Gratification Assessment Utilizing the Time Up and Go Test in Lumbar Discectomy Patients | ||
Iraqi Postgraduate Medical Journal | ||
Article 12, Volume 19, Issue 2, June 2020, Pages 165-174 PDF (0 K) | ||
Authors | ||
Mazin S. Mohammed Jawad; Mazin S. Mohammed Jawad | ||
Abstract | ||
ABSTRACT: BACKGROUND: Fulfillment is undeviatingly dictated by patient anticipations. Healthcare providers must have a perception of the parameters needed to estimate satisfaction and the associated impact that treatment has on Patient-Reported Outcome Measures (PROMs). OBJECTIVE: To present a brief overview of how patient satisfaction from lumbar disc surgery can be anticipated utilizing the minimum Clinically Important Difference of Timed Up and Go (MCID ~ TUG) Test time as an assessment tool. PATIENTS AND METHODS: A planned cohort design prospective study spotting a populace of 45 females, 57 men, aged from 23 to 66 years, mean of 45 ± 8 yrs. Lumbar discectomy surgeries were performed at Private Nursing Home Hospital, Medical City, Baghdad, Iraq, over 18 months from April 2018. Timed Up and Go (TUG) test and the Minimum Clinically Important Difference (MCID) were used to evaluate patients' satisfaction through the assessment of PROMs. Satisfaction was defined as a 50% reduction of the PROMs values from the preoperative values. MCID ~TUG is the difference between preoperative and postoperative times using a digital watch. RESULTS: The Male : female ratio was1.4:1; 71% workers, 59% elementary educated and 70% smokers. Medium-low back pain (LBP), leg pain lasted 7, 5 months sequentially. Near 91% held disc space height loss, disc level transpired at L4-L5 into 50%, L5-S1 into 47%. Mean Oswestry disability index (ODI) reached 51.5, 19 each, pre/post-surgery. Mean Visual Analogue Score (VAS) LBP, pre 6.1, postoperative 2. Mean leg pain VAS preoperatively, 5.4, post 1.4. Mean MCID of TUG Test time lasted 4.9 s. CONCLUSION: The TUG test is a quick and easily applicable tool that reliably measures satisfaction in lumbar disc patients. | ||
Keywords | ||
Lumbar discectomy; satisfaction; Time Up and Go | ||
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