A Nation-Wide, Outpatient-Based Survey on the Pain, Disability, and Satisfaction of Patients with Osteoporotic Vertebral Compression Fractures

被引：28

作者：

Kim, Ki-Won ^{[1
]}

Cho, Kyu-Jung ^{[2
]}

Kim, Seok-Woo ^{[3
]}

Lee, Sang-Hoon ^{[4
]}

An, Myun-Hwan ^{[5
]}

Im, Jin-Hyung ^{[1
]}

机构：

[1] Catholic Univ Korea, Coll Med, Dept Orthoped Surg, Seoul, South Korea

[2] Inha Univ, Sch Med, Dept Orthoped Surg, Incheon, South Korea

[3] Hallym Univ, Coll Med, Dept Orthoped Surg, Chunchon, South Korea

[4] Kyung Hee Univ, Sch Med, Dept Orthoped Surg, Seoul, South Korea

[5] Yeungnam Univ, Coll Med, Dept Orthoped Surg, Daegu, South Korea

来源：

ASIAN SPINE JOURNAL | 2013年 / 7卷 / 04期

关键词：

Osteoporotic vertebral compression fracture; Pain; Disability; Satisfaction;

D O I：

10.4184/asj.2013.7.4.301

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Study Design: A nation-wide, outpatient-based, cross-sectional survey with the use of questionnaires. Purpose: To evaluate the pain, disability and satisfaction of patients with osteoporotic vertebral compression fractures (OVCFs). Overview of Literature: There are no nation-wide data in Korea on the degree of pain, disability and satisfaction with treatment in patients with OVCFs. Methods: We performed a cross-sectional survey of 573 patients with OVCFs. After excluding incomplete questionnaires (missing more than 30% of the variables), 430 patient-physician-matched data sets were collected for this survey. Results: Patients with OVCFs were managed with conservative treatment in 63% and with a vertebroplasty in 37%. The means of the latest visual analogue scale (VAS, 5.2) and Oswestry Disability Index (ODI, 47.7) scores checked at the time of survey were significantly higher than those VAS and ODI scores prior to OVCFs (the prefracture VAS and ODI scores, 3.6 and 26.3, respectively; p<0.001 for both comparisons). However, the means of the latest VAS and ODI scores were insignificantly different between the conservative and vertebroplasty groups, irrespective of the duration from the fractures. Overall, 75% of patients were satisfied with their clinical outcomes. However, the percentages of patient's satisfaction were not significantly different between the conservative and vertebroplasty groups. Eighty-eight percent of patients felt some or marked deterioration of their general health condition following OVCFs. Conclusions: These results indicate that although most patients with OVCFs were satisfied with their clinical outcomes, their subjective general health conditions, as well as their pain and disability, did not recover to the prefracture state.

引用

页码：301 / 307

页数：7

共 17 条

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