Does Surgical Intervention for Thoracic Outlet Syndrome Improve Patient’s Quality of Life?
Ricardo DeLeon, David C. Chang, Lisa Rotellini-Coltvet, Julie A. Freischlag. Johns Hopkins School of Medicine, Baltimore, Md. OBJECTIVES: To assess long-term quality of life outcomes in patients following transaxillary first-rib resection and scalenectomy for thoracic outlet syndrome (TOS). METHODS: This was a prospective observational study using the Short-Form 12 (SF-12) and Disability of Arm, Hand, and Shoulder (DASH) instruments between 2/2005 and 1/2008 in patients with TOS presenting to an academic medical center for pre-operative surgical evaluation after failing a physical therapy protocol. Surveys were conducted pre-operatively and then again at 3, 6, 12, 18, and 24 months after surgery. Longitudinal data analysis was performed with population-averaged models using generalized estimating equations (GEE) method. RESULTS: A total of 62 out of 128 eligible patients (48.4%) completed the study protocol (39 neurogenic; 23 venous), returning 210 valid SF-12 surveys (141 neurogenic;
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