Health-related quality of life after spinal cord injury

Leduc, Bernard; Lepage, Yves

doi:10.1080/09638280110067603

Cited by 160 publications

(108 citation statements)

References 25 publications

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“…Using the SF-36, studies of persons with SCI in Canada, the United States, Sweden and Australia have indicated significant reductions in HRQOL compared to general populations. [7][8][9][10][11] Most studies report that the greatest difference is seen in Physical Functioning (PF), and scores on Mental Health (MH) and Social Functioning (SF) diverge less from general population scores. 10,11 Older age, unemployment, hospitalization during the last year and various medical complications such as pain, spasticity and incontinence seem to have more negative effects on HRQOL than the level and extent of SCI as such.…”

Section: Introductionmentioning

confidence: 99%

“…10,11 Older age, unemployment, hospitalization during the last year and various medical complications such as pain, spasticity and incontinence seem to have more negative effects on HRQOL than the level and extent of SCI as such. 7,9 However, the topic has been relatively little studied in European SCI populations, as well as in persons injured more than 20 years ago.…”

Section: Introductionmentioning

confidence: 99%

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Health-related quality of life in persons with long-standing spinal cord injury

Lidal

Veenstra²,

Hjeltnes

et al. 2008

Spinal Cord

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Study design: A cross-sectional study of all patients with traumatic SCI admitted to Sunnaas Rehabilitation Hospital, Norway between 1961 and 1982. Objectives: To assess health-related quality of life (HRQOL) in persons with long-standing traumatic spinal cord injury (SCI) in Norway. Setting: Sunnaas Rehabilitation Hospital, Norway. Methods: Survey data and clinical examination of 165 persons with traumatic SCI of more than 20 years duration. HRQOL was assessed with the Norwegian 36-item short-form social functioning (SF-36) Health Survey. The SF-36 results were compared with Norwegian norm data adjusted to age and gender. Differences in HRQOL between subgroups were studied. Results: The persons with SCI exhibited significantly decreased HRQOL in the subscales for Physical Functioning, Bodily Pain, General Health and Vitality compared to the normal population. There were relatively small differences in HRQOL when comparing persons with paraplegia versus tetraplegia and persons with AIS (ASIA Impairment Scale; ASIA, American Spinal Injury Association) A-C versus D-E. Employed persons reported higher HRQOL compared to unemployed persons. HRQOL of individuals reporting health problems or symptoms was worse than those of individuals reporting no health problems at all. Conclusion: HRQOL is decreased in persons with long-standing SCI and especially in persons with comorbidity conditions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in persons with long-standing spinal cord injury

Lidal

Veenstra²,

Hjeltnes

et al. 2008

Spinal Cord

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“…Nesse sentido, uma revisão na literatura sobre qualidade de vida e lesão medular, no período de 1990 e 2003, observou que a maioria dos estudos mostrava uma insatisfação com a vida após a lesão, e essa insatisfação estava relacionada principalmente às desvantagens sociais que o indivíduo passava a enfrentar 25 . Já estudo realizado no Canadá, com 587 portadores de lesão medular, membros do Quebec Paraplegic Association, concluiu que idade, emprego e hospitalização são fatores que interferem na inserção social dessa população, assim como em sua qualidade de vida 21 . A exemplo do que ocorreu no presente estudo, pesquisa realizada nos Estados Unidos com pessoas com lesão medular afro-americanas também demonstrou ser a vida sexual, o emprego e os recursos financeiros algumas das facetas mais afetadas na avaliação da qualidade de vida dos entrevistados 26 .…”

Section: Discussionunclassified

Qualidade de vida em pessoas com lesão medular traumática: um estudo com o WHOQOL-bref

Bampi¹,

Guilhem

Lima

2008

Rev. bras. epidemiol.

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“…The 14 independent studies 1, 12,14,15,26,27,[35][36][37][38][39][40][41][42][43][44] included in the meta-analysis provided data for 9868 participants (Table 1). The majority of the data originated from the USA (n ¼ 10 studies), with studies from Australia (n ¼ 2 studies), Canada (n ¼ 1 study) and Norway (n ¼ 1 study) also contributing.…”

Section: Study Characteristicsmentioning

confidence: 99%

Psychological variables associated with employment following spinal cord injury: a meta-analysis

Kent

Dorstyn

2014

Spinal Cord

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Objectives: Spinal cord injury (SCI) research has highlighted links between psychological variables and employment outcome; however, there remains a need to consolidate the available heterogenous data. Methods: Meta-analytic techniques were used to examine and quantify differences in psychological functioning and employment status among adults with an acquired SCI. Fourteen observational studies (N ¼ 9, 868 participants) were identified from an electronic database search. Standardised mean difference scores between employed and unemployed groups were calculated using Cohen's d effect sizes. Additionally, 95% confidence intervals, fail-safe Ns, percentage overlap scores and heterogeneity statistics were used to determine the significance of d. Results: Moderate to large and positive weighted effects were noted across three broad psychological constructs: affective experience or feelings (d w ¼ 3.16), quality of life (d w ¼ 1.06) and life satisfaction (d w ¼ 0.70). However, the most compelling non-heterogeneous finding was associated with life satisfaction, a finding that was also not subject to publication bias. Inconsistent and weak associations between employment and individual measures of vocational attitude, self-efficacy, locus of control, adjustment and personality were also noted. Conclusion: Psychological factors and attributes are linked to employment post-SCI; however, the available data are limited in quantity. Longitudinal research is also needed to determine whether these variables can help to preserve employment over time.

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Health-related quality of life after spinal cord injury

Abstract: HRQOL is decreased in the studied population with an SCI.

Cited by 160 publications

References 25 publications

Health-related quality of life in persons with long-standing spinal cord injury

Health-related quality of life in persons with long-standing spinal cord injury

Qualidade de vida em pessoas com lesão medular traumática: um estudo com o WHOQOL-bref

Psychological variables associated with employment following spinal cord injury: a meta-analysis

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