Peteler, Raffael and Schmitz, Paul and Loher, Martin and Jansen, Petra and Grifka, Joachim and Benditz, Achim (2021) Sex-Dependent Differences in Symptom-Related Disability Due to Lumbar Spinal Stenosis. JOURNAL OF PAIN RESEARCH, 14. pp. 747-755. ISSN 1178-7090,
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Study Design: Retrospective observational study. Objective: The objective of this study is to identify possible sex-dependent differences in symptom-related disability in patients with lumbar spinal stenosis. Methods: 103 consecutive outpatients (42 men and 61 women) with lumbar spinal stenosis were assessed on the basis of their medical history, the physical examination, and a series of questionnaires including the Oswestry Disability Index (ODI), the Roland Morris Disability Questionnaire (RMDQ), the Patient Health Questionnaire module 9 (PHQ-9), and the Depression Anxiety Stress Scales (DASS). Narrowing of the spinal canal was graded according to the method established by Schizas. Parameters were statistically analyzed according to the biological sex of the patients. The influence of the variables on the disability scores was analyzed by means of a multivariate regression model. Results: Symptom severity was equally distributed between men and women. Female patients showed higher RMDQ and ODI scores as well as significantly higher intermediate depression scores. The confounding variables age, pain chronicity, and psychological affection as well as the symptoms level of pain and paresis were dependent on patient sex. Conclusion: The study shows sex-depended differences in the perception of symptoms of lumbar spinal stenosis and disability of life. The findings suggest that the main mediators are pain perception and psychological influences on the quality of life.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BACK-PAIN; DEPRESSION; ASSOCIATION; SEVERITY; PARAMETERS; DIAGNOSIS; IMPACT; CARE; LSS; quality of life; disability; sex differences; pain |
| Subjects: | 600 Technology > 610 Medical sciences Medicine 700 Arts & recreation > 796 Athletic & outdoor sports & games |
| Divisions: | Medicine > Lehrstuhl für Orthopädie Human Sciences > Institut für Sportwissenschaft |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 05 Sep 2022 08:25 |
| Last Modified: | 05 Sep 2022 08:25 |
| URI: | https://pred.uni-regensburg.de/id/eprint/46600 |
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