PMID- 36273136
OWN - NLM
STAT- MEDLINE
DCOM- 20221025
LR  - 20221026
IS  - 1471-2474 (Electronic)
IS  - 1471-2474 (Linking)
VI  - 23
IP  - 1
DP  - 2022 Oct 22
TI  - A study comparing outcomes between obese and nonobese patients with lumbar disc 
      herniation undergoing surgery: a study of the Swedish National Quality Registry 
      of 9979 patients.
PG  - 931
LID - 10.1186/s12891-022-05884-8 [doi]
LID - 931
AB  - BACKGROUND: This study aimed to evaluate whether an increasing grade of obesity 
      is associated with inferior outcomes after lumbar disc herniation (LDH) surgery. 
      METHODS: We retrieved data from the Swedish register for spine surgery regarding 
      patients aged 20-64 who underwent LDH surgery from 2006-2016 and had preoperative 
      and one-year postoperative data. A total of 4156 patients were normal weight, 
      4063 were overweight, 1384 had class I obesity, 317 had class II obesity and 59 
      had class III obesity ("morbid obesity"). Data included patient satisfaction, 
      improvement in leg pain (assessed using the National Rating Scale; NRS; rating 
      0-10), disability (assessed using the Oswestry Disability Index; ODI; rating 
      0-100) and complications. RESULTS: At one year postsurgery, 80% of normal-weight 
      patients, 77% of overweight patients and 74% of obese patients (class I-III 
      evaluated together) were satisfied (p < 0.001) [75%, 71%, 75% in obesity classes 
      I, II, and III, respectively (p = 0.43)]. On average, all groups improved by more 
      than the minimal clinically important difference (MCID) in both NRS leg pain 
      (> 3.5) and ODI (> 20). NRS leg pain improved by 4.8 in normal weight patients 
      (95% CI 4.7-4.9), by 4.5 in overweight patients (4.5-4.6) and by 4.3 in obese 
      patients (4.2-4.4) (p < 0.001) [4.4 (4.3-4.6), 3.8 (3.5-4.1) and 4.6 (3.9-5.3) in 
      obesity classes I, II, and III, respectively (p < 0.001)]. The ODI improved by 30 
      in normal weight patients (30-31), by 29 in overweight patients (28-29) and by 26 
      in obese patients (25-27) (p < 0.001) [29 (28-29), 25 (22-27) and 27 (22-32) in 
      obesity classes I, II, and III, respectively (p < 0.01)]. A total of 3.0% of 
      normal-weight patients, 3.9% of overweight patients and 3.9% of obese patients 
      suffered complications (p = 0.047) [3.8%, 4.4%, 3.5% in obesity classes I, II, 
      and III, respectively (p = 0.90)]. CONCLUSIONS: LDH surgery is also generally 
      associated with favourable outcomes and few complications in patients with morbid 
      obesity.
CI  - (c) 2022. The Author(s).
FAU - Hareni, Niyaz
AU  - Hareni N
AUID- ORCID: 0000-0001-8626-3909
AD  - Departments Clinical Sciences and Orthopedics, Lund University, Skane University 
      Hospital, Inga Marie Nilssons gata 22, plan 4, 205 02, Malmo, Sweden. 
      niyaz.hareni@med.lu.se.
AD  - Department of Orthopedics, Halland Hospital, Varberg, Sweden. 
      niyaz.hareni@med.lu.se.
FAU - Stromqvist, Fredrik
AU  - Stromqvist F
AD  - Departments Clinical Sciences and Orthopedics, Lund University, Skane University 
      Hospital, Inga Marie Nilssons gata 22, plan 4, 205 02, Malmo, Sweden.
FAU - Rosengren, Bjorn E
AU  - Rosengren BE
AD  - Departments Clinical Sciences and Orthopedics, Lund University, Skane University 
      Hospital, Inga Marie Nilssons gata 22, plan 4, 205 02, Malmo, Sweden.
FAU - Karlsson, Magnus K
AU  - Karlsson MK
AD  - Departments Clinical Sciences and Orthopedics, Lund University, Skane University 
      Hospital, Inga Marie Nilssons gata 22, plan 4, 205 02, Malmo, Sweden.
LA  - eng
PT  - Journal Article
DEP - 20221022
PL  - England
TA  - BMC Musculoskelet Disord
JT  - BMC musculoskeletal disorders
JID - 100968565
SB  - IM
MH  - Humans
MH  - *Intervertebral Disc Displacement/complications/epidemiology/surgery
MH  - Lumbar Vertebrae/surgery
MH  - Overweight/complications
MH  - Sweden/epidemiology
MH  - Disability Evaluation
MH  - Pain Measurement
MH  - Treatment Outcome
MH  - Registries
MH  - Pain/complications
MH  - Obesity/complications/diagnosis/epidemiology
PMC - PMC9587539
OTO - NOTNLM
OT  - BMI
OT  - Lumbar disc herniation
OT  - Obesity
COIS- The authors have no relevant financial or nonfinancial interests to disclose.
EDAT- 2022/10/24 06:00
MHDA- 2022/10/26 06:00
PMCR- 2022/10/22
CRDT- 2022/10/23 00:15
PHST- 2022/03/15 00:00 [received]
PHST- 2022/10/16 00:00 [accepted]
PHST- 2022/10/23 00:15 [entrez]
PHST- 2022/10/24 06:00 [pubmed]
PHST- 2022/10/26 06:00 [medline]
PHST- 2022/10/22 00:00 [pmc-release]
AID - 10.1186/s12891-022-05884-8 [pii]
AID - 5884 [pii]
AID - 10.1186/s12891-022-05884-8 [doi]
PST - epublish
SO  - BMC Musculoskelet Disord. 2022 Oct 22;23(1):931. doi: 10.1186/s12891-022-05884-8.