dc.contributor.author | Andersen, Mikkel Østerheden | |
dc.contributor.author | Fritzell, Peter | |
dc.contributor.author | Eiskjær, Søren Peter | |
dc.contributor.author | Lagerbäck, Tobias | |
dc.contributor.author | Hägg, Olle | |
dc.contributor.author | Nordvall, Dennis | |
dc.contributor.author | Lønne, Greger | |
dc.contributor.author | Solberg, Tore | |
dc.contributor.author | Jacobs, Wilco | |
dc.contributor.author | van Hooff, Miranda | |
dc.contributor.author | Gerdhem, Paul | |
dc.contributor.author | Gehrchen, Martin | |
dc.date.accessioned | 2020-06-03T13:08:03Z | |
dc.date.available | 2020-06-03T13:08:03Z | |
dc.date.created | 2020-01-15T15:12:40Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Global Spine Journal. 2019, 9 (8), 850-858. | en_US |
dc.identifier.issn | 2192-5682 | |
dc.identifier.uri | https://hdl.handle.net/11250/2656410 | |
dc.description.abstract | Abstract
Study Design: Observational study of prospectively collected data.
Objectives: Patients with chronic low back pain resistant to nonoperative treatment often face a poor prognosis for recovery.
The aim of the current study was to compare the variation and outcome of surgical treatment of degenerative disc disease in the
Scandinavian countries based on The International Consortium for Health Outcomes Measurement core spine data sets.
Methods: Anonymized individual level data from 3 national registers were pooled into 1 database. At the time of surgery, the
patient reports data on demographics, lifestyle topics, comorbidity, and data on health-related quality of life such as Oswestry
Disability Index, Euro-Qol-5D, and back and leg pain scores. The surgeon records diagnosis, type of surgery performed, and
complications. One-year follow-ups are obtained with questionnaires. Baseline and 1-year follow-up data were analyzed to
expose any differences between the countries.
Results: A total of 1893 patients were included. At 1-year follow-up, 1315 (72%) patients responded. There were statistically
significant baseline differences in age, smoking, comorbidity, frequency of previous surgery and intensity of back and leg pain.
Isolated fusion was the primary procedure in all the countries ranging from 84% in Denmark to 76% in Sweden. There was
clinically relevant improvement in all outcome measures except leg pain.
Conclusions: In homogenous populations with similar health care systems the treatment traditions can vary considerably. Despite
variations in preoperative variables, patient reported outcomes improve significantly and clinically relevant with surgical treatment. | en_US |
dc.description.sponsorship | The author(s) received no financial support for the research, authorship, and/or publication of this article. | en_US |
dc.language.iso | eng | en_US |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/deed.no | * |
dc.subject | degenerative disc disease; | en_US |
dc.subject | degenerative, | en_US |
dc.subject | fusion, | en_US |
dc.subject | lumbar interbody fusion, | en_US |
dc.subject | disc replacement | en_US |
dc.title | Surgical Treatment of Degenerative Disk Disease in Three Scandinavian Countries: An International Register Study Based on Three Merged National Spine Registers | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © The Author(s) 2019.
Creative Commons Non Commercial No Derivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-Non
Commercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of
the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open
Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). | en_US |
dc.source.pagenumber | 850-858 | en_US |
dc.source.volume | 9 | en_US |
dc.source.journal | Global Spine Journal | en_US |
dc.source.issue | 8 | en_US |
dc.identifier.doi | 10.1177/2192568219838535 | |
dc.identifier.cristin | 1774081 | |
cristin.unitcode | 1991,6,0,0 | |
cristin.unitname | Div Lillehammer | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |