دورية أكاديمية
أعرض في EDS

Predicting Trends in Cervical Spinal Surgery in the United States from 2020 to 2040.

التفاصيل البيبلوغرافية
العنوان: Predicting Trends in Cervical Spinal Surgery in the United States from 2020 to 2040.
المؤلفون: Neifert SN; Department of Neurosurgery, Mount Sinai Hospital, New York, New York, USA., Martini ML; Department of Neurosurgery, Mount Sinai Hospital, New York, New York, USA., Yuk F; Department of Neurosurgery, Mount Sinai Hospital, New York, New York, USA., McNeill IT; Department of Neurosurgery, Mount Sinai Hospital, New York, New York, USA., Caridi JM; Department of Neurosurgery, Mount Sinai Hospital, New York, New York, USA., Steinberger J; Department of Neurosurgery, Mount Sinai Hospital, New York, New York, USA., Oermann EK; Department of Neurosurgery, Mount Sinai Hospital, New York, New York, USA. Electronic address: eric.oermann@mountsinai.org.
المصدر: World neurosurgery [World Neurosurg] 2020 Sep; Vol. 141, pp. e175-e181. Date of Electronic Publication: 2020 May 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Elsevier
مواضيع طبية MeSH: Neurosurgical Procedures*, Cervical Vertebrae/*surgery , Neck/*surgery , Postoperative Complications/*epidemiology, Adult ; Aged ; Aged, 80 and over ; Decompression, Surgical/methods ; Diskectomy/methods ; Female ; Humans ; Male ; Middle Aged ; Spinal Fusion/methods ; United States
مستخلص: Objective: We sought to predict surgical volumes for 2 common cervical spine procedures from 2020 to 2040.
Methods: Using the National Inpatient Sample from 2003-2016, nationwide estimates of anterior cervical diskectomy and fusion (ACDF) and posterior cervical decompression and fusion (PCDF) volumes were calculated using International Classification of Diseases, Ninth and Tenth Revision (ICD-9, ICD-10) procedure codes. With data from the U.S. Census Bureau, estimates of the U.S. population were used to create Poisson models controlling for age and sex. Age was categorized into ranges (<25 years old, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, and >85), and estimates of surgical volume for each age group were created.
Results: From 2020-2040, increases in surgical volume from 13.3% (153,288-173,699) and 19.3% (29,620-35,335) are expected for ACDF and PCDF, respectively. For ACDF, the largest increases are expected in the 45-54 (42,077-49,827) and 75-84 (8065-14,862) age groups, whereas for PCDF, the largest increases will be seen in the 75-84 (3710-6836) age group. In accordance with an aging population, modest increases will be seen for ACDF (858-1847) and PCDF (730-1573) in the >85-year-old cohort.
Conclusions: As expected, large growth in cervical spine surgical volumes is likely to be seen, which could indicate a need for increased numbers of spinal neurosurgeons and orthopedic surgeons. Further studies are needed to investigate the needs of the field in light of these expected increases in volume.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
معلومات مُعتمدة: TL1 TR001434 United States TR NCATS NIH HHS
فهرسة مساهمة: Keywords: Aging population; Anterior cervical diskectomy and fusion; Posterior cervical decompression and fusion; Projections; Surgical volume; United States
تواريخ الأحداث: Date Created: 20200517 Date Completed: 20210107 Latest Revision: 20210407
رمز التحديث: 20240628
DOI: 10.1016/j.wneu.2020.05.055
PMID: 32416237
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2020.05.055