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dc.contributor.authorKaijankoski, Hanna
dc.contributor.authorNissen, Mette
dc.contributor.authorIkäheimo, Tiina-Mari
dc.contributor.authorvon und zu Fraunberg, Mikael
dc.contributor.authorAiraksinen, Olavi Huttunen, Jukka
dc.date.accessioned2019-02-04T10:56:23Z
dc.date.available2019-02-04T10:56:23Z
dc.date.issued2018
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/7417
dc.description.abstractBACKGROUND Spinal cord stimulation (SCS) has proven to be a cost-effective treatment for failed back surgery syndrome (FBSS). However, the effect on patients’ working capability remains unclear. OBJECTIVE To evaluate the impact of SCS on working capability and to identify the factors behind permanent disability in FBSS patients. METHODS The study group consisted of 198 working-age patients with SCS trialed or implanted for FBSS in a single center between 1996 and 2014. For each patient, 3 living controls, matched by age, gender, and birthplace, were otherwise randomly selected by the Population Register Center. The data on working ability were obtained from the Social Insurance Institution. Patients were divided into 3 groups: SCS trial only, SCS implanted permanently, and SCS implanted but later explanted. RESULTS A rehabilitation subsidy was given to 68 patients and 8 controls for a mean of 5.2 (95% confidence interval [CI] 2.4-8.2) and 0.2 (95% CI 0.05-0.6) days per month (P < .05). At the end of follow-up, 16 (37%), 13 (33%), 25 (22%), and 27 (5%) subjects were on disability pension (DP) in the SCS trial, SCS explanted, SCS permanent, and control groups. Patients in the SCS trial-only group were significantly more often on DP than were patients with permanent SCS (odds ratio 2.6; 95% CI 1.2-5.9; P = .02) CONCLUSION Permanent SCS usage was associated with reduced sick leave and DP. Prospective study will be required to assess possible predictive value.
dc.language.isoenglanti
dc.publisherOxford University Press (OUP)
dc.relation.ispartofseriesNEUROSURGERY
dc.relation.urihttp://dx.doi.org/10.1093/neuros/nyy530
dc.rightsCC BY-NC-ND https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectdisability pension
dc.subjectfailed back surgery syndrome
dc.subjectFBSS
dc.subjectrehabilitation subsidy
dc.subjectSCS
dc.subjectsickness allowance
dc.subjectspinal cord stimulation
dc.titleEffect of Spinal Cord Stimulation on Early Disability Pension in 198 Failed Back Surgery Syndrome Patients: Case-Control Study
dc.description.versionpublished version
dc.contributor.departmentSchool of Medicine / Clinical Medicine
uef.solecris.id58801954en
dc.type.publicationTieteelliset aikakauslehtiartikkelit
dc.rights.accessrights© Congress of Neurological Surgeons
dc.relation.doi10.1093/neuros/nyy530
dc.description.reviewstatuspeerReviewed
dc.relation.issn0148-396X
dc.relation.volume[Published: 26 November 2018]
dc.rights.accesslevelopenAccess
dc.type.okmA1
uef.solecris.openaccessHybridijulkaisukanavassa ilmestynyt avoin julkaisu


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