Revision Rate After Adult Deformity Surgery
Study Design Epidemiological study. Purpose To establish the revision rate of adult spinal deformity surgery. Summary of Background Data Historically, surgical treatment of adult spinal deformity was limited by inadequate correction and high complication rates. More recently, improved techniques hav...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Glassman, Steven D. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Schlagwörter: |
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| Anmerkung: |
© Scoliosis Research Society 2015 |
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| Übergeordnetes Werk: |
Enthalten in: Spine deformity - Amsterdam [u.a.] : Elsevier, 2013, 3(2015), 2 vom: März, Seite 199-203 |
|---|---|
| Übergeordnetes Werk: |
volume:3 ; year:2015 ; number:2 ; month:03 ; pages:199-203 |
| Links: |
|---|
| DOI / URN: |
10.1016/j.jspd.2014.08.005 |
|---|
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SPR038868407 |
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| 520 | |a Study Design Epidemiological study. Purpose To establish the revision rate of adult spinal deformity surgery. Summary of Background Data Historically, surgical treatment of adult spinal deformity was limited by inadequate correction and high complication rates. More recently, improved techniques have produced more consistent clinical benefit. However, the need for revision surgery remains a persistent and inadequately defined problem. Methods Patients who had multilevel spinal fusion for adult spinal deformity were identified from a national insurance database containing private payer and Medicare records using International Classification of Diseases, Ninth Revision or Current Procedural Terminology codes from 2005 to 2011. Revision procedures were identified based on codes for spinal instrumentation and fusion. Results The Medicare sample included 1,879 patients (1,329 females and 550 males). The revision rate in this cohort was 6% in Year 1 postoperatively, 6% in Year 2, 4% in Year 3, and 3% in Year 4, for a cumulative 19% revision rate. In the private payer database, 803 patients (559 females and 244 males) were identified. Revision rate was 10% in Year 1 postoperatively, 3% in Year 2, 2% in Year 3, and 1% in Year 4, for a cumulative 16% revision rate. Pooling the databases yielded an overall 18% revision rate at 4 years postoperatively. Fewer revisions were noted at 1 year postoperatively in the Medicare sample and the 1-year revision rate was inversely proportional to age across the entire cohort. The revision rate equalized across age groups over time such that no differences were seen at 4 years postoperatively. Conclusions The value of an intervention depends on efficacy, safety, and durability. Despite improvements in technique and clinical outcome, an 18% revision rate at 4 years postoperatively is not sustainable from either a clinical or an economic standpoint. This study establishes a benchmark for the critical effort that is needed to reduce the revision rate in adult spinal deformity surgery. | ||
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10.1016/j.jspd.2014.08.005 doi (DE-627)SPR038868407 (SPR)j.jspd.2014.08.005-e DE-627 ger DE-627 rakwb eng Glassman, Steven D. verfasserin aut Revision Rate After Adult Deformity Surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2015 Study Design Epidemiological study. Purpose To establish the revision rate of adult spinal deformity surgery. Summary of Background Data Historically, surgical treatment of adult spinal deformity was limited by inadequate correction and high complication rates. More recently, improved techniques have produced more consistent clinical benefit. However, the need for revision surgery remains a persistent and inadequately defined problem. Methods Patients who had multilevel spinal fusion for adult spinal deformity were identified from a national insurance database containing private payer and Medicare records using International Classification of Diseases, Ninth Revision or Current Procedural Terminology codes from 2005 to 2011. Revision procedures were identified based on codes for spinal instrumentation and fusion. Results The Medicare sample included 1,879 patients (1,329 females and 550 males). The revision rate in this cohort was 6% in Year 1 postoperatively, 6% in Year 2, 4% in Year 3, and 3% in Year 4, for a cumulative 19% revision rate. In the private payer database, 803 patients (559 females and 244 males) were identified. Revision rate was 10% in Year 1 postoperatively, 3% in Year 2, 2% in Year 3, and 1% in Year 4, for a cumulative 16% revision rate. Pooling the databases yielded an overall 18% revision rate at 4 years postoperatively. Fewer revisions were noted at 1 year postoperatively in the Medicare sample and the 1-year revision rate was inversely proportional to age across the entire cohort. The revision rate equalized across age groups over time such that no differences were seen at 4 years postoperatively. Conclusions The value of an intervention depends on efficacy, safety, and durability. Despite improvements in technique and clinical outcome, an 18% revision rate at 4 years postoperatively is not sustainable from either a clinical or an economic standpoint. This study establishes a benchmark for the critical effort that is needed to reduce the revision rate in adult spinal deformity surgery. Adult spinal deformity (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Revisions (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Dimar, John R. aut Carreon, Leah Y. aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 3(2015), 2 vom: März, Seite 199-203 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:3 year:2015 number:2 month:03 pages:199-203 https://dx.doi.org/10.1016/j.jspd.2014.08.005 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2190 GBV_ILN_2336 AR 3 2015 2 03 199-203 |
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10.1016/j.jspd.2014.08.005 doi (DE-627)SPR038868407 (SPR)j.jspd.2014.08.005-e DE-627 ger DE-627 rakwb eng Glassman, Steven D. verfasserin aut Revision Rate After Adult Deformity Surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2015 Study Design Epidemiological study. Purpose To establish the revision rate of adult spinal deformity surgery. Summary of Background Data Historically, surgical treatment of adult spinal deformity was limited by inadequate correction and high complication rates. More recently, improved techniques have produced more consistent clinical benefit. However, the need for revision surgery remains a persistent and inadequately defined problem. Methods Patients who had multilevel spinal fusion for adult spinal deformity were identified from a national insurance database containing private payer and Medicare records using International Classification of Diseases, Ninth Revision or Current Procedural Terminology codes from 2005 to 2011. Revision procedures were identified based on codes for spinal instrumentation and fusion. Results The Medicare sample included 1,879 patients (1,329 females and 550 males). The revision rate in this cohort was 6% in Year 1 postoperatively, 6% in Year 2, 4% in Year 3, and 3% in Year 4, for a cumulative 19% revision rate. In the private payer database, 803 patients (559 females and 244 males) were identified. Revision rate was 10% in Year 1 postoperatively, 3% in Year 2, 2% in Year 3, and 1% in Year 4, for a cumulative 16% revision rate. Pooling the databases yielded an overall 18% revision rate at 4 years postoperatively. Fewer revisions were noted at 1 year postoperatively in the Medicare sample and the 1-year revision rate was inversely proportional to age across the entire cohort. The revision rate equalized across age groups over time such that no differences were seen at 4 years postoperatively. Conclusions The value of an intervention depends on efficacy, safety, and durability. Despite improvements in technique and clinical outcome, an 18% revision rate at 4 years postoperatively is not sustainable from either a clinical or an economic standpoint. This study establishes a benchmark for the critical effort that is needed to reduce the revision rate in adult spinal deformity surgery. Adult spinal deformity (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Revisions (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Dimar, John R. aut Carreon, Leah Y. aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 3(2015), 2 vom: März, Seite 199-203 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:3 year:2015 number:2 month:03 pages:199-203 https://dx.doi.org/10.1016/j.jspd.2014.08.005 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2190 GBV_ILN_2336 AR 3 2015 2 03 199-203 |
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10.1016/j.jspd.2014.08.005 doi (DE-627)SPR038868407 (SPR)j.jspd.2014.08.005-e DE-627 ger DE-627 rakwb eng Glassman, Steven D. verfasserin aut Revision Rate After Adult Deformity Surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2015 Study Design Epidemiological study. Purpose To establish the revision rate of adult spinal deformity surgery. Summary of Background Data Historically, surgical treatment of adult spinal deformity was limited by inadequate correction and high complication rates. More recently, improved techniques have produced more consistent clinical benefit. However, the need for revision surgery remains a persistent and inadequately defined problem. Methods Patients who had multilevel spinal fusion for adult spinal deformity were identified from a national insurance database containing private payer and Medicare records using International Classification of Diseases, Ninth Revision or Current Procedural Terminology codes from 2005 to 2011. Revision procedures were identified based on codes for spinal instrumentation and fusion. Results The Medicare sample included 1,879 patients (1,329 females and 550 males). The revision rate in this cohort was 6% in Year 1 postoperatively, 6% in Year 2, 4% in Year 3, and 3% in Year 4, for a cumulative 19% revision rate. In the private payer database, 803 patients (559 females and 244 males) were identified. Revision rate was 10% in Year 1 postoperatively, 3% in Year 2, 2% in Year 3, and 1% in Year 4, for a cumulative 16% revision rate. Pooling the databases yielded an overall 18% revision rate at 4 years postoperatively. Fewer revisions were noted at 1 year postoperatively in the Medicare sample and the 1-year revision rate was inversely proportional to age across the entire cohort. The revision rate equalized across age groups over time such that no differences were seen at 4 years postoperatively. Conclusions The value of an intervention depends on efficacy, safety, and durability. Despite improvements in technique and clinical outcome, an 18% revision rate at 4 years postoperatively is not sustainable from either a clinical or an economic standpoint. This study establishes a benchmark for the critical effort that is needed to reduce the revision rate in adult spinal deformity surgery. Adult spinal deformity (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Revisions (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Dimar, John R. aut Carreon, Leah Y. aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 3(2015), 2 vom: März, Seite 199-203 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:3 year:2015 number:2 month:03 pages:199-203 https://dx.doi.org/10.1016/j.jspd.2014.08.005 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2190 GBV_ILN_2336 AR 3 2015 2 03 199-203 |
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10.1016/j.jspd.2014.08.005 doi (DE-627)SPR038868407 (SPR)j.jspd.2014.08.005-e DE-627 ger DE-627 rakwb eng Glassman, Steven D. verfasserin aut Revision Rate After Adult Deformity Surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2015 Study Design Epidemiological study. Purpose To establish the revision rate of adult spinal deformity surgery. Summary of Background Data Historically, surgical treatment of adult spinal deformity was limited by inadequate correction and high complication rates. More recently, improved techniques have produced more consistent clinical benefit. However, the need for revision surgery remains a persistent and inadequately defined problem. Methods Patients who had multilevel spinal fusion for adult spinal deformity were identified from a national insurance database containing private payer and Medicare records using International Classification of Diseases, Ninth Revision or Current Procedural Terminology codes from 2005 to 2011. Revision procedures were identified based on codes for spinal instrumentation and fusion. Results The Medicare sample included 1,879 patients (1,329 females and 550 males). The revision rate in this cohort was 6% in Year 1 postoperatively, 6% in Year 2, 4% in Year 3, and 3% in Year 4, for a cumulative 19% revision rate. In the private payer database, 803 patients (559 females and 244 males) were identified. Revision rate was 10% in Year 1 postoperatively, 3% in Year 2, 2% in Year 3, and 1% in Year 4, for a cumulative 16% revision rate. Pooling the databases yielded an overall 18% revision rate at 4 years postoperatively. Fewer revisions were noted at 1 year postoperatively in the Medicare sample and the 1-year revision rate was inversely proportional to age across the entire cohort. The revision rate equalized across age groups over time such that no differences were seen at 4 years postoperatively. Conclusions The value of an intervention depends on efficacy, safety, and durability. Despite improvements in technique and clinical outcome, an 18% revision rate at 4 years postoperatively is not sustainable from either a clinical or an economic standpoint. This study establishes a benchmark for the critical effort that is needed to reduce the revision rate in adult spinal deformity surgery. Adult spinal deformity (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Revisions (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Dimar, John R. aut Carreon, Leah Y. aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 3(2015), 2 vom: März, Seite 199-203 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:3 year:2015 number:2 month:03 pages:199-203 https://dx.doi.org/10.1016/j.jspd.2014.08.005 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2190 GBV_ILN_2336 AR 3 2015 2 03 199-203 |
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10.1016/j.jspd.2014.08.005 doi (DE-627)SPR038868407 (SPR)j.jspd.2014.08.005-e DE-627 ger DE-627 rakwb eng Glassman, Steven D. verfasserin aut Revision Rate After Adult Deformity Surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2015 Study Design Epidemiological study. Purpose To establish the revision rate of adult spinal deformity surgery. Summary of Background Data Historically, surgical treatment of adult spinal deformity was limited by inadequate correction and high complication rates. More recently, improved techniques have produced more consistent clinical benefit. However, the need for revision surgery remains a persistent and inadequately defined problem. Methods Patients who had multilevel spinal fusion for adult spinal deformity were identified from a national insurance database containing private payer and Medicare records using International Classification of Diseases, Ninth Revision or Current Procedural Terminology codes from 2005 to 2011. Revision procedures were identified based on codes for spinal instrumentation and fusion. Results The Medicare sample included 1,879 patients (1,329 females and 550 males). The revision rate in this cohort was 6% in Year 1 postoperatively, 6% in Year 2, 4% in Year 3, and 3% in Year 4, for a cumulative 19% revision rate. In the private payer database, 803 patients (559 females and 244 males) were identified. Revision rate was 10% in Year 1 postoperatively, 3% in Year 2, 2% in Year 3, and 1% in Year 4, for a cumulative 16% revision rate. Pooling the databases yielded an overall 18% revision rate at 4 years postoperatively. Fewer revisions were noted at 1 year postoperatively in the Medicare sample and the 1-year revision rate was inversely proportional to age across the entire cohort. The revision rate equalized across age groups over time such that no differences were seen at 4 years postoperatively. Conclusions The value of an intervention depends on efficacy, safety, and durability. Despite improvements in technique and clinical outcome, an 18% revision rate at 4 years postoperatively is not sustainable from either a clinical or an economic standpoint. This study establishes a benchmark for the critical effort that is needed to reduce the revision rate in adult spinal deformity surgery. Adult spinal deformity (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Revisions (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Dimar, John R. aut Carreon, Leah Y. aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 3(2015), 2 vom: März, Seite 199-203 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:3 year:2015 number:2 month:03 pages:199-203 https://dx.doi.org/10.1016/j.jspd.2014.08.005 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2190 GBV_ILN_2336 AR 3 2015 2 03 199-203 |
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Revision Rate After Adult Deformity Surgery |
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Revision Rate After Adult Deformity Surgery |
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Glassman, Steven D. |
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Spine deformity |
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Glassman, Steven D. Dimar, John R. Carreon, Leah Y. |
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10.1016/j.jspd.2014.08.005 |
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revision rate after adult deformity surgery |
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Revision Rate After Adult Deformity Surgery |
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Study Design Epidemiological study. Purpose To establish the revision rate of adult spinal deformity surgery. Summary of Background Data Historically, surgical treatment of adult spinal deformity was limited by inadequate correction and high complication rates. More recently, improved techniques have produced more consistent clinical benefit. However, the need for revision surgery remains a persistent and inadequately defined problem. Methods Patients who had multilevel spinal fusion for adult spinal deformity were identified from a national insurance database containing private payer and Medicare records using International Classification of Diseases, Ninth Revision or Current Procedural Terminology codes from 2005 to 2011. Revision procedures were identified based on codes for spinal instrumentation and fusion. Results The Medicare sample included 1,879 patients (1,329 females and 550 males). The revision rate in this cohort was 6% in Year 1 postoperatively, 6% in Year 2, 4% in Year 3, and 3% in Year 4, for a cumulative 19% revision rate. In the private payer database, 803 patients (559 females and 244 males) were identified. Revision rate was 10% in Year 1 postoperatively, 3% in Year 2, 2% in Year 3, and 1% in Year 4, for a cumulative 16% revision rate. Pooling the databases yielded an overall 18% revision rate at 4 years postoperatively. Fewer revisions were noted at 1 year postoperatively in the Medicare sample and the 1-year revision rate was inversely proportional to age across the entire cohort. The revision rate equalized across age groups over time such that no differences were seen at 4 years postoperatively. Conclusions The value of an intervention depends on efficacy, safety, and durability. Despite improvements in technique and clinical outcome, an 18% revision rate at 4 years postoperatively is not sustainable from either a clinical or an economic standpoint. This study establishes a benchmark for the critical effort that is needed to reduce the revision rate in adult spinal deformity surgery. © Scoliosis Research Society 2015 |
| abstractGer |
Study Design Epidemiological study. Purpose To establish the revision rate of adult spinal deformity surgery. Summary of Background Data Historically, surgical treatment of adult spinal deformity was limited by inadequate correction and high complication rates. More recently, improved techniques have produced more consistent clinical benefit. However, the need for revision surgery remains a persistent and inadequately defined problem. Methods Patients who had multilevel spinal fusion for adult spinal deformity were identified from a national insurance database containing private payer and Medicare records using International Classification of Diseases, Ninth Revision or Current Procedural Terminology codes from 2005 to 2011. Revision procedures were identified based on codes for spinal instrumentation and fusion. Results The Medicare sample included 1,879 patients (1,329 females and 550 males). The revision rate in this cohort was 6% in Year 1 postoperatively, 6% in Year 2, 4% in Year 3, and 3% in Year 4, for a cumulative 19% revision rate. In the private payer database, 803 patients (559 females and 244 males) were identified. Revision rate was 10% in Year 1 postoperatively, 3% in Year 2, 2% in Year 3, and 1% in Year 4, for a cumulative 16% revision rate. Pooling the databases yielded an overall 18% revision rate at 4 years postoperatively. Fewer revisions were noted at 1 year postoperatively in the Medicare sample and the 1-year revision rate was inversely proportional to age across the entire cohort. The revision rate equalized across age groups over time such that no differences were seen at 4 years postoperatively. Conclusions The value of an intervention depends on efficacy, safety, and durability. Despite improvements in technique and clinical outcome, an 18% revision rate at 4 years postoperatively is not sustainable from either a clinical or an economic standpoint. This study establishes a benchmark for the critical effort that is needed to reduce the revision rate in adult spinal deformity surgery. © Scoliosis Research Society 2015 |
| abstract_unstemmed |
Study Design Epidemiological study. Purpose To establish the revision rate of adult spinal deformity surgery. Summary of Background Data Historically, surgical treatment of adult spinal deformity was limited by inadequate correction and high complication rates. More recently, improved techniques have produced more consistent clinical benefit. However, the need for revision surgery remains a persistent and inadequately defined problem. Methods Patients who had multilevel spinal fusion for adult spinal deformity were identified from a national insurance database containing private payer and Medicare records using International Classification of Diseases, Ninth Revision or Current Procedural Terminology codes from 2005 to 2011. Revision procedures were identified based on codes for spinal instrumentation and fusion. Results The Medicare sample included 1,879 patients (1,329 females and 550 males). The revision rate in this cohort was 6% in Year 1 postoperatively, 6% in Year 2, 4% in Year 3, and 3% in Year 4, for a cumulative 19% revision rate. In the private payer database, 803 patients (559 females and 244 males) were identified. Revision rate was 10% in Year 1 postoperatively, 3% in Year 2, 2% in Year 3, and 1% in Year 4, for a cumulative 16% revision rate. Pooling the databases yielded an overall 18% revision rate at 4 years postoperatively. Fewer revisions were noted at 1 year postoperatively in the Medicare sample and the 1-year revision rate was inversely proportional to age across the entire cohort. The revision rate equalized across age groups over time such that no differences were seen at 4 years postoperatively. Conclusions The value of an intervention depends on efficacy, safety, and durability. Despite improvements in technique and clinical outcome, an 18% revision rate at 4 years postoperatively is not sustainable from either a clinical or an economic standpoint. This study establishes a benchmark for the critical effort that is needed to reduce the revision rate in adult spinal deformity surgery. © Scoliosis Research Society 2015 |
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Revision Rate After Adult Deformity Surgery |
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