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Gesundheitsbezogene Lebensqualität (SF-36) bei chronischen Rückenschmerzen und gleichzeitiger Depression

Health-related quality of life (SF-36) in chronic low back pain and comorbid depression

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Zusammenfassung

Ziel ist die Klärung der Fragen, ob eine zusätzliche Depression die gesundheitsbezogene Lebensqualität (SF-36) von chronischen Rückenschmerzpatienten (CR) verringert und ob depressiv komorbide Rückenschmerzpatienten (CR+DE) von einer multimodalen Schmerztherapie profitieren. Verglichen werden 2 Gruppen (CR, CR+DE) à 29 Patienten über 6 Monate zu den Tagen 0, 21 (stationär) und 180 (ambulant). Unterschiede mit jeweils höheren SF-36-Werten der Gruppe CR bestehen nur zu den Tagen 0 und 21, nicht an Tag 180. Die Gruppe CR+DE verbessert sich stationär und v. a. ambulant und somit im Gesamtzeitraum stärker als die Gruppe CR, die sich ausschließlich stationär steigert. Die komorbide Gruppe ist schwerer von ihrer Erkrankung betroffen, verbessert sich jedoch sehr konstant. Die ambulante Steigerung lässt eine gute Langzeitprognose vermuten.

Abstract

The purpose is to clarify if comorbidity of depression reduces health-related quality of life (SF-36) in patients with chronic low back pain (CR) and if those comorbid patients (CR+DE) benefit from multimodal pain treatment. Two groups (CR and CR+DE) each with 29 patients are compared over 6 months on study days 0, 21 (inpatient) and 180 (outpatient). Differences exist only at days 0 and 21, not at day 180, with group CR exhibiting higher SF-36 values in each case. Group CR+DE improves in the inpatient phase and especially in the outpatient phase and therefore over the entire study period more than group CR which increases solely in the inpatient phase. The comorbid group is more severely affected by their illness, but improves very constantly. The outpatient improvement suggests a good long-term prognosis.

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  1. Sektion Schmerztherapie, Stiftung Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland

    C. Ahrens, M. Schiltenwolf &  H. Wang

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  1. C. Ahrens
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  2. M. Schiltenwolf
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  3. H. Wang
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Correspondence to H. Wang.

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Ahrens, C., Schiltenwolf, M. & Wang, H. Gesundheitsbezogene Lebensqualität (SF-36) bei chronischen Rückenschmerzen und gleichzeitiger Depression. Schmerz 24, 251–256 (2010). https://doi.org/10.1007/s00482-010-0923-1

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