INCIDENCE OF SUBSEQUENT LUMBAR SURGERY FOLLOWING POSTERIOR LUMBAR FUSION
Author(s)
Corso KA1, Etter K2, Menzie AM3, Bhattacharyya S3, Pracyk JB4
1Johnson & Johnson, New Brunswick, NJ, USA, 2Johnson & Johnson Medical Devices, Raynham, MA, USA, 3DePuy Synthes, Inc., Raynham, MA, USA, 4Johnson & Johnson, Raynham, MA, USA
OBJECTIVES A procedural revision is a common event after an index posterior lumbar spinal fusion (PSF). However, there is little evidence on the characterization of any subsequent lumbar surgeries following index PSF. This study evaluates the incidence of and potential influencing factors associated with subsequent surgeries in the lumbar spine (SSLS) following PSF. METHODS Patients with ICD-9/10 codes for PSF of 1-2 spinal levels were identified in the Premier Healthcare Database®, 2013-2016. Patients were required to be from hospitals that continuously contributed data to the database for at least one year after index PSF. Patients’ demographics as well as clinical, procedural, hospital, and provider characteristics were collected and analyzed. The incidence of any SSLS within one year after PSF was estimated. Potential factors associated with SSLS were evaluated using logistic regression. RESULTS CONCLUSIONS Following PSF of 1-2 levels, most patients returning for SSLS undergo the same procedure as the index surgery. A combination of hospital and patient factors are associated with odds of SSLS.
Conference/Value in Health Info
2018-05, ISPOR 2018, Baltimore, MD, USA
Value in Health, Vol. 21, S1 (May 2018)
Code
PHP116
Topic
Epidemiology & Public Health
Disease
Multiple Diseases