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Health-related quality of life in patients with spinal dural arteriovenous fistulae

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タイトル: Health-related quality of life in patients with spinal dural arteriovenous fistulae
著者: Sasamori, Toru 著作を一覧する
Hida, Kazutoshi 著作を一覧する
Osanai, Toshiya 著作を一覧する
Yano, Shunsuke 著作を一覧する
Seki, Toshitaka 著作を一覧する
Houkin, Kiyohiro 著作を一覧する
キーワード: Health-related quality of life (HRQOL)
Patient-reported outcome (PRO)
Spinal dural arteriovenous fistulae (SDAVF)
Short-form 36 Health Survey (SF-36)
発行日: 2017年 1月
出版者: Springer
誌名: Neurosurgical review
巻: 40
号: 1
開始ページ: 83
終了ページ: 86
出版社 DOI: 10.1007/s10143-016-0752-5
抄録: Background: Neurological improvement in patients with spinal dural arteriovenous fistulae (SDAVF) is often partial even after adequate treatment. While treatment outcomes have been evaluated primarily on the basis of the postoperative changes in neurological deficits, outcome measures should also reflect the patient-reported outcome (PRO). Methods: We conducted a health-related quality of life (HRQOL) survey in 52 SDAVF patients; 33 (63.5%) completed the short-form 36 Health Survey (SF-36) questionnaire. They were 25 males and 8 females ranging in age from 47 to 85 years (mean age 70.0 years). The mean follow-up period was 95.6 months. We analyzed the completed questionnaires and examined the clinical factors associated with their HRQOL. Results: After treatment, gait- and micturition disturbances persisted in 31 (93.9%) and 31 (93.9%) of our patients; 26 (78.8%) reported chronic leg pain. The SF-36 scores of treated SDAVF patients were significantly lower than the national average of 50 for all 8 sub-items in the questionnaire. The scores for physical functioning (PF) and role-physical (RP) were particularly low. With the exception of bodily pain (BP), there was a significant negative correlation between the Aminoff-Logue scale (ALS) scores for gait and micturition and the sub-item scores. The score for BP showed a significant positive correlation with the scores for the 7 other SF-36 sub-items. Conclusions: The HRQOL of treated SDAVF patients was lower than the national average with respect to both physical and mental aspects. Persistent post-treatment pain and gaitand micturition disturbances were responsible for their lower HRQOL.
Rights: The final publication is available at Springer via http://dx.doi.org/10.1007/s10143-016-0752-5
資料タイプ: article (author version)
URI: http://hdl.handle.net/2115/68035
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 笹森 徹

 

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