PubMed · 15754224
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[Backache and work--keep working].. https://doi.org/10.1055/s-2005-864773
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Health is the most significant part of quality of life. Generally, quality of life outcome instruments used in healthcare confine their attention to health related areas, assessing health related quality of life. The present study aims to describe some commonly used health profile instruments such as the generic measures SF-36, Nottingham Health Profile and Sickness Impact Profile; and the preference-based measures EuroQol and SF-6D. The latter preference-based instruments are increasingly used in outcome studies and obtained data might be used for calculating quality-adjusted life-years.
The number of economic evaluations in the field of spinal disorders and methodological studies have increased in the last decade. The objective of this paper is to provide an overview of current views on economic evaluations in the field of spinal disorders and to facilitate clinicians to interpret and use results from these studies. A full economic evaluation compares both costs and effects of two or more interventions. Key elements of economic evaluations such as identifying adequate alternatives, analytical perspective, cost methodology, missing values and sensitivity analyses are addressed. Further emphasis is placed on the interpretation of results of economic evaluations conducted alongside randomised clinical trials. Incremental cost-effectiveness ratios, cost-effectiveness planes, acceptability curves and cost-effectiveness thresholds are discussed. The contents may aid in taking the efficacy 'hurdle' in the field of spinal disorders.
This illustrative case shows a meningocele created by erosion of the sacrum by a perineurial cyst. It is the first report of a large presacral mass consisting of a perineurial cyst and a meningocele simultaneously. We describe a hypothesis for the pathogenesis of this particular constellation of circumstances and present a successful surgical option based on the assumed pathogenesis.