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Imhagen, A., Karlsson, J., Jansson, S. P. O. & Anderzen-Carlsson, A. (2023). A lifelong struggle for a lighter tomorrow: A qualitative study on experiences of obesity in primary healthcare patients. Journal of Clinical Nursing, 32(5-6), 834-846
Open this publication in new window or tab >>A lifelong struggle for a lighter tomorrow: A qualitative study on experiences of obesity in primary healthcare patients
2023 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 32, no 5-6, p. 834-846Article in journal (Refereed) Published
Abstract [en]

AIM: To describe experiences of living with obesity before the start of a group-based lifestyle intervention.

BACKGROUND: Obesity is a chronic disease that affects a person's physical and psychological health. Increased knowledge of experiences of living with obesity is required.

DESIGN: A qualitative study with a descriptive design.

METHODS: Semi-structured individual interviews with 17 participants living with obesity (Body Mass Index 32-49) were conducted between October and November 2019. The interviews were analysed using qualitative content analysis. The COREQ checklist was followed.

RESULTS: The analysis resulted in one main theme: Struggling for a lighter tomorrow and three subthemes: Suffering, Resilience and Need for support in making changes. For the majority of the participants, living with obesity was a lifelong struggle involving suffering on different levels. Yet despite this, the participants had not given up and hoped for a better life. They showed a degree of resilience and motivation, and a perceived ability to achieve lifestyle changes. However, there was a pronounced need for support to help them achieve this.

CONCLUSION: Living with obesity is complex and carries a risk of medical complications as well as psychosocial suffering. Healthy lifestyle habits to achieve better health and to lose weight should be encouraged, taking patient resources into account. Patients also need help in handling weight stigmatisation, and both healthcare professionals and society must engage with this.

RELEVANCE TO CLINICAL PRACTICE: Obesity is a chronic disease, and patients need ongoing support. Therefore, care for patients with obesity in primary health care must be further developed. Patient resources and strengths have to be acknowledged and encouraged in the process of helping them adopt healthy lifestyle habits. The findings of this study can contribute to ending weight stigmatisation by increasing the knowledge of living with obesity.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
Experiences, lifestyle, nursing, obesity, primary health care, qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-99525 (URN)10.1111/jocn.16379 (DOI)000804990000001 ()35655375 (PubMedID)2-s2.0-85131172733 (Scopus ID)
Note

Funding agency:

University Health Care Research Center, Region Örebro County, Örebro, Sweden

Available from: 2022-06-15 Created: 2022-06-15 Last updated: 2024-01-02Bibliographically approved
Joelson, A., Szigethy, L., Wildeman, P., Sigmundsson, F. G. & Karlsson, J. (2023). Associations between future health expectations and patient satisfaction after lumbar spine surgery: a longitudinal observational study of 9929 lumbar spine surgery procedures. BMJ Open, 13(9), Article ID e074072.
Open this publication in new window or tab >>Associations between future health expectations and patient satisfaction after lumbar spine surgery: a longitudinal observational study of 9929 lumbar spine surgery procedures
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 9, article id e074072Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: This study aimed to investigate the associations between general health expectations and patient satisfaction with treatment for the two common spine surgery procedures diskectomy for lumbar disk herniation (LDH) and decompression for lumbar spinal stenosis (LSS). DESIGN: Register study with prospectively collected preoperative and 1-year postoperative data.

SETTING: National outcome data from Swespine, the national Swedish spine register.

PARTICIPANTS: A total of 9929 patients, aged between 20 and 85 years, who were self-reported non-smokers, and were operated between 2007 and 2016 for one-level LSS without degenerative spondylolisthesis, or one-level LDH, were identified in the national Swedish spine register (Swespine). We used SF-36 items 11c and 11d to assess future health expectations and present health perceptions. Satisfaction with treatment was assessed using the Swespine satisfaction item.

INTERVENTIONS: One-level diskectomy for LDH or one-level decompression for LSS.

PRIMARY OUTCOME MEASURES: Satisfaction with treatment. RESULTS: For LSS, the year 1 satisfaction ratio among patients with negative future health expectations preoperatively was 60% (95% CI 58% to 63%), while it was 75% (95% CI 73% to 76%) for patients with positive future health expectations preoperatively. The corresponding numbers for LDH were 73% (95% CI 71% to 75%) and 84% (95% CI 83% to 85%), respectively.

CONCLUSIONS: Patients operated for the common lumbar spine diseases LSS or LDH, with negative future general health expectations, were significantly less satisfied with treatment than patients with positive expectations with regard to future general health. These findings are important for patients, and for the surgeons who counsel them, when surgery is a treatment option for LSS or LDH.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2023
Keywords
Adult orthopaedics, Quality of Life, Spine
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-108559 (URN)10.1136/bmjopen-2023-074072 (DOI)001077459700021 ()37748852 (PubMedID)2-s2.0-85172248880 (Scopus ID)
Available from: 2023-09-26 Created: 2023-09-26 Last updated: 2024-01-02Bibliographically approved
Imhagen, A., Karlsson, J., Ohlsson-Nevo, E., Stenberg, E., Jansson, S. P. O. & Hagberg, L. (2023). Levels of Physical Activity, Enjoyment, Self-Efficacy for Exercise, and Social Support Before and After Metabolic and Bariatric Surgery: a Longitudinal Prospective Observational Study. Obesity Surgery, 33(12), 3899-3906
Open this publication in new window or tab >>Levels of Physical Activity, Enjoyment, Self-Efficacy for Exercise, and Social Support Before and After Metabolic and Bariatric Surgery: a Longitudinal Prospective Observational Study
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2023 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 33, no 12, p. 3899-3906Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Physical activity (PA) after metabolic and bariatric surgery (MBS) can influence weight loss, health status, and quality of life. Known mediators to participate in PA are enjoyment, self-efficacy, and social support. Little is known about PA behavior in MBS individuals. The aim of this study was to explore levels of PA and the PA mediators enjoyment, self-efficacy, and social support before and after MBS and to investigate changes over time.

METHODS: Adults scheduled to undergo MBS were recruited from a Swedish university hospital. Accelerometer-measured and self-reported PA, body weight, and PA mediators were collected at baseline and at 12 to 18 months post-surgery.

RESULTS: Among 90 individuals included, 50 completed the follow-up assessment and had valid accelerometer data. Sedentary time (minutes/day) was unchanged, but sedentary time as percentage of wear time decreased significantly from 67.2% to 64.5% (p<0.05). Time spent in light PA and total PA increased significantly from 259.3 to 288.7 min/day (p < 0.05) and from 270.5 to 303.5 min/day (p < 0.01), respectively. Step counts increased significantly from 6013 to 7460 steps/day (p < 0.01). There was a significant increase in self-reported PA, enjoyment, self-efficacy for exercise, and positive social support from family. The increase in PA mediators did not lead to a significant change in time spent in moderate to vigorous PA.

CONCLUSION: The increase in PA-mediators was not associated with an increase in moderate to vigorous PA, but the strengthened PA mediators suggest potential for an increase in moderate to vigorous PA in patients undergoing MBS.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Accelerometer, Enjoyment, Mediators, Metabolic and bariatric surgery, Physical activity, Self-efficacy, Social support
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:oru:diva-108983 (URN)10.1007/s11695-023-06887-7 (DOI)001084516200002 ()37837533 (PubMedID)2-s2.0-85174171905 (Scopus ID)
Available from: 2023-10-16 Created: 2023-10-16 Last updated: 2024-01-12Bibliographically approved
Philipson, A., Hagberg, L., Hermansson, L., Karlsson, J., Ohlsson-Nevo, E. & Ryen, L. (2023). Mapping the World Health Organization Disability Assessment Schedule (WHODAS 2.0) onto SF-6D Using Swedish General Population Data. PharmacoEconomics - open, 7(5), 765-776
Open this publication in new window or tab >>Mapping the World Health Organization Disability Assessment Schedule (WHODAS 2.0) onto SF-6D Using Swedish General Population Data
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2023 (English)In: PharmacoEconomics - open, ISSN 2509-4262, Vol. 7, no 5, p. 765-776Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND OBJECTIVE: Mapping algorithms can be used for estimating quality-adjusted life years (QALYs) when studies apply non-preference-based instruments. In this study, we estimate a regression-based algorithm for mapping between the World Health Organization Disability Assessment Schedule (WHODAS 2.0) and the preference-based instrument SF-6D to obtain preference estimates usable in health economic evaluations. This was done separately for the working and non-working populations, as WHODAS 2.0 discriminates between these groups when estimating scores.

METHODS: Using a dataset including 2258 participants from the general Swedish population, we estimated the statistical relationship between SF-6D and WHODAS 2.0. We applied three regression methods, i.e., ordinary least squares (OLS), generalized linear models (GLM), and Tobit, in mapping onto SF-6D from WHODAS 2.0 at the overall-score and domain levels. Root mean squared error (RMSE) and mean absolute error (MAE) were used for validation of the models; R2 was used to assess model fit.

RESULTS: The best-performing models for both the working and non-working populations were GLM models with RMSE ranging from 0.084 to 0.088, MAE ranging from 0.068 to 0.071, and R2 ranging from 0.503 to 0.608. When mapping from the WHODAS 2.0 overall score, the preferred model also included sex for both the working and non-working populations. When mapping from the WHODAS 2.0 domain level, the preferred model for the working population included the domains mobility, household activities, work/study activities, and sex. For the non-working population, the domain-level model included the domains mobility, household activities, participation, and education.

CONCLUSIONS: It is possible to apply the derived mapping algorithms for health economic evaluations in studies using WHODAS 2.0. As conceptual overlap is incomplete, we recommend using the domain-based algorithms over the overall score. Different algorithms must be applied depending on whether the population is working or non-working, due to the characteristics of WHODAS 2.0.

Place, publisher, year, edition, pages
Springer Nature, 2023
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-106392 (URN)10.1007/s41669-023-00425-y (DOI)001006408700001 ()37322384 (PubMedID)2-s2.0-85161943693 (Scopus ID)
Available from: 2023-06-26 Created: 2023-06-26 Last updated: 2023-12-08Bibliographically approved
Norén, P., Karlsson, J., Ohlsson-Nevo, E., Möller, M. & Hermansson, L. (2023). Psychometric evaluation of the WHODAS 2.0 and prevalence of disability in a Swedish general population. Journal of patient-reported outcomes, 7(1), Article ID 36.
Open this publication in new window or tab >>Psychometric evaluation of the WHODAS 2.0 and prevalence of disability in a Swedish general population
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2023 (English)In: Journal of patient-reported outcomes, E-ISSN 2509-8020, Vol. 7, no 1, article id 36Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The World Health Organization Disability Assessment Schedule (WHODAS 2.0) is a generic questionnaire that captures health and disability-related functioning information corresponding to six major life domains: Cognition, Mobility, Self-care, Getting along, Life activities, and Participation. The WHODAS 2.0 is used in a wide range of international clinical and research settings. A psychometric evaluation of WHODAS 2.0, Swedish version, in the general population is lacking, together with national reference data to enable interpretation and comparison. This study aims to evaluate the psychometric properties of the Swedish 36-item version of WHODAS 2.0 and describe the prevalence of disability in a Swedish general population.

METHODS: A cross-sectional survey was performed. Internal consistency reliability was assessed with Cronbach's alpha. The construct validity was evaluated with item-total correlation, Pearson's correlation between the WHODAS 2.0 domains and the RAND-36 subscales, analysis of known groups by one-way ANOVA, and analysis of the factor structure by confirmatory factor analysis.

RESULTS: Three thousand four hundred and eighty two adults aged 19-103 years (response rate 43%) participated. Significantly higher degrees of disability were reported by the oldest age group (≥ 80 years), adults with a low level of education, and those on sick leave. Cronbach's alpha was from 0.84 to 0.95 for the domain scores and 0.97 for the total score. The item-scale convergent validity was satisfactory, and the item-scale discriminant validity was acceptable except for the item about sexual activity. The data partially supported the factor structure, with borderline fit indices.

CONCLUSION: The psychometric properties of the self-administered Swedish 36-item version of the WHODAS 2.0 are comparable to those of other language versions of the instrument. Data of the prevalence of disability in Swedish general population enables normative comparisons of WHODAS 2.0 scores of individuals and groups within clinical practice. The instrument has certain limitations that could be improved on in a future revision. The test-retest reliability and responsiveness of the Swedish version of WHODAS 2.0 for different somatic patient populations remain to be evaluated.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Disability evaluation, Health surveys, Patient-reported outcome measures, RAND-36, Reference values, Validity and reliability
National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-105444 (URN)10.1186/s41687-023-00580-0 (DOI)000963677200001 ()37020121 (PubMedID)2-s2.0-85152640756 (Scopus ID)
Funder
Örebro UniversityRegion Örebro County, OLL-506801
Available from: 2023-04-14 Created: 2023-04-14 Last updated: 2024-01-02Bibliographically approved
Skogsdal, Y. R., Karlsson, J., Tydén, T., Patil, S. & Backman, H. (2023). The association of smoking, use of snuff, and preconception alcohol consumption with spontaneous abortion: A population-based cohort study. Acta Obstetricia et Gynecologica Scandinavica, 102(1), 15-24
Open this publication in new window or tab >>The association of smoking, use of snuff, and preconception alcohol consumption with spontaneous abortion: A population-based cohort study
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2023 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 102, no 1, p. 15-24Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: It is unclear whether tobacco in early pregnancy and alcohol use preceding pregnancy are associated with spontaneous abortion. The purpose was to investigate if use of tobacco and/or alcohol is associated with spontaneous abortion among women attending antenatal care, and if age and body mass index (BMI) attenuate the risk.

MATERIAL AND METHODS: A population-based cohort study based on data from the Swedish Pregnancy Register. All pregnant women having had the first antenatal visit from January 2014 to July 2018 were included (n = 525 604). The register had information about smoking and use of snuff before and in early pregnancy, as well as data on alcohol habits before pregnancy, measured by the Alcohol Use Disorders Identification Test (AUDIT), a validated questionnaire. Logistic regression analysis was used to estimate the association between lifestyle factors and spontaneous abortion, and multiple imputation was used to impute missing data.

RESULTS: In total, 34 867 (6.6%) pregnancies ended in a spontaneous abortion after the first visit to maternal health care. At the first maternal healthcare visit, daily smoking was reported by 24 214 (5.1%), and 6403 (1.2%) used snuff. For 19 837 (4.2%) women, a high alcohol score was reported for the year preceding pregnancy. After adjusting for potential confounders and multiple imputation, use of tobacco was associated with spontaneous abortion; smoking 1-9 cigarettes/day (adjusted odds ratio [aOR] 1.11, 95% confidence interval [CI] 1.04-1.18), smoking 10 or more cigarettes/day (aOR 1.12, 95% CI 1.-1.26), and use of snuff (aOR 1.20, 95% CI 1.06-1.37). Higher AUDIT scores were not significantly associated with spontaneous abortion (AUDIT 6-9: aOR 1.03, 95% CI 0.97-1.10 and AUDIT 10 or more: aOR 1.07, 95% CI 0.94-1.22). Increasing maternal age showed the highest risk of spontaneous abortion from the age of 35, and BMI of 30 kg/m2 or more increased the risk. There were interactions between different lifestyle factors associated with spontaneous abortion that could either increase or decrease the risk of spontaneous abortion.

CONCLUSIONS: Smoking and use of snuff were associated with an increased risk of spontaneous abortion. The AUDIT scores preceding pregnancy were not associated with an increased risk of spontaneous abortion, which contradicts the results from previous studies.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
AUDIT, alcohol, lifestyle factors, oral tobacco, pregnancy, smoking, snuff, spontaneous abortion
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-101766 (URN)10.1111/aogs.14470 (DOI)000866149300001 ()36222196 (PubMedID)2-s2.0-85139712960 (Scopus ID)
Funder
Region Örebro County, OLL 836701 OLL 929557 OLL-837211
Available from: 2022-10-13 Created: 2022-10-13 Last updated: 2024-01-02Bibliographically approved
Ferrari, G., Karlsson, J., Cao, Y., Geijer, H., de Souza, D. R. & Samano, N. (2022). Quality of Life After Percutaneous Coronary Intervention in No-Touch Saphenous Vein Grafts is Significantly Better Than in Conventional Vein Grafts. Brazilian Journal of Cardiovascular Surgery, 37(4), 430-438
Open this publication in new window or tab >>Quality of Life After Percutaneous Coronary Intervention in No-Touch Saphenous Vein Grafts is Significantly Better Than in Conventional Vein Grafts
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2022 (English)In: Brazilian Journal of Cardiovascular Surgery, ISSN 0102-7638, E-ISSN 1678-9741, Vol. 37, no 4, p. 430-438Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To compare health-related quality of life (HRQoL) of patients primarily treated with a no-touch saphenous vein graft with that of patients who received a conventional graft.

METHODS: The study included all individuals treated with a percutaneous coronary intervention (PCI) on a saphenous vein graft (SVG) between January 2006 and June 2020. The RAND-36 health survey was used to assess HRQoL. The Mann-Whitney U test was used to test differences in HRQoL between the two groups. Effect size was estimated via Cohen's d. The average treatment effect between the groups was tested by propensity score matching (PSM).

RESULTS: Of the 346 patients treated with a PCI in a stenosed or occluded SVG, 165 responded to RAND-36 (no-touch: n=48; conventional: n=117). Patients with a no-touch graft reported better mean values on seven of the eight health survey domains. Statistically significant differences were observed for four of the domains, all in favour of the no-touch group. The effect size estimates indicated a small difference for five domains, with the highest values (>0.40) seen for the general health and energy/fatigue domains. PSM confirmed a statistically significant difference for the physical functioning and general health domains.

CONCLUSION: At a mean follow-up of 5.4 years, patients who received a PCI in no-touch vein grafts showed significantly better HRQoL than those who received a PCI in conventional vein grafts.

Place, publisher, year, edition, pages
Sociedade Brasileira de Cirurgia Cardiovascular, 2022
Keywords
Coronary Artery Bypass, Fatigue, Percutaneous Coronary Intervention, Propensity Score., Quality of Life, Saphenous Vein
National Category
Surgery
Identifiers
urn:nbn:se:oru:diva-100713 (URN)10.21470/1678-9741-2021-0576 (DOI)000862466400001 ()35976202 (PubMedID)2-s2.0-85136216148 (Scopus ID)
Funder
Region Örebro County, OLL-935188
Available from: 2022-08-18 Created: 2022-08-18 Last updated: 2024-01-02Bibliographically approved
Joelson, A., Sigmundsson, F. G. & Karlsson, J. (2022). Responsiveness of the SF-36 general health domain: observations from 14883 spine surgery procedures. Quality of Life Research, 31(2), 589-596
Open this publication in new window or tab >>Responsiveness of the SF-36 general health domain: observations from 14883 spine surgery procedures
2022 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 31, no 2, p. 589-596Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The study evaluated perceptions of general health (GH) after surgical treatment of spinal stenosis and disk herniation. We used a large longitudinally collected data set to explore differences in responsiveness between the SF-36 GH domain, EQ VAS, EQ-5D index, and SF-6D index.

METHODS: Patients, surgically treated for lumbar spinal stenosis or lumbar disk herniation between 2007 and 2017, were recruited from the national Swedish spine register. A total of 14,883 procedures were eligible for analysis. The responsiveness of the SF-36 GH domain to surgical treatment was evaluated with the standardized response mean (SRM) and effect size (ES). The internal consistency of the GH domain was evaluated, ceiling and floor effects were assessed, and the correlation between GH domain and EQ VAS was analyzed.

RESULTS: The SF-36 GH domain did not respond to surgical treatment of spinal stenosis and disk herniation. In contrast, EQ VAS, EQ-5D index, and SF-6D showed moderate to large responsiveness. There were pronounced ceiling effects in items 11a-c of the SF-36 GH domain. There was a negative effect size of change for item 11c. The internal consistency of the GH domain was satisfactory. There were marked differences in the correlations between EQ VAS and the GH domain preoperatively and postoperatively.

CONCLUSIONS: The SF-36 GH domain should be used with caution when evaluating effects on GH perceptions after spine surgery procedures. The lack of responsiveness is most probably explained by ceiling effects for items 11a-c and a negative effect size of change for item 11c.

Place, publisher, year, edition, pages
Springer Netherlands, 2022
Keywords
EQ VAS, EQ-5D, General health, Responsiveness, SF-36, SF-6D, Spine surgery
National Category
Surgery
Identifiers
urn:nbn:se:oru:diva-92494 (URN)10.1007/s11136-021-02913-2 (DOI)000663298700001 ()34145526 (PubMedID)2-s2.0-85108194500 (Scopus ID)
Available from: 2021-06-21 Created: 2021-06-21 Last updated: 2024-01-02Bibliographically approved
Joelson, A., Strömqvist, F., Sigmundsson, F. G. & Karlsson, J. (2022). Single item self-rated general health: SF-36 based observations from 16,910 spine surgery procedures. Quality of Life Research, 31(6), 1819-1828
Open this publication in new window or tab >>Single item self-rated general health: SF-36 based observations from 16,910 spine surgery procedures
2022 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 31, no 6, p. 1819-1828Article in journal (Refereed) Published
Abstract [en]

PURPOSE: In spine surgery single item patient-reported outcome assessment has been used for many years. Items 1 and 2 of SF-36 are used for assessment of general health. We used these items to explore single item, self-rated, general health assessment after spine surgery.

METHODS: Patients operated for lumbar disc herniation or lumbar spinal stenosis between 2007 and 2017, were recruited from the national Swedish spine register. A total of 16,910 procedures were eligible for analysis. The responsiveness of the SF-36 general health assessment items to surgical treatment was evaluated with the standardized response mean (SRM). Improvement in self-rated general health was used to dichotomize SF-36 profiles and EQ VAS distributions.

RESULTS: For disc herniation, 5852 (83%) patients reported improvement in general health 1 year after surgery. For spinal stenosis, the corresponding numbers were 6,482 (66%). The additional improvement after year 1 was small. The responsiveness of the SF-36 item 2 (the health transition item) to surgical treatment of disc herniation or spinal stenosis was substantial. There was a clear association between improvement in SF-36 item 2 and improvements in all domains of SF-36.

CONCLUSIONS: Surgery for disc herniation or spinal stenosis improve patients' perception of general health 1 year after surgery. The improvement in general health after year 1 is limited. The SF-36 item 2 is a responsive measure of self-rated general health that may be used for dichotomization of SF-36 and EQ VAS data when evaluating surgical outcome in spine surgery.

Place, publisher, year, edition, pages
Springer, 2022
Keywords
Disc herniation, EQ VAS, EQ-5D, Health transition item, Health-related quality of life, Responsiveness, SF-36, Single item self-rated general health, Spinal stenosis
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-95662 (URN)10.1007/s11136-021-03048-0 (DOI)000722559900001 ()34825299 (PubMedID)2-s2.0-85119868703 (Scopus ID)
Available from: 2021-11-29 Created: 2021-11-29 Last updated: 2024-01-02Bibliographically approved
Joelson, A., Sigmundsson, F. G. & Karlsson, J. (2022). Stability of SF-36 profiles between 2007 and 2016: A study of 27,302 patients surgically treated for lumbar spine diseases. Health and Quality of Life Outcomes, 20(1), Article ID 92.
Open this publication in new window or tab >>Stability of SF-36 profiles between 2007 and 2016: A study of 27,302 patients surgically treated for lumbar spine diseases
2022 (English)In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 20, no 1, article id 92Article in journal (Refereed) Published
Abstract [en]

Background: Previous studies have shown that patients with different lumbar spine diseases report different SF-36 profiles, but data on the stability of the SF-36 profiles are limited. The primary aim of the current study was to evaluate the stability of the SF-36 profile for lumbar spine diseases.

Methods: Patients, surgically treated between 2007 and 2016 for three lumbar spine diseases, lumbar spinal stenosis (LSS) with degenerative spondylolisthesis (DS), LSS without DS, and lumbar disk herniations (LDH), were identified in the Swedish spine register. Preoperative and 1 year postoperative SF-36 data for a total of 27,302 procedures were available for analysis. The stability of the SF-36 profiles over the 10-year period was evaluated using graphical exploration, linear regression, difference in means, and 95% confidence intervals. The responsiveness of the SF-36 domains to surgical treatment was evaluated using the standardized response mean (SRM).

Results: LSS and LDH have different SF-36 profiles. LSS with DS and LSS without DS have similar SF-36 profiles. The preoperative and the 1 year postoperative SF-36 profiles were stable from 2007 to 2016 for all three diagnoses. There were no major changes in the effect size of change (SRM) during the study period for all three diagnoses. For LSS with DS, the number of fusions peaked in 2010 and then decreased. The postoperative SF-36 profiles for LSS with DS were unaffected by changes in surgical treatment trends.

Conclusions: Patients with lumbar spinal stenosis and lumbar disk herniations have different SF-36 profiles. Concomitant degenerative spondylolisthesis had no impact on the SF-36 profile of lumbar spinal stenosis. Adding fusion to the decompression did not alter the postoperative SF-36 profile of lumbar spinal stenosis. The SF-36 health profiles are stable from a 10 years perspective.

Place, publisher, year, edition, pages
BMC, 2022
Keywords
Health-related Quality of life, Health profiles, Stability, Lumbar spine diseases, SF-36
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-99573 (URN)10.1186/s12955-022-01999-7 (DOI)000807520400002 ()35672781 (PubMedID)2-s2.0-85131477967 (Scopus ID)
Funder
Örebro University
Available from: 2022-06-15 Created: 2022-06-15 Last updated: 2024-01-02Bibliographically approved
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