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在老年患有退行性脊柱形患者中,预期的实现,MCID的实现和术后结果:至少两年的评估评估

Qingyang Huang¹, Peng Cui¹, Peng Wang¹

¹Xuan Wu Hospital of the Capital Medical University, Beijing, China.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|June 25, 2025

概括

接受手术的患有退行性脊柱形 (DSD) 的老年患者在满足他们的期望并实现临床重要差异 (MCID) 时经历了更好的结果. 手术前的预期和手术并发症影响了这些结果.

科学领域:

整形外科整形外科整形外科
脊柱外科手术脊柱外科手术
患者报告的结果

背景情况:

退行性脊柱形 (DSD) 显著影响老年患者的生活质量.
了解患者的期望及其与手术结果的联系对于管理DSD至关重要.

研究的目的:

为了评估预期的实现和临床上重要的最小差异 (MCID) 在老年DSD患者中取得的成就.
为了比较术前期望与2年术后患者报告的结果 (PROs).

主要方法:

老年DSD患者在手术前和2年随访后完成了验证的调查 (期望调查,ODI,VAS).
根据MCID的成就和预期的实现来对患者进行分类.
多变量分析确定了影响结果的因素.

主要成果:

在233名患者中,有200名患者完成了随访,根据结果分为三组.
组A (没有MCID,未实现的期望) 经历了更长的住院时间和更多的并发症.
较高的手术前期望,手术并发症和较少的疼痛改善与较差的结果相关.

结论:

满足患者的期望和实现MCID与更好的临床结果和DSD手术的满意度有关.
术前和术后的因素,包括预期的改善幅度,影响预期的实现和MCID.

关键词:

退行性脊柱变形症退行性脊柱变形症年长的老人.期望的实现期待的实现在MCID中,MCD是MCD.满意度是一种满足感.

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