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)
(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.
(Less)
- author
- Strömqvist, Fredrik LU ; Strömqvist, Björn LU ; Jönsson, Bo LU and Karlsson, Magnus K. LU
- organization
- publishing date
- 2016-07-05
- 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
- pmid:27391663
- wos:000387526300014
- 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
- 2024-10-04 23:27:00
@article{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 = {{Taylor & Francis}},
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}},
doi = {{10.1080/17453674.2016.1205173}},
volume = {{87}},
year = {{2016}},
}