Estimates of success in patients with sciatica due to lumbar disc herniation depend upon outcome measure |
| |
| Authors: | Anne Julsrud Haugen Lars Gr?vle Jens Ivar Brox B?rd Natvig Anne Keller Dag Soldal Margreth Grotle |
| |
| Affiliation: | (1) Department of Rheumatology, ?stfold Hospital Trust, 1603 Fredrikstad, Norway;(2) Section for Back Surgery and Physical Medicine and Rehabilitation, Orthopaedic Department, Oslo University Hospital, Rikshospitalet, Oslo, Norway;(3) National Resource Centre for Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Oslo, Norway;(4) Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Ullevaal, Oslo, Norway;(5) Department of Rheumatology, S?rlandet Hospital Health Enterprise, Kristiansand, Norway;(6) FORMI (Communication Unit for Musculoskeletal Disorders), Oslo University Hospital, Ullevaal, Oslo, Norway;(7) Department of General Practice and Community Medicine, ASAM, University of Oslo, Oslo, Norway |
| |
| Abstract: | The objectives were to estimate the cut-off points for success on different sciatica outcome measures and to determine the success rate after an episode of sciatica by using these cut-offs. A 12-month multicenter observational study was conducted on 466 patients with sciatica and lumbar disc herniation. The cut-off values were estimated by ROC curve analyses using Completely recovered or Much better on a 7-point global change scale as external criterion for success. The cut-off values (references in brackets) at 12 months were leg pain VAS 17.5 (0–100), back pain VAS 22.5 (0–100), Sciatica Bothersomeness Index 6.5 (0–24), Maine-Seattle Back Questionnaire 4.5 (0–12), and the SF-36 subscales bodily pain 51.5, and physical functioning 81.7 (0–100, higher values indicate better health). In conclusion, the success rates at 12 months varied from 49 to 58% depending on the measure used. The proposed cut-offs may facilitate the comparison of success rates across studies. |
| |
| Keywords: | Sciatica Outcome measures Pain Disability |
| 本文献已被 SpringerLink 等数据库收录！ |
|
