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The outcome of lumbar disc herniation surgery is worse in old adults than in young adults : A study of 14,090 individuals in the Swedish Spine Surgery Register (SweSpine)

Strömqvist, Fredrik LU ; Strömqvist, Björn LU ; Jönsson, Bo LU and Karlsson, Magnus K. LU (2016) In Acta Orthopaedica 87(5). p.516-521
Abstract

Background and purpose — The outcome of surgical treatment of lumbar disc herniation (LDH) has been thoroughly evaluated in middle-aged patients, but less so in elderly patients. Patients and methods — With validated patient-reported outcome measures (PROMs) and using SweSpine (the national Swedish Spine Surgery Register), we analyzed the preoperative clinical status of LDH patients and the 1-year postoperative outcome of LDH surgery performed over the period 2000–2012. We included 1,250 elderly patients (≥ 65 years of age) and 12,840 young and middle-aged patients (aged 20–64). Results — Generally speaking, elderly patients were referred for LDH surgery with worse PROM scores than young and middle-aged patients, they improved less by... (More)

Background and purpose — The outcome of surgical treatment of lumbar disc herniation (LDH) has been thoroughly evaluated in middle-aged patients, but less so in elderly patients. Patients and methods — With validated patient-reported outcome measures (PROMs) and using SweSpine (the national Swedish Spine Surgery Register), we analyzed the preoperative clinical status of LDH patients and the 1-year postoperative outcome of LDH surgery performed over the period 2000–2012. We included 1,250 elderly patients (≥ 65 years of age) and 12,840 young and middle-aged patients (aged 20–64). Results — Generally speaking, elderly patients were referred for LDH surgery with worse PROM scores than young and middle-aged patients, they improved less by surgery, they experienced more complications, they had inferior 1-year postoperative PROM scores, and they were less satisfied with the outcome (with all differences being statistically significant). Interpretation — Elderly patients appear to have a worse postoperative outcome after LDH surgery than young and middle-aged patients, they are referred to surgery with inferior clinical status, and they improve less after the surgery.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
87
issue
5
pages
6 pages
publisher
Taylor & Francis
external identifiers
  • Scopus:84978121141
ISSN
1745-3674
DOI
10.1080/17453674.2016.1205173
language
English
LU publication?
yes
id
fc81b422-4d06-4b08-9bd7-e9fa8cdef855
date added to LUP
2016-07-25 13:04:03
date last changed
2016-11-11 08:46:21
@misc{fc81b422-4d06-4b08-9bd7-e9fa8cdef855,
  abstract     = {<p>Background and purpose — The outcome of surgical treatment of lumbar disc herniation (LDH) has been thoroughly evaluated in middle-aged patients, but less so in elderly patients. Patients and methods — With validated patient-reported outcome measures (PROMs) and using SweSpine (the national Swedish Spine Surgery Register), we analyzed the preoperative clinical status of LDH patients and the 1-year postoperative outcome of LDH surgery performed over the period 2000–2012. We included 1,250 elderly patients (≥ 65 years of age) and 12,840 young and middle-aged patients (aged 20–64). Results — Generally speaking, elderly patients were referred for LDH surgery with worse PROM scores than young and middle-aged patients, they improved less by surgery, they experienced more complications, they had inferior 1-year postoperative PROM scores, and they were less satisfied with the outcome (with all differences being statistically significant). Interpretation — Elderly patients appear to have a worse postoperative outcome after LDH surgery than young and middle-aged patients, they are referred to surgery with inferior clinical status, and they improve less after the surgery.</p>},
  author       = {Strömqvist, Fredrik and Strömqvist, Björn and Jönsson, Bo and Karlsson, Magnus K.},
  issn         = {1745-3674},
  language     = {eng},
  month        = {07},
  number       = {5},
  pages        = {516--521},
  publisher    = {ARRAY(0x9dee0c8)},
  series       = {Acta Orthopaedica},
  title        = {The outcome of lumbar disc herniation surgery is worse in old adults than in young adults : A study of 14,090 individuals in the Swedish Spine Surgery Register (SweSpine)},
  url          = {http://dx.doi.org/10.1080/17453674.2016.1205173},
  volume       = {87},
  year         = {2016},
}