The Swedish National Register for Lumbar Spine Surgery: Swedish Society for Spinal Surgery

Strömqvist, Björn; Jönsson, Bo; Fritzell, Peter; Hägg, Olle; Larsson, Bengt-Erik; Lind, Bengt

doi:10.1080/000164701317323327

Cited by 72 publications

(46 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The deterioration is significant, and it occurs within a larger cohort of patients with a favourable overall outcome, demonstrated by large effect sizes on all outcome measures. Similar results have been published elsewhere [2,9,17,21,25,26]. Patients who had been sicklisted for a longer period of time or had a better ODI score prior to operation were at a higher risk of "getting worse".…”

Section: Discussionsupporting

confidence: 87%

“…It is difficult to give an evidence-based estimate of the risk of deterioration, since previous studies have been more focused on unfavourable outcome in general, rather than on deterioration in particular. Some studies reported on increase in pain after microdiscectomy [17,26,29] and one study reported on decrease in health-related quality of life (HRQL) after such operations [30]. Prospective studies focusing on deterioration of functional status after microdiscectomy are lacking.…”

mentioning

confidence: 99%

See 1 more Smart Citation

The risk of ?getting worse? after lumbar microdiscectomy

et al. 2004

View full text Add to dashboard Cite

IntroductionLumbar microdiscectomy is the most frequently performed spinal operation. A frequent concern among the patients is the risk of "getting worse" after the operation. It is difficult to give an evidence-based estimate of the risk of deterioration, since previous studies have been more focused on unfavourable outcome in general, rather than on deterioration in particular. Some studies reported on increase in pain after microdiscectomy [17,26,29] and one study reported on decrease in health-related quality of life (HRQL) after such operations [30]. Prospective studies focusing on deterioration of functional status after microdiscectomy are lacking.Several predictors of an unfavourable outcome have been identified [1,2,12,20,25,28,30,31,32] and socioeconomic and psychological factors seem to play a major role [7,9,15,21,24]. Risk factors for deterioration of functional status and HRQL after microdiscectomy have not been reported. Furthermore, patients with a favourable outcome score at follow-up may have deteriorated, but this only becomes evident when a change in score is considered. This implies that risk factors for deterioration and a "poor outcome" might be different.The aim of this prospective study was to evaluate the frequency and the predictors of "getting worse" in a cohort of 180 consecutive patients operated by microdiscectomy for lumbar disc herniation. Abstract A frequent concern among patients operated for lumbar disc herniation is the risk of "getting worse". To give an evidence-based estimate of the risk for worsening has been difficult, since previous studies have been more focused on unfavourable outcome in general, rather than on deterioration in particular. In this prospective study of 180 patients, we report the frequency of and the risk factors for getting worse after first time lumbar microdiscectomy. Follow-up time was 12 months. Primary outcome measure was the Oswestry disability index, assessing functional status and health-related quality of life. Of the patients 4% got worse. Independent risk factors of deterioration were a long duration of sick leave and a better functional status and quality of life prior to operation. We conclude that the risk of deterioration is small, but larger if the patient has been unable to work despite relatively small health problems. This study also demonstrates that changes in instrument scores should be reported, so that an accurate failure rate can be assessed.

show abstract

Section: Discussionsupporting

confidence: 87%

mentioning

confidence: 99%

The risk of ?getting worse? after lumbar microdiscectomy

et al. 2004

View full text Add to dashboard Cite

show abstract

“…The Swedish Spine Register, Swespine, presented elsewhere [11,12] contains patient administered pre-and postoperative data and surgeon completed surgical data.…”

Section: Methodsmentioning

confidence: 99%

Dural lesions in lumbar disc herniation surgery: incidence, risk factors, and outcome

2009

Self Cite

View full text Add to dashboard Cite

In lumbar disc herniation surgery, dural lesions seem to be the most common complication today. Studies on incidence of and outcome after a dural lesion are mainly based on retrospective studies. In a prospective study within the framework of the Swedish Spine Register, 4,173 patients operated on for lumbar disc herniation were evaluated using pre-and 1-year postoperative protocols and complication registration. Mean patient age was 41 (18-81) years and 53% of the patients were male. 93% of the operations were performed on the two lowermost lumbar levels. The incidence of dural lesions in the material was 2.7%. In patients with previous disc surgery, the incidence was doubled, 5%, a significant increase (P = 0.02). Patients with dural lesions preoperatively had more back pain and inferior scores in general health and role emotional domains of the SF-36. These factors, however, were because they had been operated on previously, not related to the dural lesion as such. The relative improvement after surgery was similar whether a dural lesion had occurred or not. It is concluded that a dural lesion is a technical complication which must be solved at the time of surgery but which does not bear any negative implications on the long-term outcome for the patient.

show abstract

“…[16,27,28,46,59,61,62,76], and also as outcome instrument in National Quality Registers of spine surgery, e.g. [38,64,65].…”

Section: Preference-based Health Profile Instrumentsmentioning

confidence: 99%

“…Since several years, the SF-36 is used for assessments in the Swedish national register for lumbar spine surgery [64,65]. It has been shown to be useful in describing different diagnostic profiles in persons operated on for lumbar spine disorders [78].…”

mentioning

confidence: 99%

Health related quality of life outcome instruments

Németh

2005

Eur Spine J

View full text Add to dashboard Cite

The Swedish National Register for Lumbar Spine Surgery: Swedish Society for Spinal Surgery

Cited by 72 publications

References 14 publications

The risk of ?getting worse? after lumbar microdiscectomy

The risk of ?getting worse? after lumbar microdiscectomy

Dural lesions in lumbar disc herniation surgery: incidence, risk factors, and outcome

Health related quality of life outcome instruments

Contact Info

Product

Resources

About