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Vol. 15. Issue 5.
Pages 447-457 (January 2004)
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Vol. 15. Issue 5.
Pages 447-457 (January 2004)
Evaluación de resultados en cirugía raquídea lumbar: la perspectiva del paciente
Outcome assessment in lumbar spine surgery: the patient's perspective.
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J. Ayerbe-Gracia
, P. Sousa-Casasnovas
Servicio de Neurocirugía. Fundación “Jiménez Díaz”. Madrid
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Resumen

En la actualidad, hay un interés creciente por evaluar los resultados de la cirugía raquídea lumbar desde la perspectiva del paciente. Con este propósito, se han desarrollado en las últimas décadas numerosos cuestionarios de autocumplimentación para los pacientes. Recientemente, un panel internacional de expertos ha recomendado un conjunto básico de cinco dominios a evaluar en los pacientes con dolor lumbar: intensidad y frecuencia del dolor, funcionalidad lumbar, estado general de salud, situación laboral y satisfacción del paciente. También se han seleccionado varios cuestionarios específicos para medir estos dominios, tales como el Oswestry Disability Index, el Roland-Morris Disability Questionnaire, o el Short-Form 36.

En este artículo se proporciona información sobre las características elementales, las propiedades y la interpretación de estos cuestionarios, así como sobre las recomendaciones del panel internacional. También se sugieren algunas adaptaciones de las mismas para su aplicación en nuestro país. En la discusión se resaltan las ventajas, los inconvenientes y las controversias en el empleo de los cuestionarios, y la necesidad de una mayor investigación sobre estos instrumentos.

Palabras clave:
Resultados
Cirugía raquídea
Dolor lumbar
Oswestry
SF-36
Abreviaturas:
ODI
MOS
RDQ
SF-36
SIP
NHP
WL-26
PSS
GEER
QALY
HUI
EQ-5D
QWB
Summary

At present, there is an increasing interest in eva-luating the outcome of lumbar spinal surgery from the patient's perspective. For this purpose, numerous self-report questionnaires for patients have been deve-loped during last two decades. Recently, a core set of five domains has been recommended by an interna-tional panel of experts in order to assess patients with back pain: pain intensity and frequency, back specific function, general health status, work status and patient satisfaction. Also, several specific questionnaires to measure these domains, such as the Oswestry Disability Index, the Roland-Morris Disability Questionnaire, or the Short-Form 36, have been selected.

In this paper, information about elementary features, properties and interpretation of these questionnaires, as well as recommendations of the international panel, are provided. Some adaptations to these statements for use in our country are suggested. In the discussion advan-tages, disadvantages and controversies related to the employment of questionnaires, and the need of further research on this field, are emphasized.

Key words:
Outcomes
Spinal surgery
Lumbar pain
Oswestry
SF-36

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