Lumbar spinal stenosis surgery rates vary by race

Lumbar spinal stenosis surgery rates vary by race

(HealthDay)—Rates of hospitalization for lumbar spinal stenosis surgery vary significantly by race and ethnic group, according to a study published in the Dec. 15 issue of Spine.

Richard L. Skolasky, Sc.D., from Johns Hopkins University in Baltimore, and colleagues utilized data from the Nationwide Inpatient Sample and U.S. Census to calculate associations between race and ethnicity and the rates of surgical hospitalization for lumbar spinal stenosis. Adjustments for age, sex, insurance, income status, , and comorbidities were made to all models.

The researchers found that, from 2000 through 2009, the overall surgical hospitalization rate for increased by 30 percent, with surgical hospitalization rates varying substantially across racial and ethnic groups. White, non-Hispanics had the highest rate (1.074 per 1,000) in 2009, compared with black, non-Hispanics (0.558 per 1,000) and Hispanics (0.339 per 1,000). These differences were seen across time.

"Possible causes were (1) differences in clinical decision making among spine care providers with regard to offering to minority populations; (2) differences in access to care because of financial, educational, or geographical barriers; and (3) differences in attitudes toward surgical care among those of different racial and ," the authors write.

Relevant financial activities outside the submitted work were disclosed: board membership,
grants, patents, royalties, stocks.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Racial disparities exist in outcomes of spinal surgery

date Jun 18, 2013

(HealthDay)—The rate of complications, length of stay, and costs associated with surgery for lumbar spinal stenosis differ for African-American patients compared with white patients, according to research ...

Updated guidelines available for lumbar spinal stenosis

date Aug 08, 2013

(HealthDay)—Updated evidence-based guidelines on the diagnosis and treatment of degenerative lumbar spinal stenosis are now available, according to report published in the July issue of The Spine Journal.

Post-op health care costs up for former, current smokers

date Jan 07, 2014

(HealthDay)—Health care costs in the year following discharge for an inpatient surgical procedure are increased for former and current smokers, compared with never smokers, although there are no differences ...

Recommended for you

School scoliosis screening has sustained effectiveness

date 29 minutes ago

(HealthDay)—School scoliosis screening can have sustained clinical effectiveness in identifying patients with adolescent idiopathic scoliosis, according to a study published in the May 1 issue of The Sp ...

Lean six sigma approach ups quality of hip replacement Sx

date 59 minutes ago

(HealthDay)—The Lean Six Sigma approach can be implemented to improve quality of care and reduce costs in prosthetic hip replacement surgery, according to a study published online May 11 in the Journal of ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.