LOW-BACK-PAIN HOSPITALIZATION - RECENT UNITED-STATES TRENDS AND REGIONAL VARIATIONS

被引：276

作者：

TAYLOR, VM

DEYO, RA

CHERKIN, DC

KREUTER, W

机构：

[1] Family Medicine University of Washington, Seattle

[2] Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, WA

[3] Fred Hutchinson Cancer Research Center, Seattle

[4] Medical Service Veterans Affairs Medical Center, Seattle

[5] University of Washington, Seattle, WA

来源：

SPINE | 1994年 / 19卷 / 11期

关键词：

LOW BACK PAIN MANAGEMENT; TRENDS; REGIONAL VARIATIONS; PRACTICE PATTERNS;

D O I：

10.1097/00007632-199405310-00002

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. This study describes recent United States trends and regional variations in the management of low back pain. Objectives. The authors investigated recent temporal trends and compared practices in different geographic regions. Summary of Background Data. Controversy exists concerning the appropriate medical and surgical management of patients with low back pain. Methods. National Hospital Discharge Survey data from 1979 through 1990 were analyzed. Case selection was based on previously developed algorithms intended to exclude nonmechanical causes of back pain. Results. Over the period of study, nonsurgical hospitalizations for low back pain decreased dramatically. In contrast, low back operation rates, particularly for fusion surgery, increased substantially. In recent years, surgery and hospitalization rates were highest in the South and lowest in the West. Conclusions. Rapidly increasing surgical rates and wide geographic variations suggest the need for a more consistent approach to back problems.

引用

页码：1207 / 1213

页数：7

共 35 条

[1]

Clinical Policies: Herniated Lumbar Disc, (1990)

[2]

Barron M., Zazandjian V.A., Geographic variation in lumbar diskectomy: A protocol for evaluation, QRB, 18, pp. 98-107, (1992)

[3]

Cherkin D.C., Deyo R.A., Volinn E., Loeser J.D., Use of the international classification of diseases (ICD-9-CM) to identify hospitalization for mechanical low back problems in administrative databases, Spine, 17, pp. 817-825, (1992)

[4]

Cherkin D.C., Deyo R.A., Non-surgical hospitalization for low back pain: Is it necessary?, Spine, 18, pp. 1728-1735, (1993)

[5]

Choudhri A.H., Rowlands P.C., Barber C.J., Johnson J., Stevens J.M., Outpatient myelography: An acceptable and costeffective technique, Br J Radiol, 62, pp. 253-255, (1989)

[6]

Cypress B.K., Characteristics of physician visits for back symptoms: A national perspective, Am J Public Health, 73, pp. 389-395, (1983)

[7]

Deyo R.A., Cherkin D., Conrad D., The back pain outcome assessment team, HSR, 25, pp. 733-737, (1990)

[8]

Deyo R.A., Cherkin D.C., Conrad D., Volinn E., Cost, controversy, crisis: Low back pain and the health of the public, Ann Rev Public Health, 12, pp. 141-156, (1991)

[9]

Deyo R.A., Tsui-Wu Y.J., Descriptive epidemiology of low back pain and its related medical care in the United States, Spine, 12, pp. 264-268, (1987)

[10]

Deyo R.A., Cherkin D.C., Loeser J.D., Bigos S.J., Ciol M.A., Morbidity and mortality in association with operations of the lumbar spine, J Bone Joint Surg, 74, pp. 536-543, (1992)

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