Regional variations in lumbar spine surgery in Finland.
Lumbar spine surgery
Spine register
Surgery rates
Variation
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
18
05
2021
accepted:
13
12
2021
pubmed:
1
1
2022
medline:
3
3
2023
entrez:
31
12
2021
Statut:
ppublish
Résumé
The regional variation in spine surgery rates has been shown to be large both within and between countries. This variation has been reported to be less in studies from countries with spine registers. The aim of this study was to describe the regional variation in lumbar spine surgery in Finland. This is a retrospective register study. Data from the Finnish National Hospital Discharge Register (NHDR) were used to calculate and compare the rates of lumbar disc herniation (LDH), decompression, and fusion surgeries in five University Hospital catchment areas, covering the whole Finnish population, from January 1, 1997, through December 31, 2018. A total of 138,119 lumbar spine operations (including LDH, decompression, and fusion surgery) were performed in Finland between 1997 and 2018. The regional differences in the rate of LDH surgery were over fourfold (18 vs. 85 per 100,000 person years), lumbar decompression surgery over threefold (41 vs. 129 per 100,000 person years), and lumbar fusion surgery over twofold (14 vs. 34 per 100,000 person years) in 2018. The mean age of the patients increased in all regions during the study period. In Finland, the regional variations in spine surgeries were vast. In a country with a publicly funded healthcare system, this finding was surprising. The recently created national spine register may serve to shed more light on the reasons for this regional variation.
Identifiants
pubmed: 34971438
doi: 10.1007/s00402-021-04313-0
pii: 10.1007/s00402-021-04313-0
pmc: PMC9958154
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1451-1458Informations de copyright
© 2021. The Author(s).
Références
Spine (Phila Pa 1976). 2017 Jul 15;42(14):1080-1087
pubmed: 28459782
Health Policy. 2014 Jan;114(1):5-14
pubmed: 24054709
Duodecim. 2015;131(1):92-4
pubmed: 26245063
Spine (Phila Pa 1976). 2006 Oct 1;31(21):2409-14
pubmed: 17023847
Eur Spine J. 2009 Aug;18 Suppl 3:294-304
pubmed: 19495812
Spine (Phila Pa 1976). 2014 Dec 1;39(25):2108-14
pubmed: 25271493
BMC Musculoskelet Disord. 2014 Mar 24;15:98
pubmed: 24655318
Clin Orthop Relat Res. 2006 Feb;443:139-46
pubmed: 16462438
J Bone Joint Surg Am. 1999 Jun;81(6):752-62
pubmed: 10391540
Spine (Phila Pa 1976). 2007 Jan 1;32(1):1-8
pubmed: 17202885
Eur Spine J. 2003 Oct;12(5):535-41
pubmed: 12768381
World Health Stat Q. 1988;41(1):32-6
pubmed: 3376487
Annu Rev Public Health. 1991;12:141-56
pubmed: 1828670
N Engl J Med. 2016 Apr 14;374(15):1413-23
pubmed: 27074066
Spine (Phila Pa 1976). 1992 May;17(5):575-81
pubmed: 1535726
BMJ Open. 2015 Dec 15;5(12):e009011
pubmed: 26671956
J Bone Joint Surg Br. 2004 Aug;86(6):841-7
pubmed: 15330025
Spine (Phila Pa 1976). 2006 Nov 1;31(23):2707-14
pubmed: 17077740
Lancet. 2013 Sep 28;382(9898):1121-9
pubmed: 24075052
Spine (Phila Pa 1976). 2019 Mar 15;44(6):E372-E378
pubmed: 30234811
Injury. 2008 Dec;39(12):1373-6
pubmed: 18703187
Scand J Public Health. 2012 Aug;40(6):505-15
pubmed: 22899561
Spine (Phila Pa 1976). 2003 Mar 15;28(6):616-20
pubmed: 12642771
Spine (Phila Pa 1976). 2019 Mar 1;44(5):369-376
pubmed: 30074971