PMID- 38131993 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231224 IS - 2227-9032 (Print) IS - 2227-9032 (Electronic) IS - 2227-9032 (Linking) VI - 11 IP - 24 DP - 2023 Dec 5 TI - Preoperative Motor Function Associated with Short-Term Gain of Health-Related Quality of Life after Surgery for Lumbar Degenerative Disease: A Pilot Prospective Cohort Study in Japan. LID - 10.3390/healthcare11243103 [doi] LID - 3103 AB - This study aimed to estimate the relationship between preoperative motor function and short-term recovery of health-related quality of life after lumbar surgery in patients with lumbar degenerative disease. This prospective cohort study involved 50 patients with lumbar degenerative disease at a general hospital in Japan. The primary outcome was the achievement of minimal clinically important difference (MCID) for EuroQOL 5 dimensions (EQ-5D) at discharge. Preoperative demographic, medication, surgical, and physical function data were collected. Logistic regression analysis was performed using the achievement of MCID for EQ-5D as the dependent variable and preoperative characteristics, including the Five Times Sit to Stand test (FTSTS), Oswestry Disability Index (ODI), and Self-rating Depression Scale (SDS), as the independent variables. The logistic regression analysis showed that Model 1 had a moderate predictive accuracy (Nagelkerke R(2): 0.20; Hosmer-Lemeshow test: p = 0.19; predictive accuracy: 70.0%). Among the independent variables in the logistic regression model, the FTSTS was the only independent variable related to the achievement of MCID for EQ-5D at discharge (odds ratio: 0.03; 95% CI: 1.79 x 10(-3), 0.18). Our results highlighted the importance of baseline motor function in the postoperative recovery of health-related quality of life in individuals with lumbar degenerative disease. FAU - Ishibashi, Yuya AU - Ishibashi Y AUID- ORCID: 0009-0008-7518-2802 AD - Department of Physical Therapy, Graduate School of Health Care, Takasaki University of Health and Welfare, Takasaki 370-0033, Gunma, Japan. AD - Department of Rehabilitation, Harunaso Hospital, Takasaki 370-3347, Gunma, Japan. AD - Department of Medical Device Development, mediVR, Inc., Chuo-ku 103-0022, Tokyo, Japan. FAU - Tomita, Yosuke AU - Tomita Y AUID- ORCID: 0000-0003-1205-165X AD - Department of Physical Therapy, Graduate School of Health Care, Takasaki University of Health and Welfare, Takasaki 370-0033, Gunma, Japan. FAU - Imura, Shigeyuki AU - Imura S AD - Department of Physical Therapy, Graduate School of Health Care, Takasaki University of Health and Welfare, Takasaki 370-0033, Gunma, Japan. FAU - Takeuchi, Nobuyuki AU - Takeuchi N AD - Department of Physical Therapy, Graduate School of Health Care, Takasaki University of Health and Welfare, Takasaki 370-0033, Gunma, Japan. LA - eng PT - Journal Article DEP - 20231205 PL - Switzerland TA - Healthcare (Basel) JT - Healthcare (Basel, Switzerland) JID - 101666525 PMC - PMC10742417 OTO - NOTNLM OT - lumbar surgery OT - minimal clinically important difference OT - motor function OT - quality of life COIS- Y.I. was employed by the company mediVR, Inc. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/12/22 12:42 MHDA- 2023/12/22 12:43 PMCR- 2023/12/05 CRDT- 2023/12/22 08:59 PHST- 2023/11/01 00:00 [received] PHST- 2023/11/23 00:00 [revised] PHST- 2023/12/02 00:00 [accepted] PHST- 2023/12/22 12:43 [medline] PHST- 2023/12/22 12:42 [pubmed] PHST- 2023/12/22 08:59 [entrez] PHST- 2023/12/05 00:00 [pmc-release] AID - healthcare11243103 [pii] AID - healthcare-11-03103 [pii] AID - 10.3390/healthcare11243103 [doi] PST - epublish SO - Healthcare (Basel). 2023 Dec 5;11(24):3103. doi: 10.3390/healthcare11243103.