Patricia Lipson, Aiyush Bansal, Jean-Christophe Leveque, Rakesh Kumar, Takeshi Fujii, Venu M Nemani, Philip K Louie
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引用次数: 0
摘要
研究设计基于调查的前瞻性研究：确定美国人口中经年龄调整的 NDI 基线值：颈部残疾指数（NDI）是用于评估颈部疼痛患者自评残疾程度的最广泛工具。确定 NDI 基线值有助于了解颈椎病变和治疗干预措施的临床影响：利用 CloudResearch 提供的 Connect (TM) 平台发布了一项基于互联网的调查。该调查以最新的美国人口普查为基础，旨在对美国成年人口中具有人口代表性的样本进行调查。我们调查了 699 人，目标是在 18-89 岁之间，每个 10 岁年龄组 100 人。参与者通过 NDI 调查对其残疾状况进行评分。按年龄组和性别计算每个组群的 NDI 平均分：共有 699 名参与者，其中男性 352 人（占 50.4%），女性 347 人（占 49.6%），年龄分布与全国人口统计密切相关。各年龄组的 NDI 总平均值为 16.5，95% 置信区间 (CI) 为 15.5-17.5。18-29 岁年龄组的 NDI 平均值最低，为 12.3（95% 置信区间 [10.4, 14.2]）。直到 60-69 岁年龄组，平均 NDI 分数有所上升，平均为 20.1（95% CI [17.3，23.0]），其中女性的平均 NDI 为 22.2（95% CI [18.8，25.7]），而男性为 15.4（95% CI [10.3，20.4]）。70-79岁和80-89岁年龄组的NDI平均得分有所下降：这是第一项评估美国人口年龄调整后 NDI 基线值的研究。我们的研究结果表明，各年龄组的残疾评级分布不成比例。这些数据对医疗保健专业人员非常重要，因为它提供了特定年龄和性别的残疾程度：证据等级：三级。
Age-adjusted Baseline Neck Disability Index Values: An Analysis of Neck Pain Disability in the General American Population.
Study design: Survey-based, prospective study.
Objective: Identify age-adjusted baseline neck disability index (NDI) values in the American population.
Background: The NDI is the most widely used tool for assessing self-rated disability in patients with neck pain. Establishing baseline NDI values can aid in understanding the clinical impact of cervical spine pathologies and treatment interventions.
Materials and methods: An internet-based survey was distributed using the Connect ( TM ) platform powered by CloudResearch. Based on the latest U.S. census, this survey was designed to engage a demographically representative sample of the U.S. adult population. We captured 699 individuals, aiming for 100 people per each 10-year age group between 18 and 89. Participants scored their disability using the NDI survey. Mean NDI scores stratified by age group and sex were calculated for each cohort.
Results: A total of 699 participants were included with 352 (50.4%) males and 347 (49.6%) females and an age distribution closely aligning with national demographics. The overall mean NDI for the combined age groups was 16.5 with a 95% CI of 15.5 to 17.5. The 18 to 29 age group had the lowest mean NDI of 12.3 (95% CI: 10.4, 14.2). Mean NDI scores increased until the 60 to 69 age group with a mean of 20.1 (95% CI: 17.3, 23.0) with women having a mean NDI of 22.2 (95% CI: 18.8, 25.7) compared with men with 15.4 (95% CI: 10.3, 20.4). Mean NDI scores decreased in the 70 to 79 and 80 to 89 age groups.
Conclusion: This is the first study to assess age-adjusted baseline values of NDI in the U.S. population. Our findings demonstrate a disproportionate distribution of disability ratings across age groups. These data are important for health care professionals as it provides age and sex-specific levels of disability.
期刊介绍：
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Recognized internationally as the leading journal in its field, Spine is an international, peer-reviewed, bi-weekly periodical that considers for publication original articles in the field of Spine. It is the leading subspecialty journal for the treatment of spinal disorders. Only original papers are considered for publication with the understanding that they are contributed solely to Spine. The Journal does not publish articles reporting material that has been reported at length elsewhere.
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