EQ-5D-5L questionnaire as suitable assessment of quality of life after epiduroscopy
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Wien Klin Wochenschr https://doi.org/10.1007/s00508-019-01590-z
EQ-5D-5L questionnaire as suitable assessment of quality of life after epiduroscopy Multicenter randomized double-blind pilot study Róbert Rapcan ˇ · Ladislav Kocan ˇ · Viktor Witkovsky · Juraj Mláka · Martin Griger · Miroslav Burianek · ˇ ˇ Simona Rapcanová ˇ · Anthony Hammond · Lubomír Poliak · Róbert Tirpák · Jana Simonová · Frantisek ˇ Sabol · Janka Vasková ˇ Received: 26 July 2019 / Accepted: 3 December 2019 © Springer-Verlag GmbH Austria, part of Springer Nature 2019
Summary Background Epiduroscopy is a well-established diagnostic and to certain level therapeutic tool in complex situations, where conventional methods such as magnetic resonance imaging (MRI) lack power or resolution to detect pathological changes. Such a situation is primarily failed back surgery syndrome (FBSS) but also radicular pain without surgery. The aim of this study was to determine the effectiveness of epiduroscopic treatment in patients with FBSS. Methods A total of 79 patients with FBSS were randomized into 2 groups. The first group underwent epiduroscopy and received mechanical lysis of adhesions only, the second group received also medication into the epidural space (methylprednisolone and hyaluronidase). Patients were subsequently followed for 12 months, with evaluation also after 6 months post-epiduroscopy. Patients were checked in terms
R. Rapˇcan · M. Griger · L’. Poliak Europainclinics, Kominárska 21/5, 831 04 Bratislava, Slovakia L. Koˇcan Clinic of Anaesthesiology and Intensive Care Medicine, East Slovak Institute of Cardiovascular Disease, Ondavská 8, 040 11 Košice, Slovakia V. Witkovsky Institute of Measurement Science, Slovak Academy of Sciences, Dúbravská cesta 9, 841 04 Bratislava, Slovakia
of mobility, self-care, usual activities, pain/discomfort and anxiety/depression as defined in the 5-dimensional EQ-5D-5L questionnaire and to asses suitability of this questionnaire in chronic pain states. Data were collected using EQ-5D-5L questionnaire and also quality of life (QoL) questionnaire. Results In the terms of ability to walk (dimension mobility) and also ability to do housework, study or leisure activities (dimension usual activity) patients improved in both groups after 6 and 12 months after epiduroscopy. In pain dimension there was improvement mainly after 6 months which correlated also with self-care dimension and quality of life selfassessment. Results in anxiety/depression dimension were mixed. Conclusion Epiduroscopy appears to be a beneficial procedure for both patient groups, especially after 6 months, with some benefit remaining after
R. Rapˇcan · M. Burianek · S. Rapˇcanová Europainclinics, Starochodovská 1750, 149 00 Prague 4, Czech Republic A. Hammond Kent Institute of Medicine and Surgery, Newnham Court Way, Bearsted, ME14 5FT, Kent, UK J. Šimonová 1st Clinic of Anaesthesiology and Intensive Care Medicine, Louis Pasteur University Hospital, SNP 1, 040 11 Košice, Slovakia
J. Mláka Poliklinika Terasa, Europainclinics, Toryská 1, 040 11 Ko
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