Kristina Denisova
Neurobiology, not artifacts: Challenges and guidelines for imaging the high risk infant
NeuroImage
spinal conditions impact healthrelated quality life hrqol patient education counseling improve hrqol yet effects may limited patients inadequate health literacy hl despite established relationship hrqol hl fields research orthopedic spine population lacking investigate limited hl results lower hrqol evaluate factors associated hrqol patients seen outpatient orthopedic spine center prospective singlecenter crosssectional study patients 18 years age older seen tertiary urban academic hospital based multisurgeon outpatient spine center eq5d5l healthrelated quality life hrqol questionnaire newest vital sign nvs hl assessment tool october 2022 february 2023 consecutive englishspeaking patients age 18 new outpatient spine clinic approached participation crosssectional survey study patients completed sociodemographic survey eq5d5l hrqol questionnaire newest vital sign nvs hl assessment tool eq5d5l yields two continuous outcomes index score ranging 0 1 visual analog scale eqvas score ranging 0 100 nvs scores divided limited 03 adequate 46 hl multivariate linear regression purposeful selection variables performed identify independent factors associated hrqol 397 eligible patients 348 88 agreed participate included statistical analysis limited hl independently associated lower eq5d5l index scores b107 95 ci 100115 p049 factors associated lower eq5d5l index scores obese bmi30 housing concerns active smoker factors associated lower eqvas scores underweight bmi185 obese housing concerns higher updated charlson comorbidity index ucci scores married associated higher eqvas scores limited hl associated lower eq5d5l index scores spine patients indicating lower hrqol effectively apply hlrelated interventions population better understanding complex interactions patient characteristics social determinants health hrqol outcomes required research focus interventions improve hrqol patients limited hl accurately identify patients level ii prognostic