Determining a Cutoff Value for Hand Grip Strength to Predict Favorable Outcomes of Adult Spinal Deformity Surgery.
Oswestry disability index
adult spinal deformity
cutoff value
hand grip strength
patient-reported outcome
proximal junctional failure
proximal junctional kyphosis
receiver operating characteristics curve
reconstructive spine surgery
surgical outcomes
Journal
Global spine journal
ISSN: 2192-5682
Titre abrégé: Global Spine J
Pays: England
ID NLM: 101596156
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
medline:
1
3
2022
pubmed:
1
3
2022
entrez:
28
2
2022
Statut:
ppublish
Résumé
Retrospective review. To establish a cutoff value for hand grip strength and predict the favorable outcomes of adult spinal deformity surgery. Hand grip strength (HGS) has been suggested to predict surgical outcomes in various fields, including adult spinal deformity (ASD). However, to the best of our knowledge, no study has established a cutoff value for HGS in patients with ASD. This study included 115 female patients who underwent reconstructive spinal surgery for ASD between September 2016 and September 2020. HGS was measured preoperatively. The Oswestry Disability Index (ODI), EuroQOL-5-dimension (EQ-5D), and visual analog scale (VAS) scores for back pain were all recorded both before and after surgery. Patients were dichotomized either into favorable or unfavorable outcome groups using an ODI cutoff score of 22 at 1 year after surgery. Multivariate logistic regression analysis was done to identify significant factors leading to favorable outcomes. A receiver operating characteristic (ROC) curve was drawn to define the cutoff value of HGS for favorable outcomes. Multivariate logistic regression analysis showed that HGS is significantly associated with favorable surgical outcomes in ASD ( The HGS of patients with ASD can be interpreted with a cutoff value of 14.20 kg. Patients with HGS above this cutoff value showed superior surgical outcomes at 1 year after surgery compared to those below this cutoff value.
Sections du résumé
STUDY DESIGN
METHODS
Retrospective review.
OBJECTIVES
OBJECTIVE
To establish a cutoff value for hand grip strength and predict the favorable outcomes of adult spinal deformity surgery.
SUMMARY OF BACKGROUND DATA
BACKGROUND
Hand grip strength (HGS) has been suggested to predict surgical outcomes in various fields, including adult spinal deformity (ASD). However, to the best of our knowledge, no study has established a cutoff value for HGS in patients with ASD.
METHODS
METHODS
This study included 115 female patients who underwent reconstructive spinal surgery for ASD between September 2016 and September 2020. HGS was measured preoperatively. The Oswestry Disability Index (ODI), EuroQOL-5-dimension (EQ-5D), and visual analog scale (VAS) scores for back pain were all recorded both before and after surgery. Patients were dichotomized either into favorable or unfavorable outcome groups using an ODI cutoff score of 22 at 1 year after surgery. Multivariate logistic regression analysis was done to identify significant factors leading to favorable outcomes. A receiver operating characteristic (ROC) curve was drawn to define the cutoff value of HGS for favorable outcomes.
RESULTS
RESULTS
Multivariate logistic regression analysis showed that HGS is significantly associated with favorable surgical outcomes in ASD (
CONCLUSION
CONCLUSIONS
The HGS of patients with ASD can be interpreted with a cutoff value of 14.20 kg. Patients with HGS above this cutoff value showed superior surgical outcomes at 1 year after surgery compared to those below this cutoff value.
Identifiants
pubmed: 35220775
doi: 10.1177/21925682221078238
pmc: PMC10538334
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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