Abstract
Study design:
A cross-sectional study of all patients with traumatic SCI admitted to Sunnaas Rehabilitation Hospital, Norway between 1961 and 1982.
Objectives:
To assess health-related quality of life (HRQOL) in persons with long-standing traumatic spinal cord injury (SCI) in Norway.
Setting:
Sunnaas Rehabilitation Hospital, Norway.
Methods:
Survey data and clinical examination of 165 persons with traumatic SCI of more than 20 years duration. HRQOL was assessed with the Norwegian 36-item short-form social functioning (SF-36) Health Survey. The SF-36 results were compared with Norwegian norm data adjusted to age and gender. Differences in HRQOL between subgroups were studied.
Results:
The persons with SCI exhibited significantly decreased HRQOL in the subscales for Physical Functioning, Bodily Pain, General Health and Vitality compared to the normal population. There were relatively small differences in HRQOL when comparing persons with paraplegia versus tetraplegia and persons with AIS (ASIA Impairment Scale; ASIA, American Spinal Injury Association) A–C versus D–E. Employed persons reported higher HRQOL compared to unemployed persons. HRQOL of individuals reporting health problems or symptoms was worse than those of individuals reporting no health problems at all.
Conclusion:
HRQOL is decreased in persons with long-standing SCI and especially in persons with comorbidity conditions.
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References
Weitzenkamp DA, Jones RH, Whiteneck GG, Young DA . Ageing with spinal cord injury: cross-sectional and longitudinal effects. Spinal Cord 2001; 39: 301–309.
McColl MA, Charlifue S, Glass C, Lawson N, Savic G . Aging, gender, and spinal cord injury. Arch Phys Med Rehabil 2004; 85: 363–367.
Dijkers MPJM . Quality of life of individuals with spinal cord injury: a review of conceptualization, measurement, and research findings. J Rehabil Res Dev 2005; 42: 87–110.
Tate DG, Kalpakjian CZ, Forchheimer MB . Quality of life issues in individuals with spinal cord injury. Arch Phys Med Rehabil 2002; 83: S18–S25.
Post M, Noreau L . Quality of life after spinal cord injury. J Neurol Phys Ther 2005; 29: 139–146.
Ku JH . Health-related quality of life in patients with spinal cord injury: review of the short form 36-health questionnaire survey. Yonsei Med J 2007; 48: 360–370.
Leduc BE, Lepage Y . Health-related quality of life after spinal cord injury. Disabil Rehabil 2002; 24: 196–202.
Haran MJ, Lee BB, King MT, Marial O, Stockler MR . Health status rated with the Medical Outcomes Study 36-item short-form health survey after spinal cord injury. Arch Phys Med Rehabil 2005; 86: 2290–2295.
Westgren N, Levi R . Quality of life and traumatic spinal cord injury. Arch Phys Med Rehabil 1998; 79: 1433–1439.
Kreuter M, Siösteen A, Erkholm B, Byström U, Brown DJ . Health and quality of life of persons with spinal cord lesion in Australia and Sweden. Spinal Cord 2005; 43: 123–129.
Andresen EM, Fouts BS, Romeis JC, Brownson CA . Performance of health-related quality-of-life instruments in a spinal cord injured population. Arch Phys Med Rehabil 1999; 80: 877–884.
Marino RJ, Barros T, Biering-Sorensen F, Burns SP, Donovan WH, Graves DE et al. International Standards for Neurological Classification of Spinal Cord Injury. J Spinal Cord Med 2003; 26 (Suppl. 1): S50–S56.
DeVivo M, Biering-Sorensen F, Charlifue S, Noonan V, Post M, Stripling T et al. International Spinal Cord injury Core Data Set. Spinal Cord 2006; 44: 534–540.
Norwegian Social Science Data Services (NSD). The Norwegian Survey Archive 2006. http://www.nsd.uib.no/english/.
Ware JE, Sherbourne CD . The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 1992; 30: 473–483.
Loge JH, Kaasa S, Hjermstad MJ, Kvien TK . Translation and performance of the Norwegian SF-36 Health Survey in patients with rheumatoid arthritis. 1. Data quality, scaling assumptions, reliability, and construct validity. J Clin Epidemiol 1998; 51: 1069–1076.
Loge JH, Kaasa S . Short form 36 (SF-36) health survey: normative data from the general Norwegian population. Scand J Soc Med 1998; 26: 250–258.
Forchheimer M, McAweeney M, Tate DG . Use of the SF-36 among persons with spinal cord injury. Am J Phys Med Rehabil 2004; 83: 390–395.
Hjermstad MJ, Fayers PM, Bjordal K, Kaasa S . Using reference data on quality of life—the importance of adjusting for age and gender, exemplified by the EORTC QLQ-C30(+3). Eur J Cancer 1998; 34: 1381–1389.
Rosenthal R, Rosnow RL . Essentials of Behavioural Research: Methods and Data Analysis,2nd edn. McGraw-Hill: New York, 1991.
Price GL, Kendall M, Amsters DI, Pershouse KJ . Perceived causes of change in function and quality of life for people with long duration spinal cord injury. Clin Rehabil 2004; 18: 164–171.
Celik B, Gultekin O, Beydogan A, Caglar N . Domain-specific quality of life assessment in spinal cord injured patients. Int J Rehabil Res 2007; 30: 97–101.
Lidal IB, Snekkevik H, Aamodt G, Hjeltnes N, Stanghelle JK, Biering-Sørensen F . Mortality after spinal cord injury in Norway. J Rehabil Med 2007; 39: 145–151.
Acknowledgements
This project was financed through the Norwegian Foundation for Health and Rehabilitation (EXTRA). We thank The Norwegian Association of the Disabled and The Norwegian Association for Spinal Injuries.
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Lidal, I., Veenstra, M., Hjeltnes, N. et al. Health-related quality of life in persons with long-standing spinal cord injury. Spinal Cord 46, 710–715 (2008). https://doi.org/10.1038/sc.2008.17
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DOI: https://doi.org/10.1038/sc.2008.17
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