Cristin-resultat-ID: 1750636
Sist endret: 3. februar 2020 13:28
NVI-rapporteringsår: 2019
Resultat
Vitenskapelig artikkel
2019

Lumbar spine surgery across 15 years: Trends, complications and reoperations in a longitudinal observational study from Norway

Bidragsytere:
  • Margreth Grotle
  • Milada Cvancarova Småstuen
  • Olaf Randall Fjeld
  • Lars Grøvle
  • Jon Helgeland
  • Kjersti Storheim
  • mfl.

Tidsskrift

BMJ Open
ISSN 2044-6055
e-ISSN 2044-6055
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2019
Volum: 9
Hefte: 8
Artikkelnummer: e028743
Open Access

Importkilder

Scopus-ID: 2-s2.0-85070227011

Beskrivelse Beskrivelse

Tittel

Lumbar spine surgery across 15 years: Trends, complications and reoperations in a longitudinal observational study from Norway

Sammendrag

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. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial.

Bidragsytere

Margreth Grotle

  • Tilknyttet:
    Forfatter
    ved Forsknings- og formidlingsenheten for muskelskjeletthelse (FORMI) ved Oslo universitetssykehus HF
  • Tilknyttet:
    Forfatter
    ved Institutt for fysioterapi ved OsloMet - storbyuniversitetet

Milada Cvancarova Småstuen

  • Tilknyttet:
    Forfatter
    ved Institutt for sykepleie og helsefremmende arbeid ved OsloMet - storbyuniversitetet

Olaf Randall Fjeld

  • Tilknyttet:
    Forfatter
    ved Forsknings- og formidlingsenheten for muskelskjeletthelse (FORMI) ved Oslo universitetssykehus HF

Lars Grøvle

  • Tilknyttet:
    Forfatter
    ved Revmatologisk avdeling ved Sykehuset Østfold HF

Jon Helgeland

  • Tilknyttet:
    Forfatter
    ved Avdeling for forskning og analyse av helsetjenesten ved Folkehelseinstituttet
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