دورية أكاديمية
Surgery rates for lumbar spinal stenosis in Denmark between 2002 and 2018: a registry-based study of 43,454 patients.
العنوان: | Surgery rates for lumbar spinal stenosis in Denmark between 2002 and 2018: a registry-based study of 43,454 patients. |
---|---|
المؤلفون: | Jensen RK; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense; Chiropractic Knowledge Hub, Odense. rikkekruger@kiroviden.sdu.dk., Schiøttz-Christensen B; Spine Centre of Southern Denmark, University Hospital Lillebaelt, Middelfart; Department of Regional Health Research, University of Southern Denmark, Odense., Skovsgaard CV; DaCHE-Danish Centre for Health Economics, Department of Public Health, University of Southern Denmark, Odense., Thorvaldsen M; Department of Neurosurgery, University Hospital Odense, Odense., Mieritz RM; Department of Neurosurgery, University Hospital Odense, Odense., Andresen AK; Spine Surgery and Research, Spine Centre of Southern Denmark, University Hospital Lillebaelt, Middelfart, Denmark., Christensen HW; Chiropractic Knowledge Hub, Odense., Hartvigsen J; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense; Chiropractic Knowledge Hub, Odense. |
المصدر: | Acta orthopaedica [Acta Orthop] 2022 May 24; Vol. 93, pp. 488-494. Date of Electronic Publication: 2022 May 24. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Medical Journals Sweden AB Country of Publication: Sweden NLM ID: 101231512 Publication Model: Electronic Cited Medium: Internet ISSN: 1745-3682 (Electronic) Linking ISSN: 17453674 NLM ISO Abbreviation: Acta Orthop Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2022- : Uppsala, Sweden : Medical Journals Sweden AB Original Publication: Basingstoke, Hampshire, UK : Taylor & Francis, c2005- |
مواضيع طبية MeSH: | Spinal Fusion*/methods , Spinal Stenosis*/diagnosis , Spinal Stenosis*/epidemiology , Spinal Stenosis*/surgery, Decompression, Surgical/methods ; Denmark/epidemiology ; Humans ; Lumbar Vertebrae/surgery ; Registries ; Retrospective Studies ; Treatment Outcome |
مستخلص: | Background and Purpose: Over the last decades, many countries have shown increased surgery rates for lumbar spinal stenosis (LSS), but little information is available from Denmark. We describe the development in diagnosis and surgery of LSS in Denmark between 2002 and 2018. Patients and Methods: We collected diagnostic ICD10-codes and surgical procedure codes from private and public hospitals in Denmark from the Danish National Patient Register. Patients diagnosed with LSS and those with surgical procedure codes for decompression surgery with or without fusion were identified. Annual surgery rates were stratified by age, sex, and type of surgery. Results: During these 17 years, 132,138 patients diagnosed with LSS and 43,454 surgical procedures for LSS were identified. The number of surgical procedures increased by 144%, from 23 to 56 per 100,000 inhabitants. The proportion of patients diagnosed with LSS who received surgery was about 33%, which was almost stable over time. Decompression without fusion increased by 128% from 18 to 40 per 100,000 inhabitants and decompression with fusion increased by 199%, from 5 to 15 per 100,000. Interpretation: Both the prevalence of LSS diagnoses and LSS surgery rates more than doubled in Denmark between 2002 and 2018. However, the proportion of patients diagnosed with LSS who received surgery remained stable. Decompression surgery with fusion increased at a higher rate than decompression without fusion, although recent evidence suggests no advantage of decompression plus fusion over decompression alone. |
References: | Eur Spine J. 2019 May;28(5):937-950. (PMID: 30796513) N Am Spine Soc J. 2021 Jun 02;6:100072. (PMID: 35141637) N Engl J Med. 2016 Apr 14;374(15):1424-34. (PMID: 27074067) F1000Res. 2019 Jan 31;8:. (PMID: 30774933) Orthop Traumatol Surg Res. 2018 Nov;104(7):1031-1036. (PMID: 30179722) Spine (Phila Pa 1976). 2017 Nov 15;42(22):1737-1743. (PMID: 28441309) Eur Spine J. 2019 Jun;28(6):1386-1396. (PMID: 31098717) Bone Joint J. 2013 Jul;95-B(7):960-5. (PMID: 23814250) Clin Epidemiol. 2015 Nov 17;7:449-90. (PMID: 26604824) J Public Health (Oxf). 2012 Mar;34(1):138-48. (PMID: 21795302) Spine (Phila Pa 1976). 1994 Jun 1;19(11):1207-12; discussion 13. (PMID: 8073311) Scand J Public Health. 2011 Jul;39(7 Suppl):30-3. (PMID: 21775347) JAMA. 2010 Apr 7;303(13):1259-65. (PMID: 20371784) Eur Spine J. 2003 Oct;12(5):535-41. (PMID: 12768381) Clin Orthop Relat Res. 2017 Dec;475(12):2838-2844. (PMID: 28074438) Spine (Phila Pa 1976). 2007 Jan 1;32(1):120-5. (PMID: 17202902) J Gen Intern Med. 2020 Dec;35(12):3605-3612. (PMID: 32989711) N Engl J Med. 2016 Apr 14;374(15):1413-23. (PMID: 27074066) Spine J. 2019 Jan;19(1):41-49. (PMID: 29792994) Br J Sports Med. 2020 Jun;54(11):642-651. (PMID: 30760458) Spine (Phila Pa 1976). 2019 Mar 15;44(6):E372-E378. (PMID: 30234811) PLoS One. 2016 Jan 25;11(1):e0146998. (PMID: 26807697) BMJ. 2016 Jan 04;352:h6234. (PMID: 26727925) Eur Spine J. 2020 Sep;29(9):2143-2163. (PMID: 32095908) |
تواريخ الأحداث: | Date Created: 20220525 Date Completed: 20220526 Latest Revision: 20230916 |
رمز التحديث: | 20230916 |
مُعرف محوري في PubMed: | PMC9131200 |
DOI: | 10.2340/17453674.2022.2744 |
PMID: | 35611476 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1745-3682 |
---|---|
DOI: | 10.2340/17453674.2022.2744 |