The Israel Medical Association journal : IMAJ · 2007
Lumbar spine surgery in Israeli Arabs and Jews: a comparative study with emphasis on pain perception.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Gepstein Reuven, Arinzon Zeev, Folman Yoram, Shabat Shay, Adunsky Abraham
Аннотация
BACKGROUND: Surgery for spinal stenosis is a frequent procedure in elderly patients. Presentation, hospital course, and outcome of disease including pain perception may vary among patients of different ethnic origin.
OBJECTIVES: To evaluate whether differences in various medical indicators can explain differences in pain perception between two ethnic groups.
METHODS: We conducted a case-control study on the experience of two spinal units treating a mixed Arab and Jewish population, and compared the data on 85 Arab and 189 Jewish patients undergoing spinal lumbar surgery.
RESULTS: Arab patients were younger (P = 0.027), less educated (P < 0.001), had a higher body mass index (P = 0.004) and included a higher proportion of diabetics (P = 0.013). Preoperative pain intensity (P = 0.023) and functional disability (P = 0.005) were more prominent, and factors associated with pre- or postoperative pain perception differed between the two ethnic groups. Despite these differences, results on follow-up were similar with respect to pain perception and level of disability.
CONCLUSIONS: A better understanding of ethnic differences is crucial for predicting surgery outcomes.
OBJECTIVES: To evaluate whether differences in various medical indicators can explain differences in pain perception between two ethnic groups.
METHODS: We conducted a case-control study on the experience of two spinal units treating a mixed Arab and Jewish population, and compared the data on 85 Arab and 189 Jewish patients undergoing spinal lumbar surgery.
RESULTS: Arab patients were younger (P = 0.027), less educated (P < 0.001), had a higher body mass index (P = 0.004) and included a higher proportion of diabetics (P = 0.013). Preoperative pain intensity (P = 0.023) and functional disability (P = 0.005) were more prominent, and factors associated with pre- or postoperative pain perception differed between the two ethnic groups. Despite these differences, results on follow-up were similar with respect to pain perception and level of disability.
CONCLUSIONS: A better understanding of ethnic differences is crucial for predicting surgery outcomes.