Lumbar Spine Surgery and Mortality Among Medicare Beneficiaries, 1986

Overview

Journal Am J Public Health

Specialty Public Health

Date 1994 Aug 1

PMID 8059888

Citations 26

Authors

N B Oldridge

Z Yuan

J E STOLL

A R Rimm

Affiliations

Soon will be listed here.

Abstract

Objectives: The purpose of this study was to compare lumbar spine surgical procedures by age, gender, and number of comorbidities with respect to mortality in patients 65 years of age and older in the United States.

Methods: A 100% sample of the 1986 Medicare inpatient Health Care Financing Administration claims files databases involving lumbar spine surgical procedures was analyzed.

Results: Lumbar spine surgery in 34,418 patients (median age = 71 years) was associated with a significant increase in in-hospital and 1-year cumulative mortality only beyond 80 years of age. When adjusted for age, in-hospital and 1-year cumulative mortality with both decompression and excision procedures were significantly higher in men than in women. When adjusted for both age and gender, mortality increased significantly as the number of comorbidities increased.

Conclusions: With lumbar spine surgery in elderly patients, mortality did not significantly increase until 80 years of age and was consistently associated with decompression and excision, with male gender, and with an increase in number of comorbidities.

Citing Articles

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Mortality in patients older than 65 years undergoing surgery for degenerative lumbar spine disease: a comparison with the general population.

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Comparative Study of Post-Surgical Outcomes in Pain, Disability, and Health-Related Quality of Life for Adult Spinal Deformity in Patients Aged above and below 75 Years.

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Perioperative risk factors related to complications of lumbar spine fusion surgery in elderly patients.

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Age - Does it really count? A study of the Perioperative Morbidity and Long-Term Outcome in Patients Above 70 Years of Age Undergoing Spine surgery for Lumbar Degenerative Disorders.

Palliyil N, Shah S, Rai R, Dalvie S, Monteiro J Rev Bras Ortop (Sao Paulo). 2020; 55(3):298-303.

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