0000000000215387

AUTHOR

Ilkka Marttinen

showing 5 related works from this author

Changes in Health Utility, Disability, and Health-Related Quality of Life in Patients After Spinal Fusion

2014

STUDY DESIGN Prospective longitudinal database study. OBJECTIVE To evaluate changes in health utility, disability, and health-related quality of life (HRQOL) in patients undergoing spinal fusion. SUMMARY OF BACKGROUND DATA Recently, measuring disability, HRQOL, and health utility has become important when defining the value of surgical interventions. METHODS Data of spinal fusion patients from a prospective longitudinal database were analyzed. Health utility was captured by SF-6D (six dimensional health state classification from the 36-dimensional Short Form Health Survey) score, disability by Oswestry Disability Index, and HRQOL by the 36-Item Short Form Health Survey. The changes in these…

AdultMalemedicine.medical_specialtyHealth utilitySpinal stenosismedicine.medical_treatmentComorbidityPostoperative ComplicationsQuality of lifeHumansMedicineDisabled PersonsOrthopedics and Sports MedicineIn patientFinlandAgedHealth related quality of lifebusiness.industryta3141Evidence-based medicineMiddle Agedmedicine.diseaseOswestry Disability IndexSpinal FusionSpinal fusionQuality of LifePhysical therapyFemaleSpinal DiseasesNeurology (clinical)businessDelivery of Health CareSpine
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Quality of life and disability:can they be improved by active postoperative rehabilitation after spinal fusion surgery in patients with spondylolisth…

2017

Purpose The aim of the study was to investigate the effectiveness of the postoperative 12-month exercise program compared to usual care on disability and health-related quality of life (HRQoL) in patients after lumbar spine fusion surgery (LSF). Methods Altogether, 98 patients with isthmic (31) or degenerative (67) spondylolisthesis were randomised to exercise therapy group (EG) (n = 48) or usual care group (UCG) (n = 50) 3 months after LSF. EG patients had home-based progressive strength and aerobic training program for 12 months. UCG patients received only oral and written instructions of exercises. Oswestry Disability Index (ODI) and HRQoL (RAND-36) were evaluated at the time of randomiz…

Malefusionmedicine.medical_specialtyRandomizationfysioterapialaw.inventionspine surgery03 medical and health sciencesvammaisuus0302 clinical medicineQuality of lifeRandomized controlled triallawmedicineAerobic exerciseHumansOrthopedics and Sports MedicineIn patientDisabled Persons030212 general & internal medicineAgedbusiness.industrylumbar spineMiddle Agedmedicine.diseaseSpondylolisthesisOswestry Disability IndexExercise Therapyhealth-related quality of lifeSpinal FusionPhysical therapyQuality of LifeSurgeryFemaleNeurosurgerySpondylolisthesisbusiness030217 neurology & neurosurgeryFollow-Up Studies
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Reoperation Rates Following Instrumented Lumbar Spine Fusion

2018

Study Design. A prospective cohort study. Objective. This study evaluated the cumulative reoperation rate and indications for reoperation following instrumented lumbar spine fusion (LSF). Summary of Background Data. LSF reduces disability and improves health-related quality of life for patients with several spinal disorders. The rate of instrumented LSF has drastically increased over the last few decades. The increased incidence of LSF, however, has led to increased reoperation rates. Methods. The data are based on the prospective LSF database of Tampere University Hospital that includes all elective indications for LSF surgery. A total of 433 consecutive patients (64% women, mean age 62 ye…

AdultMaleReoperationmedicine.medical_specialtycomplicationssurgical treatmentmedicine.medical_treatmentreoperationadjacent segmentKaplan-Meier EstimateleikkaushoitolannerankaYoung Adult03 medical and health sciences0302 clinical medicineQuality of lifeHumansMedicineOrthopedics and Sports MedicineCumulative incidenceProspective StudiesTreatment Failure030212 general & internal medicineYoung adultortopediaProspective cohort studySurvival rateAgedta3126Aged 80 and overinstrumented lumbar spine fusionLumbar Vertebraebusiness.industryIncidence (epidemiology)ta3141komplikaatiotMiddle AgedConfidence intervalProsthesis FailureSurgerySpinal FusionSpinal fusionorthopedicsFemaleSpinal DiseasesNeurology (clinical)business030217 neurology & neurosurgerySpine
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Disability, Health-Related Quality of Life and Mortality in Lumbar Spine Fusion Patients—A 5-Year Follow-Up and Comparison With a Population Sample

2020

Study Design: Prospective follow-up study. Objectives: We aimed to assess the effect of lumbar spine fusion (LSF) on disability, health-related quality of life and mortality in a 5-year follow-up, and to compare these results with the general population. Methods: 523 consecutive LSF operations were included in a prospective follow-up. Disability was assessed by the Oswestry Disability Index (ODI), and HRQoL by the 36-item Short Form (SF-36) questionnaire using the physical and mental summary scores (PCS and MCS). The patients were compared with an age-, sex-, and residential area matched general population cohort. Results: The preoperative ODI in the patients was 46 (SD 16), and the change …

Health related quality of lifemedicine.medical_specialtyQuality of life (healthcare)5 year follow upPopulation sampleLumbar spine fusionbusiness.industryPhysical therapymedicineOrthopedics and Sports MedicineSurgeryNeurology (clinical)businessGlobal Spine Journal
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Disability, Health-Related Quality of Life and Mortality in Lumbar Spine Fusion Patients : A 5-Year Follow-Up and Comparison With a Population Sample

2022

Study Design: Prospective follow-up study. Objectives: We aimed to assess the effect of lumbar spine fusion (LSF) on disability, health-related quality of life and mortality in a 5-year follow-up, and to compare these results with the general population. Methods: 523 consecutive LSF operations were included in a prospective follow-up. Disability was assessed by the Oswestry Disability Index (ODI), and HRQoL by the 36-item Short Form (SF-36) questionnaire using the physical and mental summary scores (PCS and MCS). The patients were compared with an age-, sex-, and residential area matched general population cohort. Results: The preoperative ODI in the patients was 46 (SD 16), and the change …

longer follow-upkuolleisuusselkäsairaudetoutcomepopulation sampleseurantatutkimuselämänlaatulumbar spinal fusion (LSF)mortalityhumanitiesleikkaushoitolanneranka
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