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 Table of Contents  
LETTER TO EDITOR
Year : 2018  |  Volume : 1  |  Issue : 2  |  Page : 149-150

Author's Reply


1 Department of Orthopaedics, NHL Municipal Medical College and V.S.General Hospital; Department of Orthopaedics and Spine Surgery, Zydus Hospitals and Healthcare Research Pvt. Ltd, Ahmedabad, Gujarat, India; Department of Spine Surgery and Research, Indian Spinal Injuries Centre, New Delhi, India
2 Department of Orthopaedics, NHL Municipal Medical College and V.S.General Hospital; Department of Orthopaedics and Spine Surgery, Zydus Hospitals and Healthcare Research Pvt. Ltd, Ahmedabad, Gujarat, India
3 Stavya Spine Hospital and Research Institute, Ahmedabad, Gujarat, India
4 Department of Orthopaedics, NHL Municipal Medical College and V.S.General Hospital, Ahmedabad, Gujarat, India
5 GCS Medical College, Ahmedabad, Gujarat, India

Date of Web Publication2-Aug-2018

Correspondence Address:
Dr. Hitesh N Modi
Department of Orthopaedics and Spine Surgery, Zydus Hospitals and Healthcare Research Pvt. Ltd, Ahmedabad, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/isj.isj_12_18

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How to cite this article:
Goel SA, Modi HN, Dave BR, Patel PR, Patel R. Author's Reply. Indian Spine J 2018;1:149-50

How to cite this URL:
Goel SA, Modi HN, Dave BR, Patel PR, Patel R. Author's Reply. Indian Spine J [serial online] 2018 [cited 2018 Dec 10];1:149-50. Available from: http://www.isjonline.com/text.asp?2018/1/2/149/238375



Sir,

We thank you for the valuable comments and inputs on our manuscript.[1] We appreciate your kind gesture of congratulating us on the research article and have tried to answer your queries in a meticulous manner.

All patients were studied retrospectively, and their contact was taken from the hospital records. The study was conducted in the patients who got operated between 2007 and 2014 and data were collected in the year 2015. Due to the difficulty faced by the spinal cord injured patients by calling them to the hospital, it was decided to gather the data over phone. However, attempts were also made to approach patients on the available addresses, but many of them could not be traced. The surgeries at our institute are conducted at a concession price for all the individuals. The patients have to bear the implant cost only. Surgical charges, disposables, and consumables are taken care by the hospital. None of the patients involved in the study had any kind of health insurance schemes. The disability benefit of an individual is alloted as per the government norms and is subject to the discretion of the surgeon incharge at the civil hospital of the respective district. The social worker at our institute does help the individuals in assistive technology after spinal cord injury (SCI), but it did not have a long-lasting impact on the individuals due to lack of compliance. There were role changes in the family noted in our study. However, we do not have the precise data for the same. In many cases, women started taking care of both home and livelihood. In cases where elderly were involved, the eldest son found an unskilled worker job. There is a clear scarcity of data on measures used for assessing depression in patients with SCI, although a significant population of patients with SCI suffers from depression.[1] Center for Epidemiological Studies Depression Scale has been widely used in SCI research, although beck depression inventory has been followed and often recommended.[2],[3],[4] For screening Patient Health Questionnaire Depression Scale 9 has been widely used.[5] We did not use any specific depression outcome measure in our patients, but just enquired if the days after the surgery and injury led to some mental unrest in them. We agree with the reader's view that a specific outcome measure should have been used to assess depression in the patients and we plan to do that in our subsequent studies. The schemes mentioned by the reader are of utmost significance, but in our setting, the individuals in lower socioeconomic setup are less aware about the benefits offered by the government. Very few individuals opted to get some kind of government support.

We thank the reader for the extremely valuable inputs and encouraging comments. We hope to carry forward the research by incorporating the valuable suggestions.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Goel SA, Modi HN, Dave BR, Patel PR, Patel R. Socioeconomic impact of cervical spinal cord injury operated in patients with lower income group. Indian Spine J 2018;1:46-50.  Back to cited text no. 1
  [Full text]  
2.
Henry JD, Crawford JR. The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. Br J Clin Psychol 2005;44:227-39.  Back to cited text no. 2
    
3.
Van Dam NT, Earleywine M. Validation of the center for epidemiologic studies depression scale – revised (CESD-R): Pragmatic depression assessment in the general population. Psychiatry Res 2011;186:128-32.  Back to cited text no. 3
    
4.
Eaton WW, Ybarra M, Schwab J. The CESD-R is available on the web. Psychiatry Res 2012;196:161.  Back to cited text no. 4
    
5.
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med 2001;16:606-13.  Back to cited text no. 5
    




 

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