Insurance status linked to patient safety in lumbar fusion

Insurance status linked to patient safety in lumbar fusion

(HealthDay)—Insurance status is associated with adverse patient safety indicators (PSI) among patients undergoing inpatient lumbar fusion, according to a study published in the March issue of The Spine Journal.

Joseph E. Tanenbaum, from the Cleveland Clinic, and colleagues evaluated data from the Nationwide Inpatient Sample on patients who underwent lumbar fusion from 1998 to 2011. The incidence of adverse PSI was calculated using the International Classification of Diseases, Ninth Revision, Clinical Modification, diagnosis codes.

The researchers found that of the 539,172 adult lumbar fusion procedures performed during the study period, the national incidence of PSI was 2,445 per 100,000 patient-years of observation, or approximately 2.5 percent. There were significantly greater odds of Medicaid and self-pay patients experiencing one or more PSI during the inpatient episode, compared to privately-insured (odds ratio, 1.16), after adjusting for patient demographics and hospital characteristics.

"The source of this disparity must be studied to improve the quality of care delivered to vulnerable patient populations," the authors write.

Several authors disclosed financial ties to the medical device industry.

Explore further

High mortality, costs with C. difficile after spine surgery

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

Copyright © 2017 HealthDay. All rights reserved.

Citation: Insurance status linked to patient safety in lumbar fusion (2017, February 20) retrieved 24 August 2019 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Feedback to editors

User comments

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