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dc.contributor.authorToivonen, Leevi
dc.contributor.authorPekkanen, Liisa
dc.contributor.authorNeva, Marko H.
dc.contributor.authorKautiainen, Hannu
dc.contributor.authorKyrölä, Kati
dc.contributor.authorMarttinen, Ilkka
dc.contributor.authorHäkkinen, Arja
dc.date.accessioned2020-11-24T09:38:21Z
dc.date.available2020-11-24T09:38:21Z
dc.date.issued2022
dc.identifier.citationToivonen, L., Pekkanen, L., Neva, M. H., Kautiainen, H., Kyrölä, K., Marttinen, I., & Häkkinen, A. (2022). Disability, Health-Related Quality of Life and Mortality in Lumbar Spine Fusion Patients : A 5-Year Follow-Up and Comparison With a Population Sample. <i>Global Spine Journal</i>, <i>12</i>(6), 1052-1057. <a href="https://doi.org/10.1177/2192568220972977" target="_blank">https://doi.org/10.1177/2192568220972977</a>
dc.identifier.otherCONVID_47080609
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/72756
dc.description.abstractStudy Design: Prospective follow-up study. Objectives: We aimed to assess the effect of lumbar spine fusion (LSF) on disability, health-related quality of life and mortality in a 5-year follow-up, and to compare these results with the general population. Methods: 523 consecutive LSF operations were included in a prospective follow-up. Disability was assessed by the Oswestry Disability Index (ODI), and HRQoL by the 36-item Short Form (SF-36) questionnaire using the physical and mental summary scores (PCS and MCS). The patients were compared with an age-, sex-, and residential area matched general population cohort. Results: The preoperative ODI in the patients was 46 (SD 16), and the change at 5 years was −26 (95% CI: −24 to −28), p < 0.001. In the population, ODI (baseline 13, SD 16) remained unchanged. The preoperative PCS in the patients was 27 (SD 7), in the population 45 (SD 11), and the increase in the patients at 5 years was 8 (95% CI: 7 to 9), p < 0.001. The patients did not reach the population in ODI or PCS. The baseline MCS in the patients was 47 (SD 13), and the change at 5 years 4 (95% CI: 3 to 7), p < 0.001. MCS of the females reached the population at 5-year follow-up. When analyzing short and long fusions separately, comparable changes were seen in both subgroups. There was no difference in mortality between the patients (3.4%) and the population (4.8%), hazard ratio (HR) 0.86. Conclusions: Although the patients who had undergone LSF benefited from surgery still at 5 years, they never reached the physical level of the population.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherSAGE Publications
dc.relation.ispartofseriesGlobal Spine Journal
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherlumbar spinal fusion (LSF)
dc.subject.otheroutcome
dc.subject.otherlonger follow-up
dc.subject.otherpopulation sample
dc.subject.othermortality
dc.titleDisability, Health-Related Quality of Life and Mortality in Lumbar Spine Fusion Patients : A 5-Year Follow-Up and Comparison With a Population Sample
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202011246728
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineFysioterapiafi
dc.contributor.oppiainePhysiotherapyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange1052-1057
dc.relation.issn2192-5682
dc.relation.numberinseries6
dc.relation.volume12
dc.type.versionpublishedVersion
dc.rights.copyright© 2020 the Authors
dc.rights.accesslevelopenAccessfi
dc.subject.ysoseurantatutkimus
dc.subject.ysoleikkaushoito
dc.subject.ysoelämänlaatu
dc.subject.ysoselkäsairaudet
dc.subject.ysokuolleisuus
dc.subject.ysolanneranka
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p13719
jyx.subject.urihttp://www.yso.fi/onto/yso/p842
jyx.subject.urihttp://www.yso.fi/onto/yso/p10759
jyx.subject.urihttp://www.yso.fi/onto/yso/p2499
jyx.subject.urihttp://www.yso.fi/onto/yso/p5003
jyx.subject.urihttp://www.yso.fi/onto/yso/p5598
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1177/2192568220972977
jyx.fundinginformationThis study was funded by the Competitive State Financing of the Expert Responsibility Area of Tampere University Hospital.
dc.type.okmA1


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