Diabetes and quality of life in patients with lumbar decompression surgery

I greatly appreciate the study by Silverstein et al. on the effect of diabetes for the change of quality of life after decompression spinal surgery [1]. The authors used the EuroQol 5-Dimensions (EQ-5D), the Pain Disability Questionnaire (PDQ), and the Patient Health Questionnaire 9 (PHQ-9). Multiple regression analysis and logistic regression analysis were applied to assess the effect of diabetes on subsequent change in quality of life. Chronic kidney disease and diabetes were identified as significant independent predictors for diminished improvement in EQ-5D, and diabetes was also a significant independent predictor by logistic regression analysis, presenting an odds ratio (95% confidence interval) of 0.20 (0.07–0.53).

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