Create Account | Sign In: Author or Forum

 
 
News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter    
 

 Headlines:

 

Category: Family Medicine | Nursing | Orthopedics | Surgery | Anesthesiology & Pain | Journal

Back to Journal Articles

Surgery Center Influences Outcomes in Spinal Surgery

Last Updated: October 25, 2012.

 

Outcomes vary by center choice for lumbar stenosis, degenerative spondylolisthesis surgery

Share |

Comments: (0)

Tell-a-Friend

 

  Related
 
Choice of surgery center affects patient outcomes following surgery for lumbar stenosis and degenerative spondylolisthesis, according to research published online Oct. 17 in Spine.

THURSDAY, Oct. 25 (HealthDay News) -- Choice of surgery center affects patient outcomes following surgery for lumbar stenosis and degenerative spondylolisthesis, according to research published online Oct. 17 in Spine.

Atman Desai, M.D., from the Dartmouth-Hitchcock Medical Center in Lebanon, N.H., and colleagues retrospectively reviewed data from 793 participants in the Spine Patient Outcomes Research Trial with a confirmed diagnosis of lumbar stenosis or degenerative spondylolisthesis undergoing surgery. Patients were followed from baseline and outcomes were assessed at six weeks, and three, six, and 12 months, and yearly thereafter, at 13 spine clinics throughout the United States.

The researchers found significant differences between centers with regard to patient race, body mass index, treatment preference, neurological deficit, stenosis location and severity, and number of stenotic levels. In addition, they noted significant differences in operative duration and blood loss, the incidence of durotomy, the length of hospital stay, and wound infection. Even after adjustment for baseline differences, there were still significant differences between centers in changes in patient functional outcome (Short Form-36 [SF-36] bodily pain and physical function and Oswestry disability index) at one year after surgery. At four years after surgery, the Oswestry disability index score was still significantly different among centers, and the SF-36 scores trended toward significance.

"There is broad and statistically significant variation in short- and long-term outcomes after surgery for lumbar stenosis and degenerative spondylolisthesis across various academic centers, when statistically significant baseline differences are adjusted for," the authors write. "The findings suggest choice of center affects outcome after these procedures, although further studies are required to investigate which center characteristics are most important."

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.


Previous: Study Confirms Stroke Survivors Continuing to Smoke Fare Worse Next: Sleep Apnea Linked to Less Severe Injury During Acute MI

Reader comments on this article are listed below. Review our comments policy.


Submit your opinion:

Name:

Email:

Location:

URL:

Remember my personal information

Notify me of follow-up comments?

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Useful Sites
MediLexicon
  Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us
Copyright © 2001-2014
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME | Conferences

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.