INCREASING RATES OF CERVICAL AND LUMBAR SPINE SURGERY IN THE UNITED-STATES, 1979-1990

被引：191

作者：

DAVIS, H

机构：

[1] Division of Health Examination Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD

来源：

SPINE | 1994年 / 19卷 / 10期

关键词：

BACK; BACKACHE; EPIDEMIOLOGY; HEALTH SERVICES RESEARCH; LAMINECTOMY; NECK; SPINE; SURGERY;

D O I：

10.1097/00007632-199405001-00003

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. Data from annual national surveys of hospitalizations were used to review trends. Objectives. The trends in rates of hospitalizations with cervical and lumbar spine surgery were examine among persons greater-than-or-equal-to 25 years old. Summary of Background Data. Preliminary analysis of national survey data indicated that during 1979 to 1990 the number of spine operations increased markedly. Methods. Data from the National Hospital Discharge Survey were used to calculate age-adjusted rates of hospitalizations Results. From 1979-81 to 1988-90, in each sex, the rate of hospitalizations with cervical spine surgery increased >45%, with the rates for cervical fusion surgery increasing >70%. The rate of hospitalizations with lumbar spine surgery increased >33%. in each sex, with the rate for lumbar fusion surgery increasing >60% in each sex, the rate for lumbar disc surgery increasing 40% among males and 21% among females, and the rate for lumbar exploration/decompression surgery increasing >65% in each sex. Conclusions. Between 1979 and 1990, rates of hospitalizations with cervical and lumbar spine surgery increased markedly among both sexes and for different categories of spine surgery.

引用

页码：1117 / 1124

页数：8

共 33 条

[1] Physician characteristics and distribution in the US Chicago, Illinois, American Medical Association, (1993)
[2] Boden S.D., Davis D.O., Dina T.S., Patronas N.J., Wiesel S.W., Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects, J Bone Joint Surg, 72A, pp. 403-408, (1990)
[3] Bruske-Hohfeld I., Merritt J.L., Onofrio B.M., Et al., Incidence of lumbar disc surgery: A population-based study in Olmsted County, Minnesota, 1950-1979, Spine, 15, pp. 31-35, (1990)
[4] Deyo R.A., Cherkin D., Conrad D., The back pain outcome assessment team, Health Serv Res, 25, pp. 733-737, (1990)
[5] Deyo R.A., Cherkin D., 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)
[6] Forristall R.M., Marsh H.O., Pay N., Magnetic resonance imaging and contrast CT of the lumbar spine: Comparison of diagnostic methods and correlation with surgical findings, Spine, 13, pp. 1049-1054, (1988)
[7] Frymoyer J.W., The role of spinal fusion, Neurosurg Clin North Am, 2, pp. 933-954, (1991)
[8] Frymoyer J.W., Matteri R.E., Hanley E.N., Et al., Failed lumbar disc surgery requiring second operation: A long-term follow-up study, Spine, 3, pp. 7-11, (1978)
[9] Graves E.J., Detailed diagnoses and procedures, National Hospital Discharge Survey, 1990, National Center for Health Statistics, 13, 113, (1992)
[10] Graves E.J., National Hospital Discharge Survey: Annual Summary, 1987, 1988, 1990. National Center for Health Statistics, 13, 99, pp. 44-45, (1992)

← 1 2 3 4 →