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Sircar, Krishnan ORCID: 0000-0001-8865-8795, Jochimsen, Dorothee ORCID: 0000-0002-2048-7296, Meyer-Schwickerath, Charlotte ORCID: 0000-0001-6711-6516, Jung, Norma ORCID: 0000-0002-5740-0772, Kernich, Nikolaus ORCID: 0000-0001-8540-5725, Eysel, Peer ORCID: 0009-0004-6057-6092 and Yagdiran, Ayla ORCID: 0000-0002-1723-5995 (2024). A post-hoc analysis of risk factors for poor quality of life after surgical treatment of spondylodiscitis. Scientific Reports, 14 (1). pp. 1-6. Springer Nature. ISSN 2045-2322

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Abstract

[Artikel-Nr.: 28365] Patient-reported outcome measures for quality of life (QoL) like the Oswestry-Disability-Index (ODI) are useful for a quick, comprehensive and comparable evaluation of spondylodiscitis treatment. While it is known that even after successful surgical treatment, the QoL of spondylodiscitis patients remains below that of the general population, risk factors for a poor outcome have not been described so far. We did a retrospective post-hoc analysis of 130 surgically treated spondylodiscitis patients from 2008 to 2022. Biographical, clinical und QoL data were prospectively collected before (T 0 ) and one year (T 1 ) after surgery. The primary outcome was QoL at T 1 . Patients were grouped according to their ODI score at T 1 (Group 1: ODI < 35, favorable QoL; Group 2: ODI ≥ 35, poor QoL) and analyzed for risk factors present at T 0 . Poor QoL at T 1 occurred in 51 patients (39%). Multivariate analysis identified a higher preoperative leg pain (odds ratio: 1.2) and the presence of a malignant disease (odds ratio: 1.9) as independent preoperative risk factors for a poor QoL at T 1 . Spondylodiscitis patients with malignancy and/or preoperative leg pain may be at increased risk for poor QoL after surgical treatment. These results can be used to individualize patient information and provide a better assessment of prognosis before surgery.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Sircar, Krishnan UNSPECIFIED https://orcid.org/0000-0001-8865-8795 UNSPECIFIED Jochimsen, Dorothee UNSPECIFIED https://orcid.org/0000-0002-2048-7296 UNSPECIFIED Meyer-Schwickerath, Charlotte UNSPECIFIED https://orcid.org/0000-0001-6711-6516 UNSPECIFIED Jung, Norma UNSPECIFIED https://orcid.org/0000-0002-5740-0772 UNSPECIFIED Kernich, Nikolaus UNSPECIFIED https://orcid.org/0000-0001-8540-5725 UNSPECIFIED Eysel, Peer UNSPECIFIED https://orcid.org/0009-0004-6057-6092 UNSPECIFIED Yagdiran, Ayla UNSPECIFIED https://orcid.org/0000-0002-1723-5995 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-816047
Identification Number:	10.1038/s41598-024-79828-8
Journal or Publication Title:	Scientific Reports
Volume:	14
Number:	1
Page Range:	pp. 1-6
Number of Pages:	6
Date:	17 November 2024
Publisher:	Springer Nature
ISSN:	2045-2322
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Chirurgie > Abteilung Unfallchirurgie (Klinik und Poliklinik für Orthopädie und Unfallchirurgie) Faculty of Medicine > Innere Medizin > Klinik I für Innere Medizin - Hämatologie und Onkologie
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Proms ; Spondylodiscitis ; Risk factors ; Quality of life ; Malignancy English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/81604