Comparative effectiveness research across two spine registries.

Détails

ID Serval
serval:BIB_3206A87BB467
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Comparative effectiveness research across two spine registries.
Périodique
European Spine Journal
Auteur(s)
Aghayev E., Henning J., Munting E., Diel P., Moulin P., Röder C.
Collaborateur(s)
SWISSspine, Spine Tango Registry groups
Contributeur(s)
Bärlocher C., Sgier F., Etter C., Hausmann O., Schwarzenbach O., Huber J., Aebi M., Heini P., Berlemann U., Markwalder T., Otten P., Schaeren S., Maestretti GL., Schizas C., Waelchli B., Porchet F., Baur M., Kast E., Seidel U., Lutz T., Grob D., Jeanneret B., Kroeber M., Min K., Hasdemir M., Lattig F., Morard M., Renella R., Richter H., Van Domelen K., Wernli FO., Binggeli R., Stoll TM., Marchesi D., Tessitore E., Vernet O., Faundez A., Favre J., Ramadan A., Selz T., Boos N., Cathrein P., Forster T., Heilbronner R., Kleinstueck F., Martinez R., Rischke B.
ISSN
1432-0932 (Electronic)
ISSN-L
0940-6719
Statut éditorial
Publié
Date de publication
2012
Peer-reviewed
Oui
Volume
21
Numéro
8
Pages
1640-1647
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Résumé
BACKGROUND: Comparative effectiveness research in spine surgery is still a rarity. In this study, pain alleviation and quality of life (QoL) improvement after lumbar total disc arthroplasty (TDA) and anterior lumbar interbody fusion (ALIF) were anonymously compared by surgeon and implant.
METHODS: A total of 534 monosegmental TDAs from the SWISSspine registry were analyzed. Mean age was 42 years (19-65 years), 59% were females. Fifty cases with ALIF were documented in the international Spine Tango registry and used as concurrent comparator group for the pain analysis. Mean age was 46 years (21-69 years), 78% were females. The average follow-up time in both samples was 1 year. Comparison of back/leg pain alleviation and QoL improvement was performed. Unadjusted and adjusted probabilities for achievement of minimum clinically relevant improvements of 18 VAS points or 0.25 EQ-5D points were calculated for each surgeon.
RESULTS: Mean preoperative back pain decreased from 69 to 30 points at 1 year (ØΔ 39pts) after TDA, and from 66 to 27 points after ALIF (ØΔ 39pts). Mean preoperative QoL improved from 0.34 to 0.74 points at 1 year (ØΔ 0.40pts). There were surgeons with better patient selection, indicated by lower adjusted probabilities reflecting worsening of outcomes if they had treated an average patient sample. ALIF had similar pain alleviation than TDA.
CONCLUSIONS: Pain alleviation after TDA and ALIF was similar. Differences in surgeon's patient selection based on pain and QoL were revealed. Some surgeons seem to miss the full therapeutic potential of TDA by selecting patients with lower symptom severity.
Pubmed
Web of science
Création de la notice
25/01/2013 16:17
Dernière modification de la notice
20/08/2019 14:17
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