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European Journal of Orthopaedic Surgery & Traumatology
Erschienen in:

06.04.2019 | Original Article • SPINE - MEDICAL STATISTICS

Comparative responsiveness of four visual analogue scales in microdiscectomy for lumbar disc herniation

verfasst von: Karthik Vishwanathan, Ian Braithwaite

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 6/2019

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Abstract

Introduction

There is a paucity of studies reporting responsiveness of visual analogue scale (VAS) measures in patients treated by discectomy for symptomatic lumbar disc herniation. The aim of this study was to evaluate the responsiveness of different types of VAS.

Methods

VAS score was measured separately for constant leg pain (VAS-LP-constant), severe episode of leg pain (VAS-LP-severe), constant backache (VAS-BP-constant) and severe episode of backache (VAS-BP-severe) in a cohort of patients undergoing discectomy surgery for sciatica. VAS was evaluated preoperatively and postoperatively at final follow-up. Responsiveness was determined using standardised response mean (SRM), effect size (ES) and the area under the curve (AUC) analysis using receiver operating characteristic curves. For AUC analysis, the success of discectomy from the patient’s perspective was chosen as the external anchor.

Results

Ninety-eight patients were included in this prospective study. Outcome was assessed at a mean follow-up of 12 weeks postoperatively. The SRM of VAS-LP-severe, VAS-LP-constant, VAS-BP-severe and VAS-BP-constant was 2.16, 2.16, 0.87 and 0.53, respectively. The ES of VAS-LP-severe, VAS-LP-constant, VAS-BP-severe and VAS-BP-constant was 3.53, 2.70, 0.89 and 0.53, respectively. The AUC of VAS-LP-severe, VAS-LP-constant, VAS-BP-severe and VAS-BP-constant was 0.88, 0.75, 0.74 and 0.59, respectively.

Conclusion

We recommend the use of VAS-LP-Severe as the most responsive VAS measure when evaluating the results of discectomy surgery for sciatica.
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Metadaten
Titel
Comparative responsiveness of four visual analogue scales in microdiscectomy for lumbar disc herniation
verfasst von
Karthik Vishwanathan
Ian Braithwaite
Publikationsdatum
06.04.2019
Verlag
Springer Paris
Erschienen in
European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 6/2019
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-019-02429-z

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