Diabetes is associated with greater leg pain and worse patient-reported outcomes at 1 year after lumbar spine surgery

Abstract Although patients with diabetes reportedly have more back pain and worse patient-reported outcomes than those without diabetes after lumbar spine surgery, the impact of diabetes on postoperative recovery in pain or numbness in other regions is not well characterized. In this study, the auth...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Kosei Nagata, Hideki Nakamoto, Masahiko Sumitani, So Kato, Yuichi Yoshida, Naohiro Kawamura, Keiichiro Tozawa, Yujiro Takeshita, Hiroyuki Nakarai, Akiro Higashikawa, Masaaki Iizuka, Takashi Ono, Masayoshi Fukushima, Katsuyuki Sasaki, Rentaro Okazaki, Yusuke Ito, Nobuhiro Hara, Toru Doi, Yuki Taniguchi, Yoshitaka Matsubayashi, Sakae Tanaka, Yasushi Oshima
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/57634e3a3ca04edb9c74eee09bc6bafd
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:57634e3a3ca04edb9c74eee09bc6bafd
record_format dspace
spelling oai:doaj.org-article:57634e3a3ca04edb9c74eee09bc6bafd2021-12-02T18:03:31ZDiabetes is associated with greater leg pain and worse patient-reported outcomes at 1 year after lumbar spine surgery10.1038/s41598-021-87615-y2045-2322https://doaj.org/article/57634e3a3ca04edb9c74eee09bc6bafd2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87615-yhttps://doaj.org/toc/2045-2322Abstract Although patients with diabetes reportedly have more back pain and worse patient-reported outcomes than those without diabetes after lumbar spine surgery, the impact of diabetes on postoperative recovery in pain or numbness in other regions is not well characterized. In this study, the authors aimed to elucidate the impact of diabetes on postoperative recovery in pain/numbness in four areas (back, buttock, leg, and sole) after lumbar spine surgery. The authors retrospectively reviewed 993 patients (152 with diabetes and 841 without) who underwent decompression and/or fixation within three levels of the lumbar spine at eight hospitals during April 2017–June 2018. Preoperative Numerical Rating Scale (NRS) scores in all four areas, Oswestry Disability Index (ODI), and Euro quality of life 5-dimension (EQ-5D) were comparable between the groups. The diabetic group showed worse ODI/EQ-5D and greater NRS scores for leg pain 1 year after surgery than the non-diabetic group. Although other postoperative NRS scores tended to be higher in the diabetic group, the between-group differences were not significant. Diabetic neuropathy caused by microvascular changes may induce irreversible nerve damage especially in leg area. Providers can use this information when counseling patients with diabetes about the expected outcomes of spine surgery.Kosei NagataHideki NakamotoMasahiko SumitaniSo KatoYuichi YoshidaNaohiro KawamuraKeiichiro TozawaYujiro TakeshitaHiroyuki NakaraiAkiro HigashikawaMasaaki IizukaTakashi OnoMasayoshi FukushimaKatsuyuki SasakiRentaro OkazakiYusuke ItoNobuhiro HaraToru DoiYuki TaniguchiYoshitaka MatsubayashiSakae TanakaYasushi OshimaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kosei Nagata
Hideki Nakamoto
Masahiko Sumitani
So Kato
Yuichi Yoshida
Naohiro Kawamura
Keiichiro Tozawa
Yujiro Takeshita
Hiroyuki Nakarai
Akiro Higashikawa
Masaaki Iizuka
Takashi Ono
Masayoshi Fukushima
Katsuyuki Sasaki
Rentaro Okazaki
Yusuke Ito
Nobuhiro Hara
Toru Doi
Yuki Taniguchi
Yoshitaka Matsubayashi
Sakae Tanaka
Yasushi Oshima
Diabetes is associated with greater leg pain and worse patient-reported outcomes at 1 year after lumbar spine surgery
description Abstract Although patients with diabetes reportedly have more back pain and worse patient-reported outcomes than those without diabetes after lumbar spine surgery, the impact of diabetes on postoperative recovery in pain or numbness in other regions is not well characterized. In this study, the authors aimed to elucidate the impact of diabetes on postoperative recovery in pain/numbness in four areas (back, buttock, leg, and sole) after lumbar spine surgery. The authors retrospectively reviewed 993 patients (152 with diabetes and 841 without) who underwent decompression and/or fixation within three levels of the lumbar spine at eight hospitals during April 2017–June 2018. Preoperative Numerical Rating Scale (NRS) scores in all four areas, Oswestry Disability Index (ODI), and Euro quality of life 5-dimension (EQ-5D) were comparable between the groups. The diabetic group showed worse ODI/EQ-5D and greater NRS scores for leg pain 1 year after surgery than the non-diabetic group. Although other postoperative NRS scores tended to be higher in the diabetic group, the between-group differences were not significant. Diabetic neuropathy caused by microvascular changes may induce irreversible nerve damage especially in leg area. Providers can use this information when counseling patients with diabetes about the expected outcomes of spine surgery.
format article
author Kosei Nagata
Hideki Nakamoto
Masahiko Sumitani
So Kato
Yuichi Yoshida
Naohiro Kawamura
Keiichiro Tozawa
Yujiro Takeshita
Hiroyuki Nakarai
Akiro Higashikawa
Masaaki Iizuka
Takashi Ono
Masayoshi Fukushima
Katsuyuki Sasaki
Rentaro Okazaki
Yusuke Ito
Nobuhiro Hara
Toru Doi
Yuki Taniguchi
Yoshitaka Matsubayashi
Sakae Tanaka
Yasushi Oshima
author_facet Kosei Nagata
Hideki Nakamoto
Masahiko Sumitani
So Kato
Yuichi Yoshida
Naohiro Kawamura
Keiichiro Tozawa
Yujiro Takeshita
Hiroyuki Nakarai
Akiro Higashikawa
Masaaki Iizuka
Takashi Ono
Masayoshi Fukushima
Katsuyuki Sasaki
Rentaro Okazaki
Yusuke Ito
Nobuhiro Hara
Toru Doi
Yuki Taniguchi
Yoshitaka Matsubayashi
Sakae Tanaka
Yasushi Oshima
author_sort Kosei Nagata
title Diabetes is associated with greater leg pain and worse patient-reported outcomes at 1 year after lumbar spine surgery
title_short Diabetes is associated with greater leg pain and worse patient-reported outcomes at 1 year after lumbar spine surgery
title_full Diabetes is associated with greater leg pain and worse patient-reported outcomes at 1 year after lumbar spine surgery
title_fullStr Diabetes is associated with greater leg pain and worse patient-reported outcomes at 1 year after lumbar spine surgery
title_full_unstemmed Diabetes is associated with greater leg pain and worse patient-reported outcomes at 1 year after lumbar spine surgery
title_sort diabetes is associated with greater leg pain and worse patient-reported outcomes at 1 year after lumbar spine surgery
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/57634e3a3ca04edb9c74eee09bc6bafd
work_keys_str_mv AT koseinagata diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT hidekinakamoto diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT masahikosumitani diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT sokato diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT yuichiyoshida diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT naohirokawamura diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT keiichirotozawa diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT yujirotakeshita diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT hiroyukinakarai diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT akirohigashikawa diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT masaakiiizuka diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT takashiono diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT masayoshifukushima diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT katsuyukisasaki diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT rentarookazaki diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT yusukeito diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT nobuhirohara diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT torudoi diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT yukitaniguchi diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT yoshitakamatsubayashi diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT sakaetanaka diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
AT yasushioshima diabetesisassociatedwithgreaterlegpainandworsepatientreportedoutcomesat1yearafterlumbarspinesurgery
_version_ 1718378688063471616