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. 2019 Jan 22;2019(1):CD001501. doi: 10.1002/14651858.CD001501.pub5
Quality of life ‐ change in SF‐36 score after treatment
Study MEA TCRE Results
Physical functioning
Cooper 1999 AT 1 YEAR:
 N=116
 Mean change (SD):
 0.7 (18.9)
 
 AT 2 YEARS:
 N=120
 Mean change (SD):
 2.3 (21.3)
 
 AT 5 YEARS:
 N=116
 Mean change (SD): 0.2 (24)
At 10 YEARS:
N=94
Mean change (SD): ‐4.4 (27)
AT 1 YEAR:
 N=124
 Mean change (SD):
 2.4 (16.8)
 
 AT 2 YEARS:
 N=129
 Mean change (SD):
 0.9 (20.4)
 
 AT 5 YEARS:
 N=120
 Mean change (SD): ‐1.2 (21)
At 10 YEARS:
N=95
Mean change (SD): ‐3.0 (25)
AT 1 YEAR:
 t test:
 CI (‐6.4, 2.9); P=0.45
 Ancova: P=0.58
 
 AT 2 YEARS:
 t test:
 P=0.28 (95% CI ‐3.8, 6.6)
 
 AT 5 YEARS:
 t test:
 NS (95% CI ‐4.5 to 7.3)
At 10 YEARS:
t test:
NS (95% CI ‐8.9 to 6.1)
Social functioning
Cooper 1999 AT 1 YEAR:
 N=116
 Mean change (SD): 20.6 (26.5)
 
 AT 2 YEARS:
 N=120
 Mean change (SD): 10.1 (27.5)
 
 AT 5 YEARS:
 N=116
 Mean change (SD): 7.7 (30)
At 10 YEARS:
N=94
Mean change (SD): 10.1 (30)
At 1 YEAR:
N=124
 Mean change (SD): 16.2 (24.4)
 
 AT 2 YEARS:
 N=129
 Mean change (SD): 6.2 (23.7)
 
 AT 5 YEARS:
 Mean change (SD):
 9.7 (25)
At 10 YEARS:
N=95
Mean change (SD): 9.9 (26)
AT 1 YEAR:
 t test:
 CI (‐2.1, 10.90): P=0.18
 Ancova:
 P=0.12
 
 AT 2 YEARS:
 t test:
 P=0.33 (95% CI ‐2.5, 10.3)
 
 AT 5 YEARS:
 t test:
 NS (95% CI ‐9.0 to 5.0)
At 10 YEARS:
t test:
NS (95% CI ‐7.9 to 8.3)
Physical role
Cooper 1999 AT 1 YEAR:
 N=116
 Mean change (SD): 23.9 (49.4)
 
 AT 2 YEARS:
 N=120
 Mean change (SD): 18.5 (53.7)
 
 AT 5 YEARS:
 N=116
 Mean change (SD): 17 (54)
At 10 YEARS:
N=94
Mean change (SD): 15.0 (53)
AT 1 YEAR:
 N=124
 Mean change (SD): 11.3 (41.7)
 
 AT 2 YEARS:
 N=129
 Mean change (SD): 6.1 (43.8)
 
 AT 5 YEARS:
 N=120
 Mean change (SD): 11 (43)
At 10 YEARS:
N=95
Mean change (SD): 10.9 (47)
AT 1 YEAR:
 t test:
 CI (1.0 to 24.3);
 P=0.03
 Ancova:
 P=0.03
 
 AT 2 YEARS:
 t test:
 P=0.06 (95% CI ‐0.2, 24.6)
 
 AT 5 YEARS:
 t test:
 NS, 95% CI ‐5.8 to 19
At 10 YEARS:
t test:
NS, 95% CI ‐10.3 to 18.5
Emotional role
Cooper 1999 AT ONE YEAR:
 N=116
 Mean change (SD): 17.0 (48.5)
 
 AT 2 YEARS:
 N=120
 Mean change (SD): 17.8 (47.5)
 
 AT 5 YEARS:
 N=116
 Mean change (SD): 19 (48)
At 10 YEARS:
N=94
Mean change (SD): 21.1 (50)
AT 1 YEAR:
 N=124
 Mean change (SD): 13.7 (47.9)
 
 AT 2 YEARS:
 N=129
 Mean change (SD): 4.2 (40.1)
 
 AT 5 YEARS:
N=120
 Mean change (SD): 20 (41)
At 10 YEARS:
N=95
Mean change (SD): 13.5 (47)
AT 1 YEAR:
 t test:
 CI (‐9.1 to 15.6);
 P=0.59
 Ancova:
 P=0.38
 
 AT 2 YEARS:
 t test
 P=0.17 (95% CI ‐3.6, 23.5)
 
 AT 5 YEARS:
 t test:
 NS, 95% CI ‐13 to 10
At 10 YEARS:
t test:
NS, 95% CI 6.3 to 21.5
Mental health
Cooper 1999 AT 1 YEAR:
 N=116
 Mean change (SD): 6.3 (19.5)
 
 AT 2 YEARS:
 N=120
 Mean change (SD): 6.0 (21.6)
 
 AT 5 YEARS:
 N=116
 Mean change (SD): 1.4 (21)
At 10 YEARS:
N=94
Mean change (SD): 7.2 (21)
AT 1 YEAR:
 N=124
 Mean change (SD): 6.0 (22.2)
 
 AT 2 YEARS:
 N=129
 Mean change (SD): 4.1 (19.8)
 
 AT 5 YEARS
N=120
 Mean change (SD): 1.2 (21)
At 10 YEARS:
N=95
Mean change (SD): 7.9 (25)
AT 1 YEAR:
 t test:
 CI (‐4.9 to 5.7);
 P=0.89
 Ancova:
 P=0.83
 
 AT 2 YEARS:
 t test:
 P=0.44 (95% CI ‐3.3, 6.9)
 
 AT 5 YEARS:
 t test:
 NS, 95% CI ‐5.2 to 5.6
At 10 YEARS:
t test:
NS, 95% CI ‐7.3 to 5.9
Energy/fatigue
Cooper 1999 AT 1 YEAR:
 N=116
 Mean change (SD): 12.8 (21.7)
 
 AT 2 YEARS:
 N=120
 Mean change (SD): 11.4 (25.1)
 
 AT 5 YEARS:
N=116
 Mean change (SD): 9.3 (25)
At 10 YEARS:
N=94
Mean change (SD): 12.9 (29)
AT 1 YEAR:
 N=124
 Mean change (SD): 12.1 (23.0)
 
 AT 2 YEARS:
 N=129
 Mean change (SD): 11.8 (22.6)
 
 AT 5 YEARS:
N=120
 Mean change (SD): 12 (26)
At 10 YEARS:
N=95
Mean change (SD): 15.3 (27)
AT 1 YEAR:
 t test:
 CI (‐4.9 to 6.5);
 p=0.80
 Ancova:
 p=0.58
 
 AT 2 YEARS:
 t test:
 P=0.90 (95% CI ‐6.4, 5.5)
 
 AT 5 YEARS:
 t test:
 NS, 95% CI ‐9.1 to 4.2
At 10 YEARS:
t test:
NS, 95% CI ‐10.4 to 5.6
Pain
Cooper 1999 AT 1 YEAR:
 N=116
 Mean change (SD): 14.8 (31.0)
 
 AT 2 YEARS:
 N=120
 Mean change (SD): 13.5 (31.7)
 
 AT 5 YEARS:
N=116
 Mean change (SD): 9.3 (35)
At 10 YEARS:
N=94
Mean change (SD): 11.6 (37)
AT 1 YEAR:
 N=124
 Mean change (SD): 7.2 (31.1)
 
 AT 2 YEARS:
 N=129
 Mean change (SD): 3.0 (29.8)
 
 AT 5 YEARS:
N=120
 Mean change (SD): 6.4 (31)
At 10 YEARS:
N=95
Mean change (SD): 12.3 (35)
AT 1 YEAR:
 t test:
 CI (‐0.2 to 15.5);
 P=0.06
 Ancova:
 P=0.54
 
 AT 2 YEARS:
 t test:
 P=0.02 (95% CI 2.9, 18.2)
 
 AT 5 YEARS:
 t test:
 NS, 95% CI ‐5.7 to 12
At 10 YEARS:
t test:
NS, 95% CI ‐11.0 to 9.6
General health
Cooper 1999 AT 1 YEAR:
 N=116
 Mean change (SD): 2.4 (20.3)
 
 AT 2 YEARS:
 N=120
 Mean change (SD): 0.0 (24.4)
 
 AT 5 YEARS:
N=116
 Mean change (SD): ‐3.3 (26)
At 10 YEARS:
N=94
Mean change (SD): 0.94 (23)
AT 1 YEAR:
 N=124
 Mean change (SD): ‐2.9 (20.0)
 
 AT 2 YEARS:
 N=129
 Mean change (SD): ‐2.9 (19.0)
 
 AT 5 YEARS:
N=120
 Mean change (SD): ‐2.4 (19)
At 10 YEARS:
N=95
Mean change (SD): 2.8 (22)
AT 1 YEAR:
 t test:
 CI (0.2 to 10.5);
 P=0.04
 Ancova:
 P=0.06
 
 AT 2 YEARS:
 t test:
 P=0.29 (95% CI ‐2.5, 8.4)
 
 AT 5 YEARS:
 t test:
 NS, 95% CI ‐6.5 to 4.9
At 10 YEARS:
t test:
NS, 95% CI ‐8.3 to 4.6