PMID- 36690383 OWN - NLM STAT- MEDLINE DCOM- 20230125 LR - 20231124 IS - 2399-6641 (Electronic) IS - 2399-6641 (Linking) VI - 12 IP - 1 DP - 2023 Jan TI - Soreness or sng: a common symptom with differential clinical impact from pain in degenerative lumbar spine diseases. LID - 10.1136/bmjoq-2022-001982 [doi] LID - e001982 AB - INTRODUCTION: Soreness is a common complaint in patients who receive lumbar spine surgery (LSS) for degenerative lumbar spine diseases (DLSD). However, soreness is not assessed independently and its impacts on outcomes of LSS remains largely unknown. Sng(pronounced sÓ™-ng, ) in Chinese language is the word with the closest meaning to soreness, and Chinese-speaking people naturally use sng to describe their non-pain 'soreness' symptom. This study was aimed to investigate the prevalence and impacts of soreness or sng on outcome of LSS by introducing Visual Analogue Scale (VAS) of sng on back and leg. MATERIALS AND METHODS: This prospective cohort study recruited patients who receive LSS for DLSD. Participants completed the patient-reported outcome measures at 1 week before and 1 years after LSS. The patient-reported outcome measures included (1) VAS for back pain, leg pain, back sng and leg sng, (2) Oswestry Disability Index (ODI) and (3) RAND 36-item Short Form Health Survey. The minimal clinical important difference (MCID) of ODI and physical component health-related quality of life (HRQoL) was used. RESULTS: A total of 258 consecutive patients were included and 50 dropped out at follow-up. Preoperatively, the prevalence of sng was comparable to pain both on back and leg; postoperatively, the prevalence of sng was higher than pain. Leg and back sng were associated with preoperative and postoperative mental HRQoL, respectively. The reduction of sng on back and leg were significantly less than pain postoperatively. Leg sng was the only symptom independently associated with attaining MCID. CONCLUSION: Soreness or sng should be assessed independently from pain in patients receiving LSS for DLSD because soreness or sng had substantial clinical impacts on the outcome of LSS. CI - (c) Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Chiu, Hsiao-Yen AU - Chiu HY AD - School of Nursing, Taipei Medical University, Taipei, Taiwan. AD - Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan. FAU - Su, I-Wen AU - Su IW AD - Neurobiology & Cognitive Science Center, National Taiwan University, Taipei, Taiwan. AD - Graduate Institute of Brain and Mind Sciences, National Taiwan University, Taipei City, Taiwan. AD - Graduate Institute of Linguistics, National Taiwan University, Taipei City, Taiwan. FAU - Yu, Yu-Wen AU - Yu YW AD - Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan. AD - Neuroscience research center, Taipei Medical University, Taipei, Taiwan. FAU - Chen, Yi-Chen AU - Chen YC AD - Department of Neurosurgery, Taipei Medical University Hospital, Taipei, Taiwan. FAU - Chen, Chih-Cheng AU - Chen CC AD - Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan. AD - Neuroscience research center, Taipei Medical University, Taipei, Taiwan. FAU - Lin, Jiann-Her AU - Lin JH AUID- ORCID: 0000-0002-7255-741X AD - Neuroscience research center, Taipei Medical University, Taipei, Taiwan jiannher@me.com. AD - Department of Neurosurgery, Taipei Medical University Hospital, Taipei, Taiwan. AD - Division of Neurosurgery, Department of Surgery, School of Medicine, Taipei Medical University, Taipei, Taiwan. AD - Taipei Neuroscience Institute, Taipei Medical University, Taipei, Taiwan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - BMJ Open Qual JT - BMJ open quality JID - 101710381 SB - IM MH - Humans MH - *Quality of Life MH - Prospective Studies MH - *Back Pain/etiology MH - Pain Measurement MH - Leg PMC - PMC9872478 OTO - NOTNLM OT - Pain OT - Patient satisfaction OT - Patient-centred care OT - Surgery COIS- Competing interests: None declared. EDAT- 2023/01/24 06:00 MHDA- 2023/01/26 06:00 PMCR- 2023/01/23 CRDT- 2023/01/23 20:52 PHST- 2022/05/12 00:00 [received] PHST- 2023/01/06 00:00 [accepted] PHST- 2023/01/23 20:52 [entrez] PHST- 2023/01/24 06:00 [pubmed] PHST- 2023/01/26 06:00 [medline] PHST- 2023/01/23 00:00 [pmc-release] AID - bmjoq-2022-001982 [pii] AID - 10.1136/bmjoq-2022-001982 [doi] PST - ppublish SO - BMJ Open Qual. 2023 Jan;12(1):e001982. doi: 10.1136/bmjoq-2022-001982.