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Endoscopic discectomy of the herniated intervertebral disc and changes in quality-of-life EQ-5D-5L analysis

Herniated lumbar discs are a common cause of low back pain, which can negatively impact the quality of life of working-age individuals. This study aimed to evaluate changes in the quality of life in patients with sciatica who underwent endoscopic discectomy, a minimally invasive surgical procedure....

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Autores principales: Rapčan, Róbert, Kočan, Ladislav, Witkovsky, Viktor, Rapčanová, Simona, Mláka, Juraj, Tirpák, Róbert, Burianek, Miroslav, Kočanová, Hana, Vašková, Janka, Gajdoš, Miroslav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313260/
https://www.ncbi.nlm.nih.gov/pubmed/37390280
http://dx.doi.org/10.1097/MD.0000000000034188
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author Rapčan, Róbert
Kočan, Ladislav
Witkovsky, Viktor
Rapčanová, Simona
Mláka, Juraj
Tirpák, Róbert
Burianek, Miroslav
Kočanová, Hana
Vašková, Janka
Gajdoš, Miroslav
author_facet Rapčan, Róbert
Kočan, Ladislav
Witkovsky, Viktor
Rapčanová, Simona
Mláka, Juraj
Tirpák, Róbert
Burianek, Miroslav
Kočanová, Hana
Vašková, Janka
Gajdoš, Miroslav
author_sort Rapčan, Róbert
collection PubMed
description Herniated lumbar discs are a common cause of low back pain, which can negatively impact the quality of life of working-age individuals. This study aimed to evaluate changes in the quality of life in patients with sciatica who underwent endoscopic discectomy, a minimally invasive surgical procedure. The study (ClinicalTrials.gov NCT02742311) included 470 patients who underwent transforaminal, interlaminar, or translaminar endoscopic discectomy. Quality of life and pain perception were evaluated by comparing statistically weighted values of EQ-5D-5L, EQ-VAS, Oswestry disability index, and numerical pain scales for lower limb and back pain before and 12 months after the endoscopic procedure. After the procedure, there was a significant improvement in the reduction of back and lower limb pain, as well as in all monitored questionnaires (P < .001), which persisted 12 months after the endoscopy. All evaluated dimensions of the EQ-5D-5L questionnaire indicated a significant improvement in the assessed quality of life (P < .001). The study showed that percutaneous endoscopic lumbar discectomy is an effective pain-treating intervention that can improve the quality of life. There was no observed difference in the percentage of complications or re-herniations when comparing the transforaminal and interlaminar, approaches.
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spelling pubmed-103132602023-07-01 Endoscopic discectomy of the herniated intervertebral disc and changes in quality-of-life EQ-5D-5L analysis Rapčan, Róbert Kočan, Ladislav Witkovsky, Viktor Rapčanová, Simona Mláka, Juraj Tirpák, Róbert Burianek, Miroslav Kočanová, Hana Vašková, Janka Gajdoš, Miroslav Medicine (Baltimore) 3300 Herniated lumbar discs are a common cause of low back pain, which can negatively impact the quality of life of working-age individuals. This study aimed to evaluate changes in the quality of life in patients with sciatica who underwent endoscopic discectomy, a minimally invasive surgical procedure. The study (ClinicalTrials.gov NCT02742311) included 470 patients who underwent transforaminal, interlaminar, or translaminar endoscopic discectomy. Quality of life and pain perception were evaluated by comparing statistically weighted values of EQ-5D-5L, EQ-VAS, Oswestry disability index, and numerical pain scales for lower limb and back pain before and 12 months after the endoscopic procedure. After the procedure, there was a significant improvement in the reduction of back and lower limb pain, as well as in all monitored questionnaires (P < .001), which persisted 12 months after the endoscopy. All evaluated dimensions of the EQ-5D-5L questionnaire indicated a significant improvement in the assessed quality of life (P < .001). The study showed that percutaneous endoscopic lumbar discectomy is an effective pain-treating intervention that can improve the quality of life. There was no observed difference in the percentage of complications or re-herniations when comparing the transforaminal and interlaminar, approaches. Lippincott Williams & Wilkins 2023-06-30 /pmc/articles/PMC10313260/ /pubmed/37390280 http://dx.doi.org/10.1097/MD.0000000000034188 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 3300
Rapčan, Róbert
Kočan, Ladislav
Witkovsky, Viktor
Rapčanová, Simona
Mláka, Juraj
Tirpák, Róbert
Burianek, Miroslav
Kočanová, Hana
Vašková, Janka
Gajdoš, Miroslav
Endoscopic discectomy of the herniated intervertebral disc and changes in quality-of-life EQ-5D-5L analysis
title Endoscopic discectomy of the herniated intervertebral disc and changes in quality-of-life EQ-5D-5L analysis
title_full Endoscopic discectomy of the herniated intervertebral disc and changes in quality-of-life EQ-5D-5L analysis
title_fullStr Endoscopic discectomy of the herniated intervertebral disc and changes in quality-of-life EQ-5D-5L analysis
title_full_unstemmed Endoscopic discectomy of the herniated intervertebral disc and changes in quality-of-life EQ-5D-5L analysis
title_short Endoscopic discectomy of the herniated intervertebral disc and changes in quality-of-life EQ-5D-5L analysis
title_sort endoscopic discectomy of the herniated intervertebral disc and changes in quality-of-life eq-5d-5l analysis
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313260/
https://www.ncbi.nlm.nih.gov/pubmed/37390280
http://dx.doi.org/10.1097/MD.0000000000034188
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