Problem areas identified as important to older adults with lumbar spinal stenosis

The Spine Journal : Official Journal of the North American Spine Society
Todd C EdwardsJanna L Friedly

Abstract

There is growing concern that patient-reported outcomes (PROs) commonly used in clinical research evaluating treatments such as epidural steroid injections (ESIs) for lumbar spinal stenosis may not adequately capture outcomes of greatest importance to older adults. The purpose of the study was to determine what outcomes are most important to older adults with spinal stenosis, how well commonly used PROs reflect what is most important to these participants, and which outcomes older adults with spinal stenosis would want improved to consider having ESI. This is an outcome prioritization study. Community sample of 33 older adults with spinal stenosis were included. The outcome measures were Swiss Spinal Stenosis Questionnaire and Roland-Morris Disability Questionnaire. The methods involve individual sorting and ranking exercises followed by facilitated focus groups. Highest rated problem areas were "experiencing pain/discomfort" (88% of participants), "problems with physical function" (85%), "difficulty exercising" (73%), "difficulty participating in hobbies and leisure activities" (55%), and "problems with weakness" (52%). Only 10 of the 24 Roland-Morris Disability Questionnaire items were rated by 50% or more of participants exp...Continue Reading

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Citations

Jul 20, 2016·Chiropractic & Manual Therapies·Carlo AmmendoliaGillian Hawker
Aug 16, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Una E MakrisM Carrington Reid
Jan 18, 2018·Journal of Gerontological Social Work·Meredith L Stensland, Sara Sanders
Mar 31, 2018·Qualitative Health Research·Meredith Stensland, Sara Sanders
Jan 11, 2018·The Gerontologist·Meredith L Stensland, Sara Sanders
Sep 16, 2019·BMC Musculoskeletal Disorders·Marie-Ombeline ChagnasChristelle Nguyen
Sep 22, 2017·Vascular Medicine·Todd C EdwardsDonald L Patrick
Sep 12, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Andrea L NicolRobert W Hurley
Feb 10, 2020·The Journal of Pain : Official Journal of the American Pain Society·John D MarkmanRoger Chou

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