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Lumbar spine surgery across 15 years: trends, complications and reoperations in a longitudinal observational study from Norway.
- Source :
-
BMJ open [BMJ Open] 2019 Aug 01; Vol. 9 (8), pp. e028743. Date of Electronic Publication: 2019 Aug 01. - Publication Year :
- 2019
-
Abstract
- Background: Studies from different Western countries have reported a rapid increase in spinal surgery rates, an increase that exceeds by far the growing incidence rates of spinal disorders in the general population. There are few studies covering all lumbar spine surgery and no previous studies from Norway.<br />Objectives: The purpose of this study was to investigate trends in all lumbar spine surgery in Norway over 15 years, including length of hospital stay, and rates of complications and reoperations.<br />Design: A longitudinal observational study over 15 years using hospital patient administrative data and sociodemographic data from the National Registry in Norway.<br />Setting and Participants: Patients aged ≥18 years discharged from Norwegian public hospitals between 1999 and 2013.<br />Outcome Measures: Annual rates of simple (microsurgical discectomy, decompression) and complex surgical procedures (fusion, disc prosthesis) in the lumbar spine.<br />Results: The rate of lumbar spine surgery increased by 54%, from 78 (95% CI (75 to 80)) to 120 (107 to 113) per 100 000, from 1999 to 2013. More men had simple surgery whereas more women had complex surgery. Among elderly people over 75 years, lumbar surgery increased by a factor of five during the 15-year period. The rates of complications were low, but increased from 0.7% in 1999 to 2.4% in 2013.<br />Conclusions: There was a substantial increase in lumbar spine surgery in Norway from 1999 to 2013, similar to trends in other Western world countries. The rise in lumbar surgery among elderly people represents a significant workload and challenge for health services, given our aging population.<br />Competing Interests: Competing interests: None declared.<br /> (© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Adolescent
Adult
Aged
Female
Hospitals, Public
Humans
Length of Stay trends
Longitudinal Studies
Male
Middle Aged
Norway epidemiology
Reoperation trends
Retrospective Studies
Sex Distribution
Young Adult
Decompression, Surgical trends
Diskectomy trends
Lumbar Vertebrae surgery
Microsurgery trends
Postoperative Complications epidemiology
Spinal Fusion trends
Total Disc Replacement trends
Subjects
Details
- Language :
- English
- ISSN :
- 2044-6055
- Volume :
- 9
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- BMJ open
- Publication Type :
- Academic Journal
- Accession number :
- 31375617
- Full Text :
- https://doi.org/10.1136/bmjopen-2018-028743