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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 7, 959-964.
doi: 10.1302/0301-620X.87B7.16240  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Health-related quality of life in patients before and after surgery for a herniated lumbar disc

K.-Å. Jansson, MD, PhD, Orthopaedic Surgeon1; G. Németh, MD, PhD, Professor1; F. Granath, PhD, Research Medical Statistician2; B. Jönsson, MD, PhD, Orthopaedic Surgeon3; and P. Blomqvist, MD, PhD, Research Clinical Epidemiologist Unit of Clinical Epidemiology2

1 Department of Orthopaedics
2 Department of Medicine Karolinska Institutet, Karolinska University Hospital, Solna, SE 171 76, Stockholm, Sweden.
3 Department of Orthopaedics University Hospital, Lund, SE 22185 Lund, Sweden.

Correspondence should be sent to Dr K.-Å. Jansson; e-mail: karl-ake.jansson{at}karolinska.se

We investigated the pre-operative and one-year post-operative health-related quality of life (HRQOL) outcome by using a Euroqol (EQ-5D) questionnaire in 263 patients who had undergone surgery for herniation of a lumbar disc. Data from the National Swedish Register for lumbar spinal surgery between 2001 and 2002 were used and, in addition, a comparison between our cohort and a Swedish EQ-5D population survey was performed. We analysed the pre- and post-operative quality of life data, age, gender, smoking habits, pain and walking capacity.

The mean age of the patients was 42 years (20 to 66); 155 (59%) were men and 69 (26%) smoked. Pre-operatively, 72 (17%) could walk at least 1 km compared with 200 (76%) postoperatively.

The mean EQ-5D score improved from 0.29 to 0.70, and the HRQOL improved in 195 (74%) of the patients. The pre-operative score did not influence the post-operative score. In most patients, all five EQ-5D dimensions improved, but did not reach the level reported by an age- and gender-matched population sample (mean difference 0.17). Predictors for poor outcome were smoking, a short pre-operative walking distance, and a long history of back pain.




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K.-A. Jansson, G. Nemeth, F. Granath, B. Jonsson, and P. Blomqvist
Health-related quality of life (EQ-5D) before and one year after surgery for lumbar spinal stenosis
J Bone Joint Surg Br, February 1, 2009; 91-B(2): 210 - 216.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General