Ethnic, socioeconomic factors impact scoliosis tx, outcome

March 2, 2013
Ethnic, socioeconomic factors impact scoliosis tx, outcome
For hospitalized patients with idiopathic scoliosis, ethnic and socioeconomic variables influence treatment and outcomes, according to a study published in the February issue of The Spine Journal.

(HealthDay)—For hospitalized patients with idiopathic scoliosis, ethnic and socioeconomic variables influence treatment and outcomes, according to a study published in the February issue of The Spine Journal.

Miriam Nuño, Ph.D., from the Cedars-Sinai Medical Center in Los Angeles, and colleagues assessed potential disparities in the selection of treatments and outcomes using administrative data from the nationwide inpatient sample from 1998 to 2007 for patients with idiopathic scoliosis. Cases included 9,077 patients treated surgically and 1,098 treated nonsurgically.

In univariate analysis, the researchers found that patient- and hospital-level variables correlated strongly with surgical versus and outcomes. In multivariate analysis, even after adjustment for comorbidities, Caucasians and patients with private insurance were significantly more likely to undergo surgical treatment. Compared with non-Caucasians, Caucasians had a significantly reduced risk of non-routine discharge. The surgery rates were higher (P = 0.08) and mortality risks were significantly lower in large hospitals compared to small- or medium-sized facilities. Large more commonly admitted Caucasians (65.1 percent) than African-American (59.8 percent) or (41.8 percent)

"This study captures trends in the selection of surgical and nonsurgical treatments for idiopathic scoliosis patients during a nine-year period in the United States and identified disparities in the surgical treatment and outcomes for hospitalized scoliosis patients based on ethnic and socioeconomic variables," the authors write.

One author disclosed to the medical technology industry.

Explore further: InteguSeal does not reduce scoliosis surgery infections

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

Related Stories

InteguSeal does not reduce scoliosis surgery infections

July 26, 2012
(HealthDay) -- Preoperative cyanoacrylate sealant (InteguSeal) application does not reduce the risk of surgical site infection for patients undergoing scoliosis surgery, according to a study published online July 18 in Spine.

Study supports costoplasty for rib hump deformity correction

October 10, 2012
(HealthDay)—In the treatment of adolescent idiopathic scoliosis, the addition of costoplasty to pedicle screws and vertebral derotation may significantly improve correction of the rib hump deformity compared with pedicle ...

Similar outcomes of surgical vs. nonsurgical treatment for cervical spine fracture

May 16, 2012
For older adults with "C2" fractures of the upper (cervical) spine, surgery and nonsurgical treatment provide similar short- and long-term outcomes, reports a study in the May issue of Neurosurgery, official journal of the ...

Recommended for you

New long-acting approach for malaria therapy developed

January 22, 2018
A new study, published in Nature Communications, conducted by the University of Liverpool and the Johns Hopkins University School of Medicine highlights a new 'long acting' medicine for the prevention of malaria.

Virus shown to be likely cause of mystery polio-like illness

January 22, 2018
A major review by UNSW researchers has identified strong evidence that a virus called Enterovirus D68 is the cause of a mystery polio-like illness that has paralysed children in the US, Canada and Europe.

Creation of synthetic horsepox virus could lead to more effective smallpox vaccine

January 19, 2018
UAlberta researchers created a new synthetic virus that could lead to the development of a more effective vaccine against smallpox. The discovery demonstrates how techniques based on the use of synthetic DNA can be used to ...

Study ends debate over role of steroids in treating septic shock

January 19, 2018
The results from the largest ever study of septic shock could improve treatment for critically ill patients and save health systems worldwide hundreds of millions of dollars each year.

New approach could help curtail hospitalizations due to influenza infection

January 18, 2018
More than 700,000 Americans were hospitalized due to illnesses associated with the seasonal flu during the 2014-15 flu season, according to federal estimates. A radical new approach to vaccine development at UCLA may help ...

Flu may be spread just by breathing, new study shows; coughing and sneezing not required

January 18, 2018
It is easier to spread the influenza virus (flu) than previously thought, according to a new University of Maryland-led study released today. People commonly believe that they can catch the flu by exposure to droplets from ...

0 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.