Evidence map›Paper›PMID 34825299›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2022

Single item self-rated general health: SF-36 based observations from 16,910 spine surgery procedures.

Anders Joelson, Fredrik Strömqvist, Freyr Gauti Sigmundsson, Jan Karlsson

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. The minimal important change for the EQ VAS based on the SF-36 health transition item: observations from 25772 spine surgery procedures.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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  4. Article
4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Anders JoelsonDepartment of Orthopedics, Orebro University School of Medical Sciences and Orebro University Hospital, Orebro, Sweden. anders@joelson.se.ORCID http://orcid.org/0000-0002-7931-9617
Fredrik StrömqvistClinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences and Orthopaedics, Lund University, Skane University Hospital, Malmo, Sweden.
Freyr Gauti SigmundssonDepartment of Orthopedics, Orebro University School of Medical Sciences and Orebro University Hospital, Orebro, Sweden.
Jan KarlssonFaculty of Medicine and Health, University Health Care Research Center, Orebro University, Orebro, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn 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.

methodsPatients 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.

resultsFor 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.

conclusionsSurgery 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.

Indexed as

Intervertebral Disc DisplacementSpinal StenosisHumansLumbar VertebraeNeurosurgical ProceduresQuality of LifeSpineTreatment OutcomeDisc herniationEQ-5DEQ VASHealth-related quality of lifeHealth transition itemResponsivenessSF-36Single item self-rated general healthSpinal stenosis

Identifiers

PMID34825299

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.