요추 추간판탈출증 환자의 초기 수술시점이 진료결과에 미치는 영향
The Effect of Timing of Primary Surgery on Outcomes of Lumbar Herniated Intervertebral Disc
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초록
This study was conducted to investigate the effect of timing of surgery on outcomes of spine operated patients for lumbar herniated intervertebral disc. The research design was cohort study and based on the data of claims for the medical expenses of health insurance. 21,475 cases who had primary spine surgery between January 1, and December 31, 2003, observed to conservative treatment period in the past two years from preoperative primary diagnosis to timing of primary surgery. According to one and five year follow up monitoring, the probability of occurrence of reoperation was not statistically significant with preoperative duration of symptom. Also one year follow up, the probability of occurrence of complication, was not statistically significant with preoperative duration of symptom. But five year follow up, groups who had one to two month preoperative duration of symptom decreased complication rate than less than a month(95%CI:0.594-0.927). Thus, from the onset of symptoms of back pain before primary surgery with enough and adequate time observation is required. Also, medical consumers or providers to choose surgery in determining prudence is required.
Abstract
This study was conducted to investigate the effect of timing of surgery on outcomes of spine operated patients for lumbar herniated intervertebral disc. The research design was cohort study and based on the data of claims for the medical expenses of health insurance. 21,475 cases who had primary spine surgery between January 1, and December 31, 2003, observed to conservative treatment period in the past two years from preoperative primary diagnosis to timing of primary surgery. According to one and five year follow up monitoring, the probability of occurrence of reoperation was not statistically significant with preoperative duration of symptom. Also one year follow up, the probability of occurrence of complication, was not statistically significant with preoperative duration of symptom. But five year follow up, groups who had one to two month preoperative duration of symptom decreased complication rate than less than a month(95%CI:0.594-0.927). Thus, from the onset of symptoms of back pain before primary surgery with enough and adequate time observation is required. Also, medical consumers or providers to choose surgery in determining prudence is required.
참고문헌 (25)
- CBS Nocut News, "The center of our bodies 'shaken spine'", 2011.11.20, ~ (2011)
- S. I. Suk, "Spine Surgery", pp.191~ (2004), Newest Medicine Company
- S. K. Mirza., "Towards Standardized Measurement of Adverse Events in Spine Surgery: Conceptual Model and Pilot Evaluation", Bio Med Central Musculoskelet Disorders, 20(7), pp.53~ (2006)
- A. Häkkinen., "Reoperations after First Lumbar Disc Herniation Surgery; A Special Interest on Residives During a 5-year Follow-up", Bio Med Central Musculoskelet Disorders, 8(2), pp.1~6 (2007)
- J. A. Rihn., "Duration of Symptoms Resulting from Lumbar Disc Herniation : Effect on Treatment Outcomes : Analysis of the Spine Patient Outcomes Research Trial(SPORT), The Journal of Bone and Joint Surgery", American volume, 93(20), pp.1906~1914 (2011)
- L. C. Ng., "Predictive Value of the Duration of Sciatica for Lumbar Discectomy : A Prospective Cohort Study, The Journal of Bone and Joint Surgery", British volume, 86, pp.546~549 (2004)
- 이영호, "한국인 류마티스관절염 환자의 특성-단일 기관 코호트연구", 대한류마티스학회지, 16(4), pp.261~263 (2009), 대한류마티스학회
- S. S. Bederman., "The Who, What and When of Surgery for the Degenerative Lumbar Spine : a Population-based Study of Surgeon Factors, Surgical Procedures, Recent Trends and Reoperation Rates", Canadian Journal of Surgery, 52(4), pp.283~290 (2009)
- Y. Nohara., "Nationwide survey on complications of spine surgery in Japan", Journal of Orthopaedic Science, 9, pp.424~433 (2004)
- R. Akagi., "Comparison of Early and Late Surgical Intervention for Lumbar Disc Herniation : is Earlier Better?", Journal of Orthopaedic Science, 15(3), pp.294~298 (2010)
- Y. Folman., "Late Results of Surgery for Herniated Lumbar Disk as Related to Duration of Preoperative Symptoms and Type of Herniation", Surgical Neurology, 70, pp.398~401 (2008)
- J. Dvorak., "The Outcome of Surgery for Lumbar Disc Herniation : I. A 4-17 Years' Follow-up with Emphasis on Somatic Aspects", Spine, 13(12), pp.1418~1422 (1988)
- P. M. Trief., "A Prospective Study of Psychological Predictors of Lumbar Surgery Outcome", Spine, 25(20), pp.2616~2621 (2000)
- C. Fisher., "Outcome Evaluation of the Operative Management of Lumbar Disc Herniation Causing Sciatica", Journal of Neurosurgery, 100, pp.317~324 (2004)
- "Guidelines for lumbar fusion(arthrodesis)" (2002)[URL]
- H. Nakagawa., "Uchiyama S, Miyasaka T. Optimal Duration of Conservative Treatment for Lumbar Disc Herniation Depending on the Type of Herniation", Journal of Neuroscience, 14(2), pp.104~109 (2007)
- J. N. Weinstein., "Surgical vs Nonoperative Treatment for Lumbar Disk Herniation : The Spine Patient Outcomes Research Trial(SPORT) : A Randomized Trial", Journal of the American Medical Association, 296(20), pp.2441~2450 (2006)
- O. P. Nygaard., "Duration of Symptoms as a Predictor of Outcome After Lumbar Disc Surgery", Acta Neurochirurgica(Wien), 128(1-4), pp.53~56 (1994)
- A. Nachemson, "Intradiscal Measurements of pH in Patients with Lumbar Rhizopathies", Acta Orthopaedica Scandinavica, 40(1), pp.23~42 (1969)
- B. I. Martin., "Reoperation Rates Following Lumbar Spine Surgery and the Influence of Spinal Fusion Procedures", Spine, 32(3), pp.382~387 (2007)
- A. D. Malter., "5-year Reoperation Rates After Different Types of Lumbar Spine Surgery", Spine, 23(7), pp.814~820 (1998)
- M. J. Lee., "Risk Factors for Medical Complication after Lumbar Spine Surgery : A Multivariate Analysis of 767 Patients", Spine, 36(21), pp.1801~1806 (2011)
- R. A. Deyo., "Trends and Variations in the Use of Spine Surgery", Clinical Orthopaedics and Related Research, 443, pp.139~146 (2006)
- 배성권, "기독선교병원의 사회봉사활동이미지 요인이 입원 및 외래환자의 병원만족도에 미치는 영향 : K병원을 중심으로", 보건의료산업학회지, 7(4), pp.179~190 (2013), 보건의료산업학회
- 서정교, "대전지역 대학병원의 서비스 품질이 전반적인 병원 서비스 만족에 미치는 영향", 보건의료산업학회지, 7(4), pp.93~103 (2013), 보건의료산업학회