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Improvement in social function and health-related quality of life after shunt surgery for idiopathic normal-pressure hydrocephalus

Artikel i vetenskaplig tidskrift
Författare Jakob Petersen
Per Hellström
Carsten Wikkelsö
Åsa Lundgren Nilsson
Publicerad i Journal of Neurosurgery
Volym 121
Nummer/häfte 4
Sidor 776-784
ISSN 0022-3085
Publiceringsår 2014
Publicerad vid Institutionen för neurovetenskap och fysiologi
Sidor 776-784
Språk en
Länkar dx.doi.org/10.3171/2014.6.jns132003
Ämnesord idiopathic normal pressure hydrocephalus, quality of life, activity, participation, autonomy, caregiver, EUROPEAN MULTICENTER, POPULATION, INPH, NEUROPSYCHOLOGY, PREVALENCE, BURDEN, SCALE, Clinical Neurology, Surgery
Ämneskategorier Klinisk medicin

Sammanfattning

Object. To investigate the impact of shunt surgery on the activity, participation, autonomy, and health-related quality of life (HRQOL) of patients with idiopathic normal-pressure hydrocephalus (iNPH) as well as the effect on caregiver burden. Methods. Thirty-seven patients (median age 70 years, range 50-89 years) with iNPH were evaluated before and 6 months after surgery. Symptoms and signs were assessed by the iNPH scale, activities of daily living (ADL) with the Functional Independence Measure (FIM) and Assessment of Motor and Process Skills (AMPS), autonomy and participation with Impact on Participation and Autonomy (IPA), and caregiver burden with the Caregiver Burden Scale (CBS). HRQOL was evaluated with the EQ-5D (EuroQol Group-5 Dimension health survey). Results. Twenty-four patients (65%) improved clinically (iNPH scale score) and 31(86%) improved their HRQOL after surgery, almost to the same level as found in the normal population. The patients became more independent in physical and cognitive activities, and participation and autonomy improved. The caregiver burden was decreased among caregivers to male patients but remained unchanged on the overall group level. Conclusions. After shunt surgery, patients with iNPH showed improvement in most aspects of social life, they became more independent, and their quality of life returned to nearly normal.

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