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Lang, Siegmund; Walter, Nike; Froemming, Astrid; Baertl, Susanne; Szymski, Dominik; Alt, Volker; Rupp, Markus

Long-term patient-related quality of life outcomes and ICD-10 symptom rating (ISR) of patients with pyogenic vertebral osteomyelitis: What is the psychological impact of this life-threatening disease?

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  • Medientyp: E-Artikel
  • Titel: Long-term patient-related quality of life outcomes and ICD-10 symptom rating (ISR) of patients with pyogenic vertebral osteomyelitis: What is the psychological impact of this life-threatening disease?
  • Beteiligte: Lang, Siegmund; Walter, Nike; Froemming, Astrid; Baertl, Susanne; Szymski, Dominik; Alt, Volker; Rupp, Markus
  • Erschienen: Springer Science and Business Media LLC, 2023
  • Erschienen in: European Spine Journal
  • Sprache: Englisch
  • DOI: 10.1007/s00586-023-07616-5
  • ISSN: 0940-6719; 1432-0932
  • Entstehung:
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  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec> <jats:title>Purpose</jats:title> <jats:p>We aimed to evaluate the long-term impact of the treatment of pyogenic vertebral osteomyelitis (VO) on functional outcomes and patients' quality of life (QoL) with a special focus on psychological well-being.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>A total of 156 patients with VO with a minimum clinical follow-up of 12 months were retrospectively identified and asked to participate. Patient-reported outcome measures were evaluated with the EuroQol five-dimension questionnaire (EQ-5D) and German Short-Form 36 (SF-36) outcome instruments as well as with an ICD-10 based symptom rating (ISR) and compared to normative data. Spine-specific outcomes were assessed with the Core Outcome Measure Index and the Oswestry disability index (ODI) or the Neck disability index (NDI), respectively.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>From <jats:italic>n</jats:italic> = 156 eligible patients, <jats:italic>n</jats:italic> = 129 patients could be contacted and <jats:italic>n</jats:italic> = 40 returned questionnaires, yielding a response rate of 31.0%. The mean time from hospital discharge to follow-up was 83.0 ± 3.8 (13–193) months. Spine-specific outcomes showed mild to moderate disability. The mean physical health component score of the SF-36 (37.1 ± 16.7), the mean mental health component score (38.2 ± 14.0) and the mean EQ-5D VAS rating (57.1 ± 21.5) were significantly lower in comparison with the scores of an age-matched reference population (all <jats:italic>p</jats:italic> &lt; 0.05). The mean total score of the ISR was 0.53 ± 0.23. On average, the cohort did not cross the threshold of clinically relevant symptom burden on any subscale.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>Even almost seven years on average after completed treatment of VO, patients report impaired QoL. Assessment of psychological disorders should be implemented in clinical practice and future prospective studies.</jats:p> </jats:sec>