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European Spine Journal

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01-01-2019 | Original Article

The prevalence and impact of frailty in patients with symptomatic lumbar spinal stenosis

Authors: Ho-Joong Kim, Saejong Park, Soo-Hyun Park, Jeong Hyun Lee, Bong-Soon Chang, Choon-Ki Lee, Jin S. Yeom

Published in: European Spine Journal | Issue 1/2019

Abstract

Purpose

To investigate the prevalence of frailty in patients with symptomatic lumbar spinal stenosis (LSS) and a propensity score-matched control group, and to analyze the association between symptomatic LSS and frailty.

Methods

This study included 2 groups: 1 consisting of patients with symptomatic LSS (LSS group) and the other including healthy elderly subjects without degenerative spinal disease (control group). Baseline sociodemographic data, variables regarding frailty assessment, and clinical outcomes were collected. The frailty was assessed with Fried criteria. Between the LSS and control groups, the prevalence of frailty was compared. Among all participants, risk factors for frailty were identified using multivariate logistic regression.

Results

Totally, 843 subjects participated (142 in LSS group and 701 in control group) in this study. After the propensity score matching (142 in each group), the LSS group had significantly higher prevalence of frail than the control group (P < 0.001): 59 (41.5%) participants in the LSS group were frail, whereas 10 (7.0%) participants in the control group were frail. Within LSS group analysis showed that participants with frailty had significantly higher disability and lower quality of life compared to those in a robust state. Among all participants, LSS and age were found to be significant risk factors for frail in multivariate logistic regression model.

Conclusions

The present study highlights a strong association between symptomatic LSS and frailty. Furthermore, symptom severity and disability caused by LSS are significantly related to frailty. Therefore, early detection and appropriate treatment for frailty in patients with LSS is important.

Graphical abstract

These slides can be retrieved under Electronic Supplementary Material.

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Title: The prevalence and impact of frailty in patients with symptomatic lumbar spinal stenosis
Authors: Ho-Joong Kim
Saejong Park
Soo-Hyun Park
Jeong Hyun Lee
Bong-Soon Chang
Choon-Ki Lee
Jin S. Yeom
Publication date: 01-01-2019
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 1/2019
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-018-5710-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The prevalence and impact of frailty in patients with symptomatic lumbar spinal stenosis

Abstract

Purpose

Methods

Results

Conclusions

Graphical abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Graphical abstract

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