Perioperative Outcomes, Complications and Costs Associated with Lumbar Spinal Fusion in Older Patients with Spinal Stenosis and Spondylolisthesis: Analysis of the United States Medicare Claims Database

2012 ◽  
Vol 12 (9) ◽  
pp. S3
Author(s):  
Joshua D. Auerbach ◽  
Kevin L. Ong ◽  
Edmund Lau ◽  
Jordana Schmier
Keyword(s):  
United States ◽  
Spinal Fusion ◽  
Spinal Stenosis ◽  
Older Patients ◽  
The United States ◽  
Perioperative Outcomes ◽  
Lumbar Spinal Fusion ◽  
Claims Database ◽  
Medicare Claims ◽  
Lumbar Spinal

Perioperative outcomes, complications, and costs associated with lumbar spinal fusion in older patients with spinal stenosis and spondylolisthesis

2014 ◽  
Vol 36 (6) ◽  
pp. E5 ◽  
Author(s):  
Kevin L. Ong ◽  
Joshua D. Auerbach ◽  
Edmund Lau ◽  
Jordana Schmier ◽  
Jorge A. Ochoa
Keyword(s):  
Spinal Fusion ◽  
Spinal Stenosis ◽  
Average Length ◽  
Surgical Care ◽  
Epidural Injection ◽  
Perioperative Outcomes ◽  
Related Complication ◽  
Medicare Claims ◽  
Lumbar Spinal ◽  
Posterolateral Spinal Fusion

Object The purpose of this study was to quantify the perioperative outcomes, complications, and costs associated with posterolateral spinal fusion (PSF) among Medicare enrollees with lumbar spinal stenosis (LSS) and/or spondylolisthesis by using a national Medicare claims database. Methods A 5% systematic sample of Medicare claims data (2005–2009) was used to identify outcomes in patients who had undergone PSF for a diagnosis of LSS and/or spondylolisthesis. Patients eligible for study inclusion also required a minimum of 2 years of follow-up and a claim history of at least 12 months prior to surgery. Results A final cohort of 1672 patients was eligible for analysis. Approximately half (50.7%) had LSS only, 10.2% had spondylolisthesis only, and 39.1% had both LSS and spondylolisthesis. The average age was 71.4 years, and the average length of stay was 4.6 days. At 3 months and 1 and 2 years postoperatively, the incidence of spine reoperation was 10.9%, 13.3%, and 16.9%, respectively, whereas readmissions for complications occurred in 11.1%, 17.5%, and 24.9% of cases, respectively. At 2 years postoperatively, 36.2% of patients had either undergone spine reoperation and/or received an epidural injection. The average Medicare payment was $36,230 ± $17,020, $46,840 ± $31,350, and $61,610 ± $46,580 at 3 months, 1 year, and 2 years after surgery, respectively. Conclusions The data showed that 1 in 6 elderly patients treated with PSF for LSS or spondylolisthesis underwent reoperation on the spine within 2 years of surgery, and nearly 1 in 4 patients was readmitted for a surgery-related complication. These data highlight several potential areas in which improvements may be made in the effective delivery and cost of surgical care for patients with spinal stenosis and spondylolisthesis.

scholarly journals P.217 Patient reported outcomes following surgery for lumbar spinal stenosis: Comparison of a universal and multitier health care system

2021 ◽  
Vol 48 (s3) ◽  
pp. S82-S82
Author(s):  
O Ayling ◽  
C FIsher
Keyword(s):  
United States ◽  
Health Care ◽  
Spinal Stenosis ◽  
Health Care System ◽  
Lumbar Spinal Stenosis ◽  
Outcome Research ◽  
Patient Reported Outcomes ◽  
The United States ◽  
Patient Reported ◽  
Lumbar Spinal

Background: Canada has a universal health care system while the United States utilizes a combined public and private payer system. The purpose of this study is to investigate whether there are differences in clinical outcomes between those surgically treated for spinal stenosis in Canada as compared to the United States. Methods: Surgical lumbar spinal stenosis patients treated in Canada that were enrolled in the Canadian Spine Outcome Research Network (CSORN) prospective multicenter registry were compared with the surgical cohort enrolled in the Spine Patients Outcome Research Trial (SPORT) study. Spine-related patient reported outcomes (PROs) were compared at 3 months and 1 year post-operatively. Results: The CSORN cohort consisted of 432 patients and the SPORT cohort was made up of 278 patients. The CSORN cohort had a higher proportion of patients with a symptom duration greater than 6 months (92.3% vs. 58.3%, p<0.0001). The CSORN cohort demonstrated significantly greater rates of satisfaction after surgery at 3 months (p=0.003) and 1 year (p<0.001). Conclusions: Patients undergoing surgical treatment for lumbar spinal stenosis in Canada (CSORN cohort) reported higher rates of satisfaction at 3 months and 1 year post-operatively compared to the United States cohort (SPORT) despite having longer durations of symptoms prior to surgery.

The Effect of Electrical Stimulation on Lumbar Spinal Fusion in Older Patients: A Randomized, Controlled, Multi-Center Trial

Spine ◽  
2009 ◽  
Vol 34 (21) ◽  
pp. 2241-2247 ◽  
Author(s):  
Thomas Andersen ◽  
Finn B. Christensen ◽  
Carsten Ernst ◽  
Søren Fruensgaard ◽  
Jørgen Østergaard ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Spinal Fusion ◽  
Older Patients ◽  
Lumbar Spinal Fusion ◽  
Randomized Controlled ◽  
Lumbar Spinal
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