univ Hosp, Dept Orthoped & Hand Surg, Uppsala, Sweden,Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; Department of Orthopedics and Hand Surgery, Uppsala University Hospital, Uppsala, Sweden

Edström, Erik, 1975- (författare): Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden; Capio Spine Center Stockholm, Löwenströmska Hospital, Upplands-Väsby, Sweden; Department of Medical Sciences, Örebro University, Örebro, Sweden,Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Löwenströmska Hosp, Capio Spine Ctr Stockholm, Upplands Väsby, Sweden.;Örebro Univ, Dept Med Sci, Örebro, Sweden.

Elmi-Terander, Adrian, 1971- (författare): Karolinska Institutet,Örebro universitet,Uppsala universitet,Ortopedi och Handkirurgi,Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden; Löwenströmska Hosp, Capio Spine Ctr Stockholm, Upplands Väsby, Sweden; Örebro Univ, Dept Med Sci, Örebro, Sweden,Institutionen för medicinska vetenskaper,Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden; Capio Spine Center Stockholm, Löwenströmska Hospital, Upplands-Väsby, Sweden; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; Department of Medical Sciences, Örebro University, Örebro, Sweden

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Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden (creator_code:org_t)

Springer, 2024
2024
Engelska.
Ingår i: Acta Neurochirurgica. - : Springer. - 0001-6268 .- 0942-0940. ; 166:1

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Abstract Ämnesord

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PurposeThe purpose of this study was to evaluate patient-reported outcome measures (PROMS) on dysphagia, health-related quality of life (HRQoL) and return to work after occipitocervical fixation (OCF). Postoperative radiographic measurements were evaluated to identify possible predictors of dysphagia.MethodsAll individuals (≥ 18 years) who underwent an OCF at the study center or were registered in the Swedish spine registry (Swespine) between 2005 and 2019, and were still alive when the study was conducted, were eligible for inclusion. There was no overlap between the cohorts. Prospectively collected data on dysphagia (Dysphagia Short Questionnaire DSQ), HRQoL (EQ5D-3L) and return to work were used. Radiological and baseline patient data were retrospectively collected. In addition, HRQoL data of a matched sample of individuals was elicited from the Stockholm Public Health Survey 2006.ResultsIn total, 54 individuals were included. At long-term follow-up, 26 individuals (51%) had no dysphagia, and 25 (49%) reported some degree of dysphagia: 11 (22%) had mild dysphagia, and 14 (27%) had moderate to severe dysphagia. On a group level, the OCF sample scored significantly lower EQVAS and EQ-5Dindex values compared to the general population (60.0 vs. 80.0, p = 0.016; 0.43 vs. 0.80, p < 0.001). Individuals working preoperatively returned to work after surgery. Of those responding, 88% stated that they would undergo the OCF operation if it was offered today. No predictors of dysphagia based on radiographic measurements were identified.ConclusionOccipitocervical fixation results in a high frequency of long-term dysphagia. The HRQoL of OCF patients is significantly reduced compared to matched controls. However, most patients are satisfied with their surgery. No radiographic predictors of long-term dysphagia could be identified. Future prospective and systematic studies with larger samples and more objective outcome measures are needed to elucidate the causes of dysphagia in OCF.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)

Nyckelord

Dysphagia
Health-related quality of life
Radiographic measurements
Dysphagia Short Questionnaire (DSQ)
Occipitocervical fusion

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Av författaren/redakt...: Singh, Aman; von Vogelsang, A ...; Tatter, Charles; El-Hajj, Victor ...; Fletcher-Sanders ...; Cewe, Paulina; visa fler...; Nilsson, Gunnar; Blixt, Simon; Gerdhem, Paul; Edström, Erik, 1 ...; Elmi-Terander, A ...; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Radiologi och bi ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Oto rhino laryng ...

Artiklar i publikationen: Acta Neurochirur ...

Av lärosätet: Uppsala universitet; Örebro universitet; Karolinska Institutet

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