The Influence of Multilevel Spinal Deformity Surgery on the EuroQol 5 Dimensions’ (EQ-5D) Questionnaire and Residential Status in the Elderly: A Prospective, Observational, Multicenter Study
Study Design Multicenter, international prospective study. Objective This study investigated the clinical outcome up to 2 years after multi-level spinal deformity surgery in the elderly by reporting the minimal clinically important difference (MCID) of EuroQol 5-dimensions (EQ-5D), EQ-VAS, and resid...
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| Veröffentlicht in: | Global spine journal 2024-09, Vol.14 (7), p.1978-1989 |
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| container_end_page | 1989 |
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| container_issue | 7 |
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| container_title | Global spine journal |
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| creator | Jentzsch, Thorsten Lewis, Stephen J. Oitment, Colby Rienmüller, Anna Martin, Allan R. Nielsen, Christopher J. Shear-Yashuv, Hananel de Kleuver, Marinus Qiu, Yong Matsuyama, Yukihiro Lenke, Lawrence G. Alanay, Ahmet Pellisé-Urquiza, Ferran Cheung, Kenneth M. C. Spruit, Maarten Polly, David W. Sembrano, Jonathan N. Shaffrey, Christopher I. Smith, Justin S. Kelly, Michael P. Dahl, Benny Berven, Sigurd H. |
| description | Study Design
Multicenter, international prospective study.
Objective
This study investigated the clinical outcome up to 2 years after multi-level spinal deformity surgery in the elderly by reporting the minimal clinically important difference (MCID) of EuroQol 5-dimensions (EQ-5D), EQ-VAS, and residential status.
Methods
As an ancillary study of 219 patients ≥60 years with spinal deformity undergoing primary instrumented fusion surgery of ≥5 levels, this study focuses on EQ-5D (3-L) as the primary outcome and EQ-VAS and residential status as secondary outcomes. Data on EQ-5D were compared between pre-operatively and postoperatively at 10 weeks, 12 months, and 24 months. An anchor-based approach was used to calculate the MCID.
Results
The EQ-5D index and EQ-VAS, respectively, improved significantly at each time point compared to pre-operatively (from .53 (SD .21) and 55.6 (SD 23.0) pre-operatively to .64 (SD .18) and 65.8 (SD 18.7) at 10 weeks, .74 (SD .18) and 72.7 (SD 18.1) at 12 months, and .73 (SD .20) and 70.4 (SD 20.4) at 24 months). 217 (99.1%) patients lived at home pre-operatively, while 186 (88.6%), 184 (98.4%), and 172 (100%) did so at 10 weeks, 12 months, and 24 months, respectively. Our calculated MCID for the EQ-5D index at 1 year was .22 (95% CI .15-.29).
Conclusions
The EQ-5D index significantly increased at each time point over 24 months after ≥5 level spinal deformity surgery in elderly patients. The MCID of the EQ-5D-3 L was .22. Patients living at home pre-operatively can expect to be able to live at home 2 years postoperatively. |
| doi_str_mv | 10.1177/21925682231162574 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11418680</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_21925682231162574</sage_id><sourcerecordid>3107501724</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-ca3ae4de34f292318da3383a2cd9e9964085e2317b14b2ad99d3cc81a93d8e83</originalsourceid><addsrcrecordid>eNp1kttuEzEQhlcIRKvSB-AGWeKmSN3iwx5sblDVBKhUVEJyv3LWs6krx07tdaS94zV4G56FJ8GrhHASvrE1_uebf0aTZc8JviCkrl9TImhZcUoZIRUt6-JRdjzG8rIS-PHhzelRdhrCPU6nojUj9Gl2xCpRMMyr4-zb4g7Qte1MBNsCch36GE2vDWzBoPlGW2nQBDrn17of0Dz6FfgBOYv6lDeN3s2cQSWa6DXYoJ0N3798RWfTWV5OXqFZhNCnoJXaA5JWoc8QtALb64Sd97KPAek9yyjwZniDLtEn78IG2l5v4RzdLgP4rRwx0pzv3LWJAD4BohqeZU86aQKc7u-TbPFuurj6kN_cvr--urzJ24KIPm8lk1AoYEVHRRoZV5IxziRtlQAhqgLzElK8XpJiSaUSQrG25UQKpjhwdpK93WE3cbkGNTrw0jQbr9fSD42Tuvnzx-q7ZuW2DSEF4RXHiXC2J3j3MA6mWevQgjHSgouhoTVPxqoK10n68i_pvYs-9R8aRnBdYlLTIqnITtWmeQUP3cENwc24Is0_K5JyXvzexiHj50IkwcVOEOQKfpX9P_EHYjLHBg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3107501724</pqid></control><display><type>article</type><title>The Influence of Multilevel Spinal Deformity Surgery on the EuroQol 5 Dimensions’ (EQ-5D) Questionnaire and Residential Status in the Elderly: A Prospective, Observational, Multicenter Study</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Jentzsch, Thorsten ; Lewis, Stephen J. ; Oitment, Colby ; Rienmüller, Anna ; Martin, Allan R. ; Nielsen, Christopher J. ; Shear-Yashuv, Hananel ; de Kleuver, Marinus ; Qiu, Yong ; Matsuyama, Yukihiro ; Lenke, Lawrence G. ; Alanay, Ahmet ; Pellisé-Urquiza, Ferran ; Cheung, Kenneth M. C. ; Spruit, Maarten ; Polly, David W. ; Sembrano, Jonathan N. ; Shaffrey, Christopher I. ; Smith, Justin S. ; Kelly, Michael P. ; Dahl, Benny ; Berven, Sigurd H.</creator><creatorcontrib>Jentzsch, Thorsten ; Lewis, Stephen J. ; Oitment, Colby ; Rienmüller, Anna ; Martin, Allan R. ; Nielsen, Christopher J. ; Shear-Yashuv, Hananel ; de Kleuver, Marinus ; Qiu, Yong ; Matsuyama, Yukihiro ; Lenke, Lawrence G. ; Alanay, Ahmet ; Pellisé-Urquiza, Ferran ; Cheung, Kenneth M. C. ; Spruit, Maarten ; Polly, David W. ; Sembrano, Jonathan N. ; Shaffrey, Christopher I. ; Smith, Justin S. ; Kelly, Michael P. ; Dahl, Benny ; Berven, Sigurd H. ; AO Spine Knowledge Forum Deformity ; AO Spine Knowledge Forum Deformity</creatorcontrib><description>Study Design
Multicenter, international prospective study.
Objective
This study investigated the clinical outcome up to 2 years after multi-level spinal deformity surgery in the elderly by reporting the minimal clinically important difference (MCID) of EuroQol 5-dimensions (EQ-5D), EQ-VAS, and residential status.
Methods
As an ancillary study of 219 patients ≥60 years with spinal deformity undergoing primary instrumented fusion surgery of ≥5 levels, this study focuses on EQ-5D (3-L) as the primary outcome and EQ-VAS and residential status as secondary outcomes. Data on EQ-5D were compared between pre-operatively and postoperatively at 10 weeks, 12 months, and 24 months. An anchor-based approach was used to calculate the MCID.
Results
The EQ-5D index and EQ-VAS, respectively, improved significantly at each time point compared to pre-operatively (from .53 (SD .21) and 55.6 (SD 23.0) pre-operatively to .64 (SD .18) and 65.8 (SD 18.7) at 10 weeks, .74 (SD .18) and 72.7 (SD 18.1) at 12 months, and .73 (SD .20) and 70.4 (SD 20.4) at 24 months). 217 (99.1%) patients lived at home pre-operatively, while 186 (88.6%), 184 (98.4%), and 172 (100%) did so at 10 weeks, 12 months, and 24 months, respectively. Our calculated MCID for the EQ-5D index at 1 year was .22 (95% CI .15-.29).
Conclusions
The EQ-5D index significantly increased at each time point over 24 months after ≥5 level spinal deformity surgery in elderly patients. The MCID of the EQ-5D-3 L was .22. Patients living at home pre-operatively can expect to be able to live at home 2 years postoperatively.</description><identifier>ISSN: 2192-5682</identifier><identifier>EISSN: 2192-5690</identifier><identifier>DOI: 10.1177/21925682231162574</identifier><identifier>PMID: 36943086</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Original ; Surgery</subject><ispartof>Global spine journal, 2024-09, Vol.14 (7), p.1978-1989</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2023 2023 AO Spine, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c419t-ca3ae4de34f292318da3383a2cd9e9964085e2317b14b2ad99d3cc81a93d8e83</cites><orcidid>0000-0003-4202-6092 ; 0000-0001-6221-7406 ; 0000-0003-1351-9410 ; 0000-0002-6133-3314 ; 0000-0001-8304-0419 ; 0000-0002-9173-8443</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418680/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418680/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,21966,27853,27924,27925,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36943086$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jentzsch, Thorsten</creatorcontrib><creatorcontrib>Lewis, Stephen J.</creatorcontrib><creatorcontrib>Oitment, Colby</creatorcontrib><creatorcontrib>Rienmüller, Anna</creatorcontrib><creatorcontrib>Martin, Allan R.</creatorcontrib><creatorcontrib>Nielsen, Christopher J.</creatorcontrib><creatorcontrib>Shear-Yashuv, Hananel</creatorcontrib><creatorcontrib>de Kleuver, Marinus</creatorcontrib><creatorcontrib>Qiu, Yong</creatorcontrib><creatorcontrib>Matsuyama, Yukihiro</creatorcontrib><creatorcontrib>Lenke, Lawrence G.</creatorcontrib><creatorcontrib>Alanay, Ahmet</creatorcontrib><creatorcontrib>Pellisé-Urquiza, Ferran</creatorcontrib><creatorcontrib>Cheung, Kenneth M. C.</creatorcontrib><creatorcontrib>Spruit, Maarten</creatorcontrib><creatorcontrib>Polly, David W.</creatorcontrib><creatorcontrib>Sembrano, Jonathan N.</creatorcontrib><creatorcontrib>Shaffrey, Christopher I.</creatorcontrib><creatorcontrib>Smith, Justin S.</creatorcontrib><creatorcontrib>Kelly, Michael P.</creatorcontrib><creatorcontrib>Dahl, Benny</creatorcontrib><creatorcontrib>Berven, Sigurd H.</creatorcontrib><creatorcontrib>AO Spine Knowledge Forum Deformity</creatorcontrib><creatorcontrib>AO Spine Knowledge Forum Deformity</creatorcontrib><title>The Influence of Multilevel Spinal Deformity Surgery on the EuroQol 5 Dimensions’ (EQ-5D) Questionnaire and Residential Status in the Elderly: A Prospective, Observational, Multicenter Study</title><title>Global spine journal</title><addtitle>Global Spine J</addtitle><description>Study Design
Multicenter, international prospective study.
Objective
This study investigated the clinical outcome up to 2 years after multi-level spinal deformity surgery in the elderly by reporting the minimal clinically important difference (MCID) of EuroQol 5-dimensions (EQ-5D), EQ-VAS, and residential status.
Methods
As an ancillary study of 219 patients ≥60 years with spinal deformity undergoing primary instrumented fusion surgery of ≥5 levels, this study focuses on EQ-5D (3-L) as the primary outcome and EQ-VAS and residential status as secondary outcomes. Data on EQ-5D were compared between pre-operatively and postoperatively at 10 weeks, 12 months, and 24 months. An anchor-based approach was used to calculate the MCID.
Results
The EQ-5D index and EQ-VAS, respectively, improved significantly at each time point compared to pre-operatively (from .53 (SD .21) and 55.6 (SD 23.0) pre-operatively to .64 (SD .18) and 65.8 (SD 18.7) at 10 weeks, .74 (SD .18) and 72.7 (SD 18.1) at 12 months, and .73 (SD .20) and 70.4 (SD 20.4) at 24 months). 217 (99.1%) patients lived at home pre-operatively, while 186 (88.6%), 184 (98.4%), and 172 (100%) did so at 10 weeks, 12 months, and 24 months, respectively. Our calculated MCID for the EQ-5D index at 1 year was .22 (95% CI .15-.29).
Conclusions
The EQ-5D index significantly increased at each time point over 24 months after ≥5 level spinal deformity surgery in elderly patients. The MCID of the EQ-5D-3 L was .22. Patients living at home pre-operatively can expect to be able to live at home 2 years postoperatively.</description><subject>Original</subject><subject>Surgery</subject><issn>2192-5682</issn><issn>2192-5690</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kttuEzEQhlcIRKvSB-AGWeKmSN3iwx5sblDVBKhUVEJyv3LWs6krx07tdaS94zV4G56FJ8GrhHASvrE1_uebf0aTZc8JviCkrl9TImhZcUoZIRUt6-JRdjzG8rIS-PHhzelRdhrCPU6nojUj9Gl2xCpRMMyr4-zb4g7Qte1MBNsCch36GE2vDWzBoPlGW2nQBDrn17of0Dz6FfgBOYv6lDeN3s2cQSWa6DXYoJ0N3798RWfTWV5OXqFZhNCnoJXaA5JWoc8QtALb64Sd97KPAek9yyjwZniDLtEn78IG2l5v4RzdLgP4rRwx0pzv3LWJAD4BohqeZU86aQKc7u-TbPFuurj6kN_cvr--urzJ24KIPm8lk1AoYEVHRRoZV5IxziRtlQAhqgLzElK8XpJiSaUSQrG25UQKpjhwdpK93WE3cbkGNTrw0jQbr9fSD42Tuvnzx-q7ZuW2DSEF4RXHiXC2J3j3MA6mWevQgjHSgouhoTVPxqoK10n68i_pvYs-9R8aRnBdYlLTIqnITtWmeQUP3cENwc24Is0_K5JyXvzexiHj50IkwcVOEOQKfpX9P_EHYjLHBg</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Jentzsch, Thorsten</creator><creator>Lewis, Stephen J.</creator><creator>Oitment, Colby</creator><creator>Rienmüller, Anna</creator><creator>Martin, Allan R.</creator><creator>Nielsen, Christopher J.</creator><creator>Shear-Yashuv, Hananel</creator><creator>de Kleuver, Marinus</creator><creator>Qiu, Yong</creator><creator>Matsuyama, Yukihiro</creator><creator>Lenke, Lawrence G.</creator><creator>Alanay, Ahmet</creator><creator>Pellisé-Urquiza, Ferran</creator><creator>Cheung, Kenneth M. C.</creator><creator>Spruit, Maarten</creator><creator>Polly, David W.</creator><creator>Sembrano, Jonathan N.</creator><creator>Shaffrey, Christopher I.</creator><creator>Smith, Justin S.</creator><creator>Kelly, Michael P.</creator><creator>Dahl, Benny</creator><creator>Berven, Sigurd H.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4202-6092</orcidid><orcidid>https://orcid.org/0000-0001-6221-7406</orcidid><orcidid>https://orcid.org/0000-0003-1351-9410</orcidid><orcidid>https://orcid.org/0000-0002-6133-3314</orcidid><orcidid>https://orcid.org/0000-0001-8304-0419</orcidid><orcidid>https://orcid.org/0000-0002-9173-8443</orcidid></search><sort><creationdate>20240901</creationdate><title>The Influence of Multilevel Spinal Deformity Surgery on the EuroQol 5 Dimensions’ (EQ-5D) Questionnaire and Residential Status in the Elderly: A Prospective, Observational, Multicenter Study</title><author>Jentzsch, Thorsten ; Lewis, Stephen J. ; Oitment, Colby ; Rienmüller, Anna ; Martin, Allan R. ; Nielsen, Christopher J. ; Shear-Yashuv, Hananel ; de Kleuver, Marinus ; Qiu, Yong ; Matsuyama, Yukihiro ; Lenke, Lawrence G. ; Alanay, Ahmet ; Pellisé-Urquiza, Ferran ; Cheung, Kenneth M. C. ; Spruit, Maarten ; Polly, David W. ; Sembrano, Jonathan N. ; Shaffrey, Christopher I. ; Smith, Justin S. ; Kelly, Michael P. ; Dahl, Benny ; Berven, Sigurd H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-ca3ae4de34f292318da3383a2cd9e9964085e2317b14b2ad99d3cc81a93d8e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Original</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jentzsch, Thorsten</creatorcontrib><creatorcontrib>Lewis, Stephen J.</creatorcontrib><creatorcontrib>Oitment, Colby</creatorcontrib><creatorcontrib>Rienmüller, Anna</creatorcontrib><creatorcontrib>Martin, Allan R.</creatorcontrib><creatorcontrib>Nielsen, Christopher J.</creatorcontrib><creatorcontrib>Shear-Yashuv, Hananel</creatorcontrib><creatorcontrib>de Kleuver, Marinus</creatorcontrib><creatorcontrib>Qiu, Yong</creatorcontrib><creatorcontrib>Matsuyama, Yukihiro</creatorcontrib><creatorcontrib>Lenke, Lawrence G.</creatorcontrib><creatorcontrib>Alanay, Ahmet</creatorcontrib><creatorcontrib>Pellisé-Urquiza, Ferran</creatorcontrib><creatorcontrib>Cheung, Kenneth M. C.</creatorcontrib><creatorcontrib>Spruit, Maarten</creatorcontrib><creatorcontrib>Polly, David W.</creatorcontrib><creatorcontrib>Sembrano, Jonathan N.</creatorcontrib><creatorcontrib>Shaffrey, Christopher I.</creatorcontrib><creatorcontrib>Smith, Justin S.</creatorcontrib><creatorcontrib>Kelly, Michael P.</creatorcontrib><creatorcontrib>Dahl, Benny</creatorcontrib><creatorcontrib>Berven, Sigurd H.</creatorcontrib><creatorcontrib>AO Spine Knowledge Forum Deformity</creatorcontrib><creatorcontrib>AO Spine Knowledge Forum Deformity</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Global spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jentzsch, Thorsten</au><au>Lewis, Stephen J.</au><au>Oitment, Colby</au><au>Rienmüller, Anna</au><au>Martin, Allan R.</au><au>Nielsen, Christopher J.</au><au>Shear-Yashuv, Hananel</au><au>de Kleuver, Marinus</au><au>Qiu, Yong</au><au>Matsuyama, Yukihiro</au><au>Lenke, Lawrence G.</au><au>Alanay, Ahmet</au><au>Pellisé-Urquiza, Ferran</au><au>Cheung, Kenneth M. C.</au><au>Spruit, Maarten</au><au>Polly, David W.</au><au>Sembrano, Jonathan N.</au><au>Shaffrey, Christopher I.</au><au>Smith, Justin S.</au><au>Kelly, Michael P.</au><au>Dahl, Benny</au><au>Berven, Sigurd H.</au><aucorp>AO Spine Knowledge Forum Deformity</aucorp><aucorp>AO Spine Knowledge Forum Deformity</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Influence of Multilevel Spinal Deformity Surgery on the EuroQol 5 Dimensions’ (EQ-5D) Questionnaire and Residential Status in the Elderly: A Prospective, Observational, Multicenter Study</atitle><jtitle>Global spine journal</jtitle><addtitle>Global Spine J</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>14</volume><issue>7</issue><spage>1978</spage><epage>1989</epage><pages>1978-1989</pages><issn>2192-5682</issn><eissn>2192-5690</eissn><abstract>Study Design
Multicenter, international prospective study.
Objective
This study investigated the clinical outcome up to 2 years after multi-level spinal deformity surgery in the elderly by reporting the minimal clinically important difference (MCID) of EuroQol 5-dimensions (EQ-5D), EQ-VAS, and residential status.
Methods
As an ancillary study of 219 patients ≥60 years with spinal deformity undergoing primary instrumented fusion surgery of ≥5 levels, this study focuses on EQ-5D (3-L) as the primary outcome and EQ-VAS and residential status as secondary outcomes. Data on EQ-5D were compared between pre-operatively and postoperatively at 10 weeks, 12 months, and 24 months. An anchor-based approach was used to calculate the MCID.
Results
The EQ-5D index and EQ-VAS, respectively, improved significantly at each time point compared to pre-operatively (from .53 (SD .21) and 55.6 (SD 23.0) pre-operatively to .64 (SD .18) and 65.8 (SD 18.7) at 10 weeks, .74 (SD .18) and 72.7 (SD 18.1) at 12 months, and .73 (SD .20) and 70.4 (SD 20.4) at 24 months). 217 (99.1%) patients lived at home pre-operatively, while 186 (88.6%), 184 (98.4%), and 172 (100%) did so at 10 weeks, 12 months, and 24 months, respectively. Our calculated MCID for the EQ-5D index at 1 year was .22 (95% CI .15-.29).
Conclusions
The EQ-5D index significantly increased at each time point over 24 months after ≥5 level spinal deformity surgery in elderly patients. The MCID of the EQ-5D-3 L was .22. Patients living at home pre-operatively can expect to be able to live at home 2 years postoperatively.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>36943086</pmid><doi>10.1177/21925682231162574</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-4202-6092</orcidid><orcidid>https://orcid.org/0000-0001-6221-7406</orcidid><orcidid>https://orcid.org/0000-0003-1351-9410</orcidid><orcidid>https://orcid.org/0000-0002-6133-3314</orcidid><orcidid>https://orcid.org/0000-0001-8304-0419</orcidid><orcidid>https://orcid.org/0000-0002-9173-8443</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2192-5682 |
| ispartof | Global spine journal, 2024-09, Vol.14 (7), p.1978-1989 |
| issn | 2192-5682 2192-5690 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11418680 |
| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Original Surgery |
| title | The Influence of Multilevel Spinal Deformity Surgery on the EuroQol 5 Dimensions’ (EQ-5D) Questionnaire and Residential Status in the Elderly: A Prospective, Observational, Multicenter Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-19T17%3A38%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Influence%20of%20Multilevel%20Spinal%20Deformity%20Surgery%20on%20the%20EuroQol%205%20Dimensions%E2%80%99%20(EQ-5D)%20Questionnaire%20and%20Residential%20Status%20in%20the%20Elderly:%20A%20Prospective,%20Observational,%20Multicenter%20Study&rft.jtitle=Global%20spine%20journal&rft.au=Jentzsch,%20Thorsten&rft.aucorp=AO%20Spine%20Knowledge%20Forum%20Deformity&rft.date=2024-09-01&rft.volume=14&rft.issue=7&rft.spage=1978&rft.epage=1989&rft.pages=1978-1989&rft.issn=2192-5682&rft.eissn=2192-5690&rft_id=info:doi/10.1177/21925682231162574&rft_dat=%3Cproquest_pubme%3E3107501724%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3107501724&rft_id=info:pmid/36943086&rft_sage_id=10.1177_21925682231162574&rfr_iscdi=true |