British journal of neurosurgery · 2026
Examination of quality of life and economic benefit with early lumbar microdiscectomy: a pilot study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Horan Jack, Houlihan Lena Mary, Healy Vincent, Nolan Deirdre, Corr Paula, Ben Husien Mohammed
Аннотация
INTRODUCTION: Lumbar microdiscectomy improves radiculopathy and quality of life (QOL), but the impact of surgical timing on outcomes remains unclear. This study aims to assess whether early surgery is superior in improving QOL compared to late surgery.
METHODS: A retrospective review of a prospectively maintained database identified eligible patients. Waiting times were recorded and post-operative outcomes were recorded by telephone interviews using the core outcome measures index (COMI) questionnaire post-operatively, evaluating pain, physical function and QOL. Patients were grouped to early (<12 months) or late (>12 months) surgery cohorts.
RESULTS: Thirty-eight 38 patients were included (20 early, 18 late). Timing of post-operative questionnaire assessment ranged from 10 to 34 months. Postoperative sciatica severity was significantly worse in the late group (3.9 versus 1.8). "Rest of life" satisfaction also differed significantly, with higher satisfaction among early surgery patients. Length of stay approached significance, with a median of 3 days (early) versus 2 days (late).
CONCLUSION: Patients undergoing surgery within 12 months demonstrate superior patient-reported outcomes. Delays may reduce perceived effectiveness despite technically successful surgery. Timely intervention is essential to optimise QOL outcomes.
METHODS: A retrospective review of a prospectively maintained database identified eligible patients. Waiting times were recorded and post-operative outcomes were recorded by telephone interviews using the core outcome measures index (COMI) questionnaire post-operatively, evaluating pain, physical function and QOL. Patients were grouped to early (<12 months) or late (>12 months) surgery cohorts.
RESULTS: Thirty-eight 38 patients were included (20 early, 18 late). Timing of post-operative questionnaire assessment ranged from 10 to 34 months. Postoperative sciatica severity was significantly worse in the late group (3.9 versus 1.8). "Rest of life" satisfaction also differed significantly, with higher satisfaction among early surgery patients. Length of stay approached significance, with a median of 3 days (early) versus 2 days (late).
CONCLUSION: Patients undergoing surgery within 12 months demonstrate superior patient-reported outcomes. Delays may reduce perceived effectiveness despite technically successful surgery. Timely intervention is essential to optimise QOL outcomes.