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Factors associated with patient-reported outcomes following coccygectomy for chronic coccydynia

AIMS: The aim of this study was to identify factors associated with poor outcome following coccygectomy on patients with chronic coccydynia and instability of the coccyx. METHODS: From the Danish National Spine Registry, DaneSpine, 134 consecutive patients were identified from a single centre who ha...

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Autores principales: Jensen, Mads Moss, Milosevic, Stefan, Andersen, Gustav Østerheden, Carreon, Leah, Simony, Ane, Rasmussen, Mikkel Mylius, Andersen, Mikkel Østerheden
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Editorial Society of Bone & Joint Surgery 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8325972/
https://www.ncbi.nlm.nih.gov/pubmed/34278838
http://dx.doi.org/10.1302/2633-1462.27.BJO-2021-0018.R2
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author Jensen, Mads Moss
Milosevic, Stefan
Andersen, Gustav Østerheden
Carreon, Leah
Simony, Ane
Rasmussen, Mikkel Mylius
Andersen, Mikkel Østerheden
author_facet Jensen, Mads Moss
Milosevic, Stefan
Andersen, Gustav Østerheden
Carreon, Leah
Simony, Ane
Rasmussen, Mikkel Mylius
Andersen, Mikkel Østerheden
author_sort Jensen, Mads Moss
collection PubMed
description AIMS: The aim of this study was to identify factors associated with poor outcome following coccygectomy on patients with chronic coccydynia and instability of the coccyx. METHODS: From the Danish National Spine Registry, DaneSpine, 134 consecutive patients were identified from a single centre who had coccygectomy from 2011 to 2019. Patient demographic data and patient-reported outcomes, including pain measured on a visual analogue scale (VAS), Oswestry Disability Index (ODI), EuroQol five-dimension five-level questionnaire, and 36-Item Short-Form Health Survey questionnaire (SF-36) were obtained at baseline and at one-year follow-up. Patient satisfaction was obtained at follow-up. Regression analysis, including age, sex, smoking status, BMI, duration of symptoms, work status, welfare payment, preoperative VAS, ODI, and SF-36 was performed to identify factors associated with dissatisfaction with results at one-year follow-up. RESULTS: A minimum of one year follow-up was available in 112 patients (84%). Mean age was 41.9 years (15 to 78) and 97 of the patients were female (87%). Regression showed no statistically significant association between the investigated prognostic factors and a poor outcome following coccygectomy. The satisfied group showed a statistically significant improvement in patient-reported outcomes at one-year follow-up from baseline, whereas the dissatisfied group did not show a significant improvement. CONCLUSION: We did not identify factors associated with poor outcome following coccygectomy. This suggests that neither of the included parameters should be considered contraindications for coccygectomy in patients with chronic coccydynia and instability of the coccyx. Cite this article: Bone Jt Open 2021;2(7):540–544.
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spelling pubmed-83259722021-08-11 Factors associated with patient-reported outcomes following coccygectomy for chronic coccydynia Jensen, Mads Moss Milosevic, Stefan Andersen, Gustav Østerheden Carreon, Leah Simony, Ane Rasmussen, Mikkel Mylius Andersen, Mikkel Østerheden Bone Jt Open Spine AIMS: The aim of this study was to identify factors associated with poor outcome following coccygectomy on patients with chronic coccydynia and instability of the coccyx. METHODS: From the Danish National Spine Registry, DaneSpine, 134 consecutive patients were identified from a single centre who had coccygectomy from 2011 to 2019. Patient demographic data and patient-reported outcomes, including pain measured on a visual analogue scale (VAS), Oswestry Disability Index (ODI), EuroQol five-dimension five-level questionnaire, and 36-Item Short-Form Health Survey questionnaire (SF-36) were obtained at baseline and at one-year follow-up. Patient satisfaction was obtained at follow-up. Regression analysis, including age, sex, smoking status, BMI, duration of symptoms, work status, welfare payment, preoperative VAS, ODI, and SF-36 was performed to identify factors associated with dissatisfaction with results at one-year follow-up. RESULTS: A minimum of one year follow-up was available in 112 patients (84%). Mean age was 41.9 years (15 to 78) and 97 of the patients were female (87%). Regression showed no statistically significant association between the investigated prognostic factors and a poor outcome following coccygectomy. The satisfied group showed a statistically significant improvement in patient-reported outcomes at one-year follow-up from baseline, whereas the dissatisfied group did not show a significant improvement. CONCLUSION: We did not identify factors associated with poor outcome following coccygectomy. This suggests that neither of the included parameters should be considered contraindications for coccygectomy in patients with chronic coccydynia and instability of the coccyx. Cite this article: Bone Jt Open 2021;2(7):540–544. The British Editorial Society of Bone & Joint Surgery 2021-07-19 /pmc/articles/PMC8325972/ /pubmed/34278838 http://dx.doi.org/10.1302/2633-1462.27.BJO-2021-0018.R2 Text en © 2021 Author(s) et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Spine
Jensen, Mads Moss
Milosevic, Stefan
Andersen, Gustav Østerheden
Carreon, Leah
Simony, Ane
Rasmussen, Mikkel Mylius
Andersen, Mikkel Østerheden
Factors associated with patient-reported outcomes following coccygectomy for chronic coccydynia
title Factors associated with patient-reported outcomes following coccygectomy for chronic coccydynia
title_full Factors associated with patient-reported outcomes following coccygectomy for chronic coccydynia
title_fullStr Factors associated with patient-reported outcomes following coccygectomy for chronic coccydynia
title_full_unstemmed Factors associated with patient-reported outcomes following coccygectomy for chronic coccydynia
title_short Factors associated with patient-reported outcomes following coccygectomy for chronic coccydynia
title_sort factors associated with patient-reported outcomes following coccygectomy for chronic coccydynia
topic Spine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8325972/
https://www.ncbi.nlm.nih.gov/pubmed/34278838
http://dx.doi.org/10.1302/2633-1462.27.BJO-2021-0018.R2
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