Indication for spinal surgery: associated factors and regional differences in Germany.

ABSTRACT:

Background

Rising surgery rates have raised questions about the indications for spinal surgery. The study investigated patient-level and regional factors associated with spinal surgery for patients with spinal diseases.

Methods

We undertook a cohort study based on routine healthcare data from Germany of 18.4 million patients within 60.9 million episodes of two patient-years before a possible spinal surgery in the time period 2008 to 2016. Using a Poisson model, the effects of a broad range of patient-related (sociodemographic, morbidity, social status), disease- and healthcare-related (physicians' specialty, conservative treatments) and regional variables were analyzed.

Results

There was substantial regional heterogeneity in the occurrence of spinal surgery which decr

SUBMITTER: Tesch F 

PROVIDER: S-EPMC9438246 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature