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01-10-2015 | Clinical Article - Spine

The Neck Disability Index (NDI) and its correlation with quality of life and mental health measures among patients with single-level cervical disc disease scheduled for surgery

Authors: J. Sundseth, F. Kolstad, L. G. Johnsen, A. H. Pripp, O. P. Nygaard, H. Andresen, O. A. Fredriksli, E. Myrseth, M. Züchner, J. A. Zwart

Published in: Acta Neurochirurgica | Issue 10/2015

Abstract

Background

The Neck Disability Index (NDI) is widely used as a self-rated disability score in patients with cervical radiculopathy. The purpose of this study was to evaluate whether the NDI score correlated with other assessments of quality of life and mental health in a specific group of patients with single-level cervical disc disease and corresponding radiculopathy.

Methods

One hundred thirty-six patients were included in a prospective, randomized controlled clinical multicenter study on one-level anterior cervical discectomy with arthroplasty (ACDA) versus one-level anterior cervical discectomy with fusion (ACDF). The preoperative data were obtained at hospital admission 1 to 3 days prior to surgery. The NDI score was used as the dependent variable and correlation as well as regression analyses were conducted to assess the relationship with the short form-36, EuroQol-5Dimension-3 level and Hospital Anxiety and Depression Scale.

Results

The mean age at inclusion was 44.1 years (SD ±7.0, range 26–59 years), of which 46.3 % were male. Mean NDI score was 48.6 (SD = 12.3, minimum 30 and maximum 88). Simple linear regression analysis demonstrated a significant correlation between NDI and the EuroQol-5Dimension-3 level [R = -0.64, 95 % confidence interval (CI) -30.1– -19.8, p < 0.001] and to a lesser extent between NDI and the short form-36 physical component summary [R = -0.49, 95 % CI (-1.10– -0.58), p < 0.001] and the short form-36 mental component summary [R = -0.25, 95 % CI (-0.47– -0-09), p = 0.004]. Regarding NDI and the Hospital Anxiety and Depression Scale, a significant correlation for depression was found [R = 0.26, 95 % CI (0.21–1.73), p = 0.01]. Multiple linear regression analysis showed a statistically significant and the strongest correlation between NDI and the independent variables in the following order: EuroQol-5Dimension-3 level [R = -0.64, 95 % CI (-23.5– -7.9), p <0.001], short form-36 physical component summary [R = -0.41, 95 % CI (-0.93– -0.23), p = 0.001] and short form-36 mental component summary [R = -0.36, 95 % CI (-0.53– -0.15), p = 0.001].

Conclusion

The results from the present study show that the NDI correlated significantly with a different quality of life and mental health measures among patients with single-level cervical disc disease and corresponding radiculopathy.

Brooks RG, Jendteg S, Lindgren B, Persson U, Björk S (1991) EuroQol: health-related quality of life measurement. Results of the Swedish questionnaire exercise. Health Policy 18:37–48CrossRefPubMed

Carreon LY, Bratcher KR, Das N, Nienhuis JB, Glassman SD (2014) Estimating EQ-5D values from the neck disability index and numeric rating scales for neck and arm pain. J Neurosurg Spine 6:1–6

Cohen JW (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, Hillsdale, NJ

Coric D, Nunley PD, Guyer RD, Musante D, Carmody CN, Gordon CR, Lauryssen C, Ohnmeiss DD, Boltes MO (2011) Prospective randomized, multicenter study of cervical arthroplasty: 269 patients from the Kineflex|C artificial disc investigational device exemption study with a minimum 2-year follow-up: clinical article. J Neurosurg Spine 15:348–358CrossRefPubMed

Fairbank JCT, Couper J, Davies JB, O'Brien JP (1980) The Oswestry low back pain disability index. Physiotherapy 66:2713

Garratt AM, Ruter DA, Abdalla MI, Buckingham JK, Russell IT (1993) The SF36 health survey questionnaire: an outcome measure suitable for routine use within the NHS. Br Med J 306:1440–1443CrossRef

Grevitt M, Khazim R, Webb JK, Mulholland R, Shepperd J (1997) The short form-36 health survey questionnaire in spine surgery. Br J Bone Joint Surg 79:48–52CrossRef

Heller JG, Sasso RC, Papadopoulos SM, Anderson PA, Fessler RG, Hacker RJ, Coric D, Cauthen JC, Riew DK (2009) Comparison of BRYAN cervical disc arthroplasty with anterior cervical decompression and fusion: clinical and radiographic results of a randomized, controlled clinical trial. Spine (Phila Pa 1976) 34:101–107CrossRef

http://clinicaltrials.gov/show/NCT00735176 Accessed 1 June 2015

10.

Jenkinson C, Coulter A, Wright L (1993) Short form 36 (SF36) health survey questionnaire: normative data for adults of working age. Br Med J 306:1437–1440CrossRef

11.

McCarthy MJH, Grevitt MP, Silcocks P, Hobbs G (2007) The reliability of the Vernon and Mior neck disability index, and its validity compared with the short form-36 health survey questionnaire. Eur Spine J 16:2111–2117PubMedCentralCrossRefPubMed

12.

Mummaneni PV, Burkus JK, Haid RW, Traynelis VC, Zdeblick TA (2007) Clinical and radiographic analysis of cervical disc arthroplasty compared with allograft fusion: a randomized controlled clinical trial. J Neurosurg Spine 6:198–209CrossRefPubMed

13.

Murrey D, Janssen M, Delamarter R, Goldstein J, Zigler J, Tay B, Darden B (2009) Results of the prospective, randomized, controlled multicenter Food and Drug Administration investigational device exemption study of the ProDisc-C total disc replacement versus anterior discectomy and fusion for the treatment of 1-level symptomatic cervical disc disease. Spine J 9:275–286CrossRefPubMed

14.

Peolsson A, Hedlund R, Vavruch L, Oberg B (2003) Predictive factors for the outcome of anterior cervical decompression and fusion. Eur Spine J 12:274–280PubMedCentralPubMed

15.

Peolsson A, Peolsson M (2008) Predictive factors for long-term outcome of anterior cervical decompression and fusion: a multivariate data analysis. Eur Spine J 17:406–414PubMedCentralCrossRefPubMed

16.

Peolsson A, Vavruch L, Oberg B (2006) Predictive factors for arm pain, neck pain, neck specific disability and health after anterior cervical decompression and fusion. Acta Neurochir 148:167–173CrossRefPubMed

17.

Radhakrishnan K, Litchy WJ, O′Fallon WM, Kurland LT (1994) Epidemiology of cervical radiculopathy. A population based study from Rochester, Minnesota, 1976 through 1990. Brain 117:325–335CrossRefPubMed

18.

Riddle D, Stratford P (1998) Use of generic versus region-specific functional status measures on patients with cervical spine disorders. Phys Ther 78:951–963PubMed

19.

Rodi RJ, Vernon H (2012) Cervical radiculopathy: a systematic review on treatment by spinal manipulation and measurement with the neck disability index. J Can Chiropr Assoc 56:18–28

20.

Salemi G, Savettieri G, Meneghini F, Di Benedetto ME, Ragonese P, Morgante L, Reggio A, Patti F, Grigoletto F, Di Perri R (1996) Prevalence of cervical spondylotic radiculopathy: a door-to-door survey in a Sicilian municipality. Acta Neurol Scand 93:184–188CrossRefPubMed

21.

Sampath P, Bendebba M, Davis JD, Ducker T (1999) Outcome in patients with cervical radiculopathy. Prospective multicenter study with independent clinical review. Spine 24:591–597CrossRefPubMed

22.

Sasso RC, Anderson PA, Riew KD, Heller JG (2011) Results of cervical arthroplasty compared with anterior discectomy and fusion: four-year clinical outcomes in a prospective, randomized controlled trial. J Bone Joint Surg Am 93:1684–1692CrossRefPubMed

23.

The EuroQol Group (1990) EuroQol-a new facility for the measurement of health-related quality of life. Health Policy 16:199–208CrossRef

24.

Vernon H, Mior S (1991) The Neck Disability Index: a study of reliability and validity. J Manip Physiol Ther 14:409–415

25.

Ware JE, Sherbourne CD (1992) The MOS 36-Item Short Form Health Survey (SF- 36). I: Conceptual framework and item selection. Med Care 30:473–483CrossRefPubMed

26.

Wewers ME, Lowe NK (1990) A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 13:227–236CrossRefPubMed

27.

Wibault J, Oberg B, Löfgren H, Zsigmond P, Persson L, Peolsson A (2014) Individual factors associated with neck disability in patients with cervical radiculopathy scheduled for surgery: a study on physical impairments, psychosocial factors, and life style habits. Eur Spine J 23:599–605PubMedCentralCrossRefPubMed

28.

Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 67:361–370CrossRefPubMed

29.

Zung WW (1965) A self-rating depression scale. Arch Gen Psychiatry 12:63–70CrossRefPubMed

Title: The Neck Disability Index (NDI) and its correlation with quality of life and mental health measures among patients with single-level cervical disc disease scheduled for surgery
Authors: J. Sundseth
F. Kolstad
L. G. Johnsen
A. H. Pripp
O. P. Nygaard
H. Andresen
O. A. Fredriksli
E. Myrseth
M. Züchner
J. A. Zwart
Publication date: 01-10-2015
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 10/2015
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-015-2534-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Neck Disability Index (NDI) and its correlation with quality of life and mental health measures among patients with single-level cervical disc disease scheduled for surgery

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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