Cargando…

Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)

PURPOSE: This study was to evaluate clinical outcomes using a patient-oriented test that scores health-related quality of life (HRQOL) for patients after minimally invasive surgery using microendoscopic discectomy (MED) for lumbar disc hernia. Few studies regarding MED in terms of disease-specific q...

Descripción completa

Detalles Bibliográficos
Autores principales: Komatsu, Jun, Iwabuchi, Masumi, Endo, Tatsuya, Fukuda, Hironari, Kusano, Keigo, Miura, Takuya, Sato, Keita, Kaneko, Kazuo, Shirado, Osamu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Paris 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000494/
https://www.ncbi.nlm.nih.gov/pubmed/31595359
http://dx.doi.org/10.1007/s00590-019-02574-5
_version_ 1783494053371838464
author Komatsu, Jun
Iwabuchi, Masumi
Endo, Tatsuya
Fukuda, Hironari
Kusano, Keigo
Miura, Takuya
Sato, Keita
Kaneko, Kazuo
Shirado, Osamu
author_facet Komatsu, Jun
Iwabuchi, Masumi
Endo, Tatsuya
Fukuda, Hironari
Kusano, Keigo
Miura, Takuya
Sato, Keita
Kaneko, Kazuo
Shirado, Osamu
author_sort Komatsu, Jun
collection PubMed
description PURPOSE: This study was to evaluate clinical outcomes using a patient-oriented test that scores health-related quality of life (HRQOL) for patients after minimally invasive surgery using microendoscopic discectomy (MED) for lumbar disc hernia. Few studies regarding MED in terms of disease-specific quality of life measures using Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) have been published. METHODS: Retrospective analysis of the surgical and clinical outcomes with regard to reducing pain and improving the functional status for 31 patients who underwent MED for lumbar disc hernia was conducted. These patients were evaluated at 3-year follow-up. The evaluations were based on a visual analogue scale (VAS), the Japanese Orthopaedic Association (JOA) scoring system, and the JOABPEQ, which is an objective, patient-oriented test that assesses HRQOL in patients with lumbar disorders. RESULTS: A low rate of improvement was seen only in mental health until 1 year, the low rate of improvement in mental health and was independently correlated with body mass index (BMI), pre-operative scores on the Brief Scale for Psychiatric problems in Orthopaedic Patients (BS-POP), and scores on the BS-POP at 12 months post-operatively. CONCLUSIONS: All categories of VAS, JOA scores, and all domains of JOABPEQ were significantly higher over 3 years than those obtained pre-operatively. But only mental health domain showed mild improvement until 1 year. Moreover, BMI showed a negative correlation with improvements in the mental health domain post-operatively. As patients may be mentally exhausted from lumbar disc herniation, pre-operative mental health may be improved by surgical treatment.
format Online
Article
Text
id pubmed-7000494
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Springer Paris
record_format MEDLINE/PubMed
spelling pubmed-70004942020-02-19 Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) Komatsu, Jun Iwabuchi, Masumi Endo, Tatsuya Fukuda, Hironari Kusano, Keigo Miura, Takuya Sato, Keita Kaneko, Kazuo Shirado, Osamu Eur J Orthop Surg Traumatol Original Article • SPINE - LUMBAR PURPOSE: This study was to evaluate clinical outcomes using a patient-oriented test that scores health-related quality of life (HRQOL) for patients after minimally invasive surgery using microendoscopic discectomy (MED) for lumbar disc hernia. Few studies regarding MED in terms of disease-specific quality of life measures using Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) have been published. METHODS: Retrospective analysis of the surgical and clinical outcomes with regard to reducing pain and improving the functional status for 31 patients who underwent MED for lumbar disc hernia was conducted. These patients were evaluated at 3-year follow-up. The evaluations were based on a visual analogue scale (VAS), the Japanese Orthopaedic Association (JOA) scoring system, and the JOABPEQ, which is an objective, patient-oriented test that assesses HRQOL in patients with lumbar disorders. RESULTS: A low rate of improvement was seen only in mental health until 1 year, the low rate of improvement in mental health and was independently correlated with body mass index (BMI), pre-operative scores on the Brief Scale for Psychiatric problems in Orthopaedic Patients (BS-POP), and scores on the BS-POP at 12 months post-operatively. CONCLUSIONS: All categories of VAS, JOA scores, and all domains of JOABPEQ were significantly higher over 3 years than those obtained pre-operatively. But only mental health domain showed mild improvement until 1 year. Moreover, BMI showed a negative correlation with improvements in the mental health domain post-operatively. As patients may be mentally exhausted from lumbar disc herniation, pre-operative mental health may be improved by surgical treatment. Springer Paris 2019-10-08 2020 /pmc/articles/PMC7000494/ /pubmed/31595359 http://dx.doi.org/10.1007/s00590-019-02574-5 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article • SPINE - LUMBAR
Komatsu, Jun
Iwabuchi, Masumi
Endo, Tatsuya
Fukuda, Hironari
Kusano, Keigo
Miura, Takuya
Sato, Keita
Kaneko, Kazuo
Shirado, Osamu
Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)
title Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)
title_full Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)
title_fullStr Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)
title_full_unstemmed Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)
title_short Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)
title_sort clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the japanese orthopaedic association back pain evaluation questionnaire (joabpeq)
topic Original Article • SPINE - LUMBAR
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000494/
https://www.ncbi.nlm.nih.gov/pubmed/31595359
http://dx.doi.org/10.1007/s00590-019-02574-5
work_keys_str_mv AT komatsujun clinicaloutcomesoflumbardiseasesspecifictestinpatientswhoundergoendoscopyassistedtubularsurgerywithlumbarherniatednucleuspulposusananalysisusingthejapaneseorthopaedicassociationbackpainevaluationquestionnairejoabpeq
AT iwabuchimasumi clinicaloutcomesoflumbardiseasesspecifictestinpatientswhoundergoendoscopyassistedtubularsurgerywithlumbarherniatednucleuspulposusananalysisusingthejapaneseorthopaedicassociationbackpainevaluationquestionnairejoabpeq
AT endotatsuya clinicaloutcomesoflumbardiseasesspecifictestinpatientswhoundergoendoscopyassistedtubularsurgerywithlumbarherniatednucleuspulposusananalysisusingthejapaneseorthopaedicassociationbackpainevaluationquestionnairejoabpeq
AT fukudahironari clinicaloutcomesoflumbardiseasesspecifictestinpatientswhoundergoendoscopyassistedtubularsurgerywithlumbarherniatednucleuspulposusananalysisusingthejapaneseorthopaedicassociationbackpainevaluationquestionnairejoabpeq
AT kusanokeigo clinicaloutcomesoflumbardiseasesspecifictestinpatientswhoundergoendoscopyassistedtubularsurgerywithlumbarherniatednucleuspulposusananalysisusingthejapaneseorthopaedicassociationbackpainevaluationquestionnairejoabpeq
AT miuratakuya clinicaloutcomesoflumbardiseasesspecifictestinpatientswhoundergoendoscopyassistedtubularsurgerywithlumbarherniatednucleuspulposusananalysisusingthejapaneseorthopaedicassociationbackpainevaluationquestionnairejoabpeq
AT satokeita clinicaloutcomesoflumbardiseasesspecifictestinpatientswhoundergoendoscopyassistedtubularsurgerywithlumbarherniatednucleuspulposusananalysisusingthejapaneseorthopaedicassociationbackpainevaluationquestionnairejoabpeq
AT kanekokazuo clinicaloutcomesoflumbardiseasesspecifictestinpatientswhoundergoendoscopyassistedtubularsurgerywithlumbarherniatednucleuspulposusananalysisusingthejapaneseorthopaedicassociationbackpainevaluationquestionnairejoabpeq
AT shiradoosamu clinicaloutcomesoflumbardiseasesspecifictestinpatientswhoundergoendoscopyassistedtubularsurgerywithlumbarherniatednucleuspulposusananalysisusingthejapaneseorthopaedicassociationbackpainevaluationquestionnairejoabpeq