Koji Nakajima1,2, Hideki Nakamoto1,2, Hiroyuki Nakarai1,2, Kosei Nagata1,2, So Kato1,2, Toru Doi1,2, Yoshitaka Matsubayashi1,2, Yuki Taniguchi1,2, Naohiro Kawamura2,3, Akiro Higashikawa2,4, Yujiro Takeshita2,5, Masayoshi Fukushima2,6, Takashi Ono2,7, Nobuhiro Hara2,8, Seiichi Azuma2,9, Sakae Tanaka1, Yasushi Oshima10,11. 1. Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. 2. University of Tokyo Spine Group (UTSG), Tokyo, Japan. 3. Department of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, Tokyo, Japan. 4. Department of Orthopaedic Surgery, Japan Organization of Occupational Health and Safety Kanto Rosai Hospital, Kanagawa, Japan. 5. Department of Orthopaedic Surgery, Japan Organization of Occupational Health and Safety Yokohama Rosai Hospital, Kanagawa, Japan. 6. Spine Center, Toranomon Hospital, Tokyo, Japan. 7. Department of Spinal Surgery, Japan Community Health-Care Organization Tokyo Shinjuku Medical Center, Tokyo, Japan. 8. Department of Orthopaedic Surgery, Japanese Red Cross Musashino Hospital, Tokyo, Japan. 9. Department of Orthopaedic Surgery, Japanese Red Cross Saitama Hospital, Saitama, Japan. 10. Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. yoo-tky@umin.ac.jp. 11. University of Tokyo Spine Group (UTSG), Tokyo, Japan. yoo-tky@umin.ac.jp.
Abstract
PURPOSE: To precisely assess the Oswestry Disability Questionnaire (ODQ) and its total score (Oswestry Disability Index: ODI) and reveal characteristics of non-responders of the 8th item of ODQ (ODI-8) relating to sexual function. Furthermore, we evaluated risk factors for aggravation of postoperative sexual function. METHODS: We enrolled patients undergoing lumbar spine surgery at eight hospitals between April 2017 and November 2018. Patients' background data and operative factors were collected. We also assessed pain or dysesthesia (lower back, buttock, leg, and plantar area) on a numerical rating scale, EuroQol 5 Dimension, core outcome measures index back, and ODI before and 1 year after surgery. Factor analysis was conducted for the ODQ. Non-responders of the ODI-8 were compared with full-responders using propensity score matching. Risk factors for worsening ODI-8 were evaluated by multivariate logistic regression analysis. RESULTS: Of the 2,610 patients enrolled, 601 (23.0%) answered all but the ODI-8 item; these patients were likely to show better preoperative clinical symptoms than full-responders, even after adjusting for age and gender using propensity scores. Age, spinal deformity, and the American Society of Anesthesiologists physical status (ASA-PS) 3/4 were significant risk factors for postoperative aggravation of the ODI-8. Factor analysis revealed that the ODQ was composed of dynamic and static activities; the ODI-8 was considered a dynamic activity. CONCLUSION: Almost a fourth of the patients skipped the ODI-8. Age, the presence of spinal deformity, and worse ASA-PS were found to be risk factors for postoperative aggravation of sexual function. LEVEL OF EVIDENCE I: Diagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding.
PURPOSE: To precisely assess the Oswestry Disability Questionnaire (ODQ) and its total score (Oswestry Disability Index: ODI) and reveal characteristics of non-responders of the 8th item of ODQ (ODI-8) relating to sexual function. Furthermore, we evaluated risk factors for aggravation of postoperative sexual function. METHODS: We enrolled patients undergoing lumbar spine surgery at eight hospitals between April 2017 and November 2018. Patients' background data and operative factors were collected. We also assessed pain or dysesthesia (lower back, buttock, leg, and plantar area) on a numerical rating scale, EuroQol 5 Dimension, core outcome measures index back, and ODI before and 1 year after surgery. Factor analysis was conducted for the ODQ. Non-responders of the ODI-8 were compared with full-responders using propensity score matching. Risk factors for worsening ODI-8 were evaluated by multivariate logistic regression analysis. RESULTS: Of the 2,610 patients enrolled, 601 (23.0%) answered all but the ODI-8 item; these patients were likely to show better preoperative clinical symptoms than full-responders, even after adjusting for age and gender using propensity scores. Age, spinal deformity, and the American Society of Anesthesiologists physical status (ASA-PS) 3/4 were significant risk factors for postoperative aggravation of the ODI-8. Factor analysis revealed that the ODQ was composed of dynamic and static activities; the ODI-8 was considered a dynamic activity. CONCLUSION: Almost a fourth of the patients skipped the ODI-8. Age, the presence of spinal deformity, and worse ASA-PS were found to be risk factors for postoperative aggravation of sexual function. LEVEL OF EVIDENCE I: Diagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding.
Entities:
Keywords:
Lumbar spine; Oswestry disability index; Oswestry disability questionnaire; Sexual function; Surgery
Authors: M Guermazi; M Mezghani; S Ghroubi; M Elleuch; A Ould Sidi Med; S Poiraudeau; F Mrabet; J Dammak; J Fermanian; S Baklouti; S Sellami; M Revel; M H Elleuch Journal: Ann Readapt Med Phys Date: 2005-02
Authors: D Kojo Hamilton; Justin S Smith; Tanya Nguyen; Vincent Arlet; Manish K Kasliwal; Christopher I Shaffrey Journal: J Neurosurg Spine Date: 2013-05-21