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Outcomes After Lumbar Disk Herniation Surgery in the Dutch Population
| Content Provider | SAGE Publishing |
|---|---|
| Author | Maike H. J. Schepens Miranda L. van Hooff Judith A. van Erkelens Bartels, Ronald Hoebink, Eric Smits, Margot Johannes L. P. Kuijpens Limbeek, Jacques Van |
| Copyright Year | 2021 |
| Abstract | Study Design:Retrospective cohort study.Objective:There is only limited data on the outcome of primary surgery of lumbar disk herniation (LDH) in Dutch patients. The objective of this study is to describe undesirable outcomes after primary LDH.Methods:The National Claims Database (Vektis) was searched for primary LDH operations performed from July 2015 until June 2016, for reoperations within 18 months, prescription of opioids between 6 to 12 months and nerve root block within 1 year. A combined outcome measure was also made. Group comparisons were analyzed with the Student’s t-test.Results:Primary LDH surgery was performed in 6895 patients in 70 hospitals. Weighted mean of reoperations was 7.3%, nerve root block 6.7% and opioid use 15.6%. In total, 23.0% of patients had one or more undesirable outcomes after surgery. The 95% CI interval exceeded the 50% incidence line for 14 out of 26 hospitals with less than 50 surgical interventions per year. Although the data suggested a volume effect on undesired outcomes, the t-tests between hospitals with volume thresholds of 100, 150 and 200 interventions per year did not support this (P values 0.078, 0.129, 0.114).Conclusion:This unique nationwide claims-based study provides insight into patient-relevant undesirable outcomes such as reoperation, nerve root block and opioid use after LDH surgery. About a quarter of the patients had a serious complication in the first follow up year that prompted further medical treatment. There is a wide variation in complication rates between hospitals with a trend that supports concentration of LDH care. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/2192568221991124?download=true |
| Starting Page | 60 |
| Ending Page | 66 |
| Page Count | 7 |
| ISSN | 21925682 |
| Issue Number | 1 |
| Volume Number | 13 |
| Journal | Global Spine Journal (GSJ) |
| e-ISSN | 21925690 |
| DOI | 10.1177/2192568221991124 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2021-02-12 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2021 |
| Subject Keyword | lumbar spine surgery surgical complications opioids claims data outcomes lumbar disk herniation nationwide study reoperations |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Neurology (clinical) Surgery |
