Functional outcome in operated patients of multilevel lumbar canal stenosis and use of HRQoL role in depicting the anxiety and its correlation with the pain

Abstract Background Lumbar canal stenosis (LCS) is a degenerative spinal disease of elderly people, and it not only impairs the mechanical activity but also alters the economic and mental status of the patients indirectly. This is single-center observational prospective study conducted for 2 years a...

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Autores principales:	Ajay Kumar Singh, Prashant Raj Singh, Tarun Kumar Pandey, Ankur Kumar, Abhay Kumar Agarwal
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Lumbar canal stenosis HRQoL OLBPDI Lumbar fusion Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/68d20e1831a5411cb08fbfb8fd16a0a6
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spelling	oai:doaj.org-article:68d20e1831a5411cb08fbfb8fd16a0a62021-12-05T12:19:27ZFunctional outcome in operated patients of multilevel lumbar canal stenosis and use of HRQoL role in depicting the anxiety and its correlation with the pain10.1186/s41984-021-00126-w2520-8225https://doaj.org/article/68d20e1831a5411cb08fbfb8fd16a0a62021-12-01T00:00:00Zhttps://doi.org/10.1186/s41984-021-00126-whttps://doaj.org/toc/2520-8225Abstract Background Lumbar canal stenosis (LCS) is a degenerative spinal disease of elderly people, and it not only impairs the mechanical activity but also alters the economic and mental status of the patients indirectly. This is single-center observational prospective study conducted for 2 years and included 30 consecutive operated patients of multilevel LCS patients and excluded the patients with single-level LCS, with primary LCS or with grade II subluxation. We analyzed the various measurement indices used for the surgical outcome assessment as ED-5D 5L and OLBPDI (Oswestry low back pain disability index). Statistical analysis was done using SPSS (Statistical Package for Social Sciences) Version 21.0 statistical Analysis Software. The independent t test, post hoc analysis, Wilcoxon signed rank statistic test and RM-ANOVA test were also applied. Result Most patients have improvement in pain and all the components of HRQoL (health-related quality of life) after surgery, which was further improved in mean follow-up of 1 year. Our study also suggested that the patients with higher anxiety/depression have higher pain intensity and low HRQoL, which was persistent in postoperative period (p < .001). Conclusion ED-5D 5L and OLBPD are good indices to assess all the components of quality of life and give valuable information overall. Anxiety has shown important correlation with the pain component in both preoperative and postoperative phase.Ajay Kumar SinghPrashant Raj SinghTarun Kumar PandeyAnkur KumarAbhay Kumar AgarwalSpringerOpenarticleLumbar canal stenosisHRQoLOLBPDILumbar fusionSurgeryRD1-811Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENEgyptian Journal of Neurosurgery, Vol 36, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Lumbar canal stenosis HRQoL OLBPDI Lumbar fusion Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	Lumbar canal stenosis HRQoL OLBPDI Lumbar fusion Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Ajay Kumar Singh Prashant Raj Singh Tarun Kumar Pandey Ankur Kumar Abhay Kumar Agarwal Functional outcome in operated patients of multilevel lumbar canal stenosis and use of HRQoL role in depicting the anxiety and its correlation with the pain
description	Abstract Background Lumbar canal stenosis (LCS) is a degenerative spinal disease of elderly people, and it not only impairs the mechanical activity but also alters the economic and mental status of the patients indirectly. This is single-center observational prospective study conducted for 2 years and included 30 consecutive operated patients of multilevel LCS patients and excluded the patients with single-level LCS, with primary LCS or with grade II subluxation. We analyzed the various measurement indices used for the surgical outcome assessment as ED-5D 5L and OLBPDI (Oswestry low back pain disability index). Statistical analysis was done using SPSS (Statistical Package for Social Sciences) Version 21.0 statistical Analysis Software. The independent t test, post hoc analysis, Wilcoxon signed rank statistic test and RM-ANOVA test were also applied. Result Most patients have improvement in pain and all the components of HRQoL (health-related quality of life) after surgery, which was further improved in mean follow-up of 1 year. Our study also suggested that the patients with higher anxiety/depression have higher pain intensity and low HRQoL, which was persistent in postoperative period (p < .001). Conclusion ED-5D 5L and OLBPD are good indices to assess all the components of quality of life and give valuable information overall. Anxiety has shown important correlation with the pain component in both preoperative and postoperative phase.
format	article
author	Ajay Kumar Singh Prashant Raj Singh Tarun Kumar Pandey Ankur Kumar Abhay Kumar Agarwal
author_facet	Ajay Kumar Singh Prashant Raj Singh Tarun Kumar Pandey Ankur Kumar Abhay Kumar Agarwal
author_sort	Ajay Kumar Singh
title	Functional outcome in operated patients of multilevel lumbar canal stenosis and use of HRQoL role in depicting the anxiety and its correlation with the pain
title_short	Functional outcome in operated patients of multilevel lumbar canal stenosis and use of HRQoL role in depicting the anxiety and its correlation with the pain
title_full	Functional outcome in operated patients of multilevel lumbar canal stenosis and use of HRQoL role in depicting the anxiety and its correlation with the pain
title_fullStr	Functional outcome in operated patients of multilevel lumbar canal stenosis and use of HRQoL role in depicting the anxiety and its correlation with the pain
title_full_unstemmed	Functional outcome in operated patients of multilevel lumbar canal stenosis and use of HRQoL role in depicting the anxiety and its correlation with the pain
title_sort	functional outcome in operated patients of multilevel lumbar canal stenosis and use of hrqol role in depicting the anxiety and its correlation with the pain
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/68d20e1831a5411cb08fbfb8fd16a0a6
work_keys_str_mv	AT ajaykumarsingh functionaloutcomeinoperatedpatientsofmultilevellumbarcanalstenosisanduseofhrqolroleindepictingtheanxietyanditscorrelationwiththepain AT prashantrajsingh functionaloutcomeinoperatedpatientsofmultilevellumbarcanalstenosisanduseofhrqolroleindepictingtheanxietyanditscorrelationwiththepain AT tarunkumarpandey functionaloutcomeinoperatedpatientsofmultilevellumbarcanalstenosisanduseofhrqolroleindepictingtheanxietyanditscorrelationwiththepain AT ankurkumar functionaloutcomeinoperatedpatientsofmultilevellumbarcanalstenosisanduseofhrqolroleindepictingtheanxietyanditscorrelationwiththepain AT abhaykumaragarwal functionaloutcomeinoperatedpatientsofmultilevellumbarcanalstenosisanduseofhrqolroleindepictingtheanxietyanditscorrelationwiththepain
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Functional outcome in operated patients of multilevel lumbar canal stenosis and use of HRQoL role in depicting the anxiety and its correlation with the pain

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