کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4096638 1268568 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Trends in the surgical treatment for spinal metastasis and the in-hospital patient outcomes in the United States from 2000 to 2009
ترجمه فارسی عنوان
روند درمان جراحی متاستاز ستون فقرات و نتایج بیمار در بیمارستان در ایالات متحده از 2000 تا 2009
کلمات کلیدی
متاستاز ستون فقرات، درمان جراحی، روند، نمونه های سرپایی در سراسر کشور، عوارض، مرگ و میر
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

Background contextSurgical treatment for spinal metastasis is still controversial. However, with the improvements in treatment for primary tumors, the survival rate of patients with spinal metastasis is enhanced. At the same time, surgical technique for spinal metastasis has also improved.PurposeThe purpose of this study was to examine trends in the surgical treatment for spinal metastasis and in-hospital patient outcomes on a national level.Study design/settingThis was an epidemiologic study using national administrative data from the Nationwide Inpatient Sample (NIS) database.Patient sampleAll discharges in the NIS with a diagnosis code of secondary malignant neoplasm of the spinal cord/brain, meninges, or bone who also underwent spinal surgery from 2000 to 2009 were included.Outcome measuresTrends in the surgical treatment for spinal metastasis, in-hospital complications and mortality, and resource use were analyzed.MethodsThe NIS was used to identify patients who underwent surgical treatment for spinal metastasis from 2000 to 2009, using the International Classification of Diseases, Ninth revision, Clinical Modification codes. Trends in the surgical treatment for spinal metastasis and in-hospital patient outcomes were analyzed.ResultsFrom 2000 to 2009, there was an increasing trend in the population growth–adjusted rate of surgical treatment for spinal metastasis (1.15–1.77 per 100,000; p<.001). Average Elixhauser comorbidity score increased over time (2.6–3.8; p<.001), and the overall in-hospital complication rate increased over time (14.8%–27.7%; p<.001), whereas in-hospital mortality rate and length of hospital stay remained stable over time (5.2%–4.6%, p=.413; 10.6–10.8 days, p=.626). Inflation-adjusted mean hospital charges increased more than two-fold over time ($50,390–$110,173; p<.001).ConclusionsDuring the last decade, surgical treatment for spinal metastasis has increased in the United States. The overall in-hospital complication rate and hospital charges increased, whereas the in-hospital mortality rate and length of hospital stay remained stable.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Spine Journal - Volume 14, Issue 9, 1 September 2014, Pages 1844–1849
نویسندگان
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