Lumbar spine surgery across 15 years: trends, complications and reoperations in a longitudinal observational study from Norway.
Adolescent
Adult
Aged
Decompression, Surgical
/ trends
Diskectomy
/ trends
Female
Hospitals, Public
Humans
Length of Stay
/ trends
Longitudinal Studies
Lumbar Vertebrae
/ surgery
Male
Microsurgery
/ trends
Middle Aged
Norway
/ epidemiology
Postoperative Complications
/ epidemiology
Reoperation
/ trends
Retrospective Studies
Sex Distribution
Spinal Fusion
/ trends
Total Disc Replacement
/ trends
Young Adult
epidemiology
neurosurgery
orthopaedic and trauma surgery
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
01 08 2019
01 08 2019
Historique:
entrez:
4
8
2019
pubmed:
4
8
2019
medline:
1
9
2020
Statut:
epublish
Résumé
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. 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. A longitudinal observational study over 15 years using hospital patient administrative data and sociodemographic data from the National Registry in Norway. Patients aged ≥18 years discharged from Norwegian public hospitals between 1999 and 2013. Annual rates of simple (microsurgical discectomy, decompression) and complex surgical procedures (fusion, disc prosthesis) in the lumbar spine. 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. 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.
Sections du résumé
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.
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.
DESIGN
A longitudinal observational study over 15 years using hospital patient administrative data and sociodemographic data from the National Registry in Norway.
SETTING AND PARTICIPANTS
Patients aged ≥18 years discharged from Norwegian public hospitals between 1999 and 2013.
OUTCOME MEASURES
Annual rates of simple (microsurgical discectomy, decompression) and complex surgical procedures (fusion, disc prosthesis) in the lumbar spine.
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.
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.
Identifiants
pubmed: 31375617
pii: bmjopen-2018-028743
doi: 10.1136/bmjopen-2018-028743
pmc: PMC6688683
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e028743Informations de copyright
© 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.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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