دورية أكاديمية
أعرض في EDS

Surgical trends and regional variation in Danish patients diagnosed with lumbar spinal stenosis between 2002 and 2018: a retrospective registry-based study of 83,783 patients.

التفاصيل البيبلوغرافية
العنوان: Surgical trends and regional variation in Danish patients diagnosed with lumbar spinal stenosis between 2002 and 2018: a retrospective registry-based study of 83,783 patients.
المؤلفون: Jensen RK; Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. rkjensen@health.sdu.dk.; Chiropractic Knowledge Hub, Odense, Denmark. rkjensen@health.sdu.dk., Skovsgaard CV; DaCHE - Danish Centre for Health Economics, Department of Public Health, University of Southern Denmark, Odense, Denmark., Ziegler DS; Medical Spinal Research Unit, Spine Centre of Southern Denmark, University Hospital of Southern Denmark, Middelfart, Denmark., Schiøttz-Christensen B; Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark., Mieritz RM; Department of Neurosurgery, University Hospital Odense, Odense, Denmark., Andresen AK; Spine Surgery and Research, Spine Centre of Southern Denmark, Lillebaelt Hospital, Middelfart, Denmark., Hartvigsen J; Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.; Chiropractic Knowledge Hub, Odense, Denmark.
المصدر: BMC health services research [BMC Health Serv Res] 2023 Jun 20; Vol. 23 (1), pp. 665. Date of Electronic Publication: 2023 Jun 20.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Spinal Fusion*/methods , Spinal Stenosis*/epidemiology , Spinal Stenosis*/surgery , Spinal Stenosis*/etiology, Humans ; Aged ; Decompression, Surgical/adverse effects ; Decompression, Surgical/methods ; Retrospective Studies ; Lumbar Vertebrae/surgery ; Denmark/epidemiology ; Treatment Outcome
مستخلص: Background: Lumbar spinal stenosis (LSS) is the most common reason for spine surgery in older people. However, surgery rates vary widely both internationally and nationally. This study compared patient and sociodemographic characteristics, geographical location and comorbidity between surgically and non-surgically treated Danish patients diagnosed with LSS from 2002 to 2018 and described variations over time.
Methods: Diagnostic ICD-10 codes identifying patients with LSS and surgical procedure codes for decompression with or without fusion were retrieved from the Danish National Patient Register. Patients ≥ 18 years who had been admitted to private or public hospitals in Denmark between 2002 and 2018 were included. Data on age, sex, income, retirement status, geographical region and comorbidity were extracted. A multivariable logistic regression model was used to calculate the relative risk for surgically versus non-surgically treated LSS patients using the total population and subsequently divided into three time periods. Variations over time were displayed graphically.
Results: A total of 83,783 unique patients with an LSS diagnosis were identified, and of these, 38,362 (46%) underwent decompression surgery. Compared to those who did not receive surgery, the surgically treated patients were more likely to be aged 65-74 years, were less likely to have comorbidities, had higher income and were more likely to reside in the northern part of Denmark. Patients aged 65-74 years remained more likely to receive surgery over time, although the difference between age groups eventually diminished, as older patients (aged ≥ 75) were increasingly more likely to undergo surgery. Large variations and differences in the relative risk of surgery were observed within and between the geographical regions. The likelihood of receiving surgery varied up to threefold between regions.
Conclusion: Danish patients with LSS who receive surgery differ in a number of respects from those not receiving surgery. Patients aged 65 to 74 years were more likely to receive surgery than other age groups, and LSS surgical patients were healthier, more often retired and had higher incomes than those not undergoing surgery. There were considerable variations in the relative risk of surgery between and within geographical regions.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Decompression; Fusion; Lumbar spinal stenosis; Surgery
تواريخ الأحداث: Date Created: 20230620 Date Completed: 20230622 Latest Revision: 20230701
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10283336
DOI: 10.1186/s12913-023-09638-7
PMID: 37340411
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-023-09638-7