Spine Surgeon Specialty Is Not a Risk Factor for 30-Day Complication Rates in Single-Level Lumbar Fusion

Kim, Bobby D.; Edelstein, Adam I.; Hsu, Wellington K.; Lim, Seokchun; Kim, John Y.S.

doi:10.1097/brs.0000000000000394

Cited by 27 publications

(28 citation statements)

References 32 publications

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“…Follow-up for each patient began on the date of the operation, defined as t 0 , and continued through the subsequent 30 days or death ( Figure 1). 31…”

Section: Cohort and Follow-upmentioning

confidence: 99%

Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications

et al. 2017

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“…Follow-up for each patient began on the date of the operation, defined as t 0 , and continued through the subsequent 30 days or death ( Figure 1). 31…”

Section: Cohort and Follow-upmentioning

confidence: 99%

Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications

et al. 2017

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“…32 Once anesthesia type, demographic, comorbidity, and hospital data were obtained, propensity-score matching to best account for potential selection bias in patients receiving either GA or isolated RA was performed. Propensity-score matching provides for an optimal assessment of treatment effect by balancing baseline covariates, 43,44 and has been extensively utilized in orthopaedics, [45][46][47] including a study similar to ours which compared GA to RA in TJA. 32 We utilized nearest-neighbor matching without replacement, and included a total of 26 covariates in the algorithm.…”

Section: Type Of Anesthesiamentioning

confidence: 99%

Comparison of general versus isolated regional anesthesia in total shoulder arthroplasty: A retrospective propensity-matched cohort analysis

Ding

Mahure

Mollon

et al. 2017

Journal of Orthopaedics

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“…mixed data between the two specialties. However, several spine-related studies have argued that past specialty training is not a risk factor for short-term adverse outcomes for spine procedures [14–17]. However, to our knowledge, no report has investigated differences in short-term perioperative outcomes by surgeon specialty for PKP or identified and distinguished risk factors related to outcomes in these patients.…”

Section: Introductionmentioning

confidence: 99%

Spine surgeon specialty differences in single-level percutaneous kyphoplasty

Liu

Wang

et al. 2019

BMC Surg

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BackgroundPercutaneous kyphoplasty (PKP) is a procedure performed by a spine surgeon who undergoes either orthopedic or neurosurgical training. The relationship between short-term adverse outcomes and spine specialty is presently unknown. To compare short-term adverse outcomes of single-level PKP when performed by neurosurgeons and orthopedic surgeons in order to develop more concretely preventive strategies for patients under consideration for single-level PKP.MethodsWe evaluated patients who underwent single-level PKP from 2012 to 2014 through the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). We used univariate analysis and multivariate logistic regression to assess the association between spine surgeon specialty and short-term adverse events, including postoperative complication and unplanned readmission, and to identify different independent risk predictors between two specialties.ResultsOf 2248 patients who underwent single-level PKP procedure, 1229 patients (54.7%) had their operations completed by a neurosurgeon. There were no significant differences in the development of the majority of postoperative complications and the occurrence of unplanned readmission between the neurosurgical cohort (NC) and the orthopedic cohort (OC). A difference in the postoperative blood transfusion rate (0.7% NS vs. 1.7% OC, P = 0.039) was noted and may due to the differences in comorbidities between patients. Multivariate regression analysis revealed different independent predictors of postoperative adverse events for the two spine specialties.ConclusionsBy comparing a large range of demographic feature, preoperative comorbidities, and intraoperative factors, we find that short-term adverse events in single-level PKP patients does not affect by spine surgeon specialty, except that the OC had higher postoperative blood transfusion rate. In addition, the different perioperative predictors of postoperative complications and unplanned readmissions were identified between the two specialties. These findings can lead to better evidence-based patient counseling and provide valuable information for medical evaluation and potentially devise methods to reduce patients’ risk.

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Spine Surgeon Specialty Is Not a Risk Factor for 30-Day Complication Rates in Single-Level Lumbar Fusion

Abstract: 4.

Cited by 27 publications

References 32 publications

Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications

Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications

Comparison of general versus isolated regional anesthesia in total shoulder arthroplasty: A retrospective propensity-matched cohort analysis

Spine surgeon specialty differences in single-level percutaneous kyphoplasty

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