Hospital readmission rates after surgical treatment of primary and metastatic tumors of the spine.

Abstract:

STUDY DESIGN:Retrospective cohort study. OBJECTIVE:This study aimed to identify the rates and causes of unplanned hospital readmission at 30 days and 1 year after surgical treatment of primary and metastatic spinal tumors. SUMMARY OF BACKGROUND DATA:Primary spine tumors and non-spine tumors metastatic to the spine can represent complex problems for surgical treatment, but surgical intervention can provide significant patients with significant improvements in quality of life. However, recent emphasis on decreasing the cost of health care has led to a focus on quality measures such as hospital readmission rates. METHODS:At a large referral spine center between 2005 and 2011, 197 patients with primary (n = 33) or metastatic (n = 164) tumors of the spine were enrolled. Hospital readmissions within 1 year were reviewed. Kaplan-Meier analysis was performed to estimate unplanned hospital readmission rates, and risk factors were evaluated using a Cox proportional hazards model. RESULTS:Unplanned hospital readmission rates were 6.1% and 16.8% at 30 days for primary and metastatic tumors (P = 0.126), respectively, and 27.5% and 37.8% at 1 year (P = 0.262). Metastatic tumors with aggressive biology (i.e., lung, osteosarcoma, stomach, bladder, esophagus, pancreas) caused higher rates of readmission than other types of metastatic tumors. One-third of readmissions were due to recurrent disease, whereas 23.3% were due to surgical complications and 43.3% due to medical complications. Numerous medical comorbidities increased the risk of unplanned hospital readmission. CONCLUSION:Unplanned hospital readmissions after surgical intervention for spine tumors are common, and patients with aggressive metastatic tumors are at increased risk. In addition, comorbid medical problems are important risk factors that increase the chance that a patient will require hospital readmission within 1 year. LEVEL OF EVIDENCE:3.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Schairer WW,Carrer A,Sing DC,Chou D,Mummaneni PV,Hu SS,Berven SH,Burch S,Tay B,Deviren V,Ames C

doi

10.1097/BRS.0000000000000517

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

1801-8

issue

21

eissn

0362-2436

issn

1528-1159

journal_volume

39

pub_type

杂志文章

相关文献

SPINE文献大全
  • Biomechanical evaluation of conventional internal contemporary spinal fixation techniques used for stabilization of complete sacroiliac joint separation: a 3-dimensional unilaterally isolated experimental stiffness study.

    abstract:STUDY DESIGN:Comparative 3-dimensional biomechanical testing. OBJECTIVE:To compare 5 fixation techniques, 3 using screws or screw and plates and 2 spinal, used for stabilization of complete unilateral sacroiliac dislocation in composite models. SUMMARY OF BACKGROUND DATA:Harrington compression rods have been used for...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000247951.10364.c2

    authors: Korovessis PG,Magnissalis EA,Deligianni D

    更新日期:2006-12-01 00:00:00

  • An unusual cause of sciatica. A case report.

    abstract:STUDY DESIGN:This case report illustrates the need to be aware of extraspinal causes of sciatica. A patient with a strangulated sciatic hernia showed the clinical features of sciatic leg pain, intestinal obstruction, and a left gluteal abscess. OBJECTIVE:To highlight the need to examine the course of the sciatic nerve...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199810010-00019

    authors: Servant CT

    更新日期:1998-10-01 00:00:00

  • The Fremantle Neck Awareness Questionnaire in Chronic Neck Pain Patients: Turkish Version, Validity and Reliability Study.

    abstract:STUDY DESIGN:Cross-cultural adaptation and psychometric analysis. OBJECTIVE:The aim of this study wad to develop "Fremantle Neck Awareness Questionnaire Turkish (FreNAQ-T)" and to investigate the validity, reliability, and psychometric properties of FreNAQ-T in the Turkish population with chronic neck pain (CNP). SUM...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003207

    authors: Onan D,Gokmen D,Ulger O

    更新日期:2020-02-01 00:00:00

  • Intradural venous varix: a rare cause of an intradural lumbar spine lesion.

    abstract:STUDY DESIGN:A case of intradural venous varix producing a mass-like lesion in the lumbar spine is reported. OBJECTIVE:To present a rare cause of an intradural mass lesion along the cauda equina. To present radiologic findings of this entity and to offer a hypothesis for its formation. SUMMARY OF BACKGROUND DATA:Epid...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000085359.59829.44

    authors: Moonis G,Hurst RW,Simon SL,Zager EL

    更新日期:2003-10-15 00:00:00

  • What is the role of "nonorganic somatic components" in functional capacity evaluations in patients with chronic nonspecific low back pain undergoing fitness for work evaluation?

    abstract:STUDY DESIGN:Analytical cross-sectional study. OBJECTIVE:To assess the association of "nonorganic somatic components" together with physical and other psychosocial factors on functional capacity evaluation (FCE) in patients with chronic nonspecific low back pain (NSLBP) undergoing fitness-for-work evaluation. SUMMARY...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31822e6088

    authors: Oesch P,Meyer K,Jansen B,Mowinckel P,Bachmann S,Hagen KB

    更新日期:2012-02-15 00:00:00

  • Effects of magnitude and duration of compression on spinal nerve root conduction.

    abstract::Spinal nerve root compression occurs commonly in conditions such as herniated nucleus pulposus, spinal stenosis, and trauma. However, the pathophysiology of the symptoms and signs related to spinal nerve root compression is poorly understood. The purpose of the present study was to assess and compare effects of variou...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199202000-00013

    authors: Pedowitz RA,Garfin SR,Massie JB,Hargens AR,Swenson MR,Myers RR,Rydevik BL

    更新日期:1992-02-01 00:00:00

  • Survivorship analysis of VSP spine instrumentation in the treatment of thoracolumbar and lumbar burst fractures.

    abstract::We used survivorship analysis to study 21 burst fractures that were treated with posterior VSP spine implant and fusion, each of which was over two motion segments. There were two treatment classes: 1) eight patients whose surgery included anterior bone grafting (augmentation), seven of which were done by the transped...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Ebelke DK,Asher MA,Neff JR,Kraker DP

    更新日期:1991-08-01 00:00:00

  • Prone versus knee-chest position for microdiscectomy: a prospective randomized study of intra-abdominal pressure and intraoperative bleeding.

    abstract:STUDY DESIGN:Prospective randomized study. OBJECTIVES:To compare two support systems for positioning patients during microdiscectomy (i.e., prone on a modified Relton-Hall spine support vs. knee-chest position on an Andrews-type table) regarding their effects on intra-abdominal pressure and surgical bleeding. SUMMARY...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.brs.0000176243.57869.c4

    authors: Rigamonti A,Gemma M,Rocca A,Messina M,Bignami E,Beretta L

    更新日期:2005-09-01 00:00:00

  • Cervical stability with lateral mass plating: unicortical versus bicortical screw purchase.

    abstract:STUDY DESIGN:A biomechanical study using human cadaveric cervical spines was conducted. OBJECTIVE:To determine whether the cervical stability achieved with lateral mass fixation using unicortical screw purchase is comparable with that obtained with lateral mass fixation using bicortical screw purchase. SUMMARY OF BAC...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Muffoletto AJ,Yang J,Vadhva M,Hadjipavlou AG

    更新日期:2003-04-15 00:00:00

  • Is It Necessary to Extend a Multilevel Posterior Cervical Decompression and Fusion to the Upper Thoracic Spine?

    abstract:STUDY DESIGN:A retrospective cohort analysis. OBJECTIVE:The aim of this study was to determine if there is a difference in the revision rate in patients who undergo a multilevel posterior cervical fusions ending at C7, T1, or T2-T4. SUMMARY OF BACKGROUND DATA:Multilevel posterior cervical decompression and fusion is ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001864

    authors: Schroeder GD,Kepler CK,Kurd MF,Mead L,Millhouse PW,Kumar P,Nicholson K,Stawicki C,Helber A,Fasciano D,Patel AA,Woods BI,Radcliff KE,Rihn JA,Anderson DG,Hilibrand AS,Vaccaro AR

    更新日期:2016-12-01 00:00:00

  • Vertebral artery loop formation: a frequent cause of cervicobrachial pain.

    abstract:STUDY DESIGN:Patients with cervicobrachial pain were examined in detail with special attention to vertebral artery loop formation. OBJECTIVES:To determine the incidence, short-time natural course and response to a conservative approach to vertebral artery loop formation in a group of patients with cervicobrachial pain...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.BRS.0000067275.08517.58

    authors: Paksoy Y,Levendoglu FD,Ogün CO,Ustün ME,Ogün TC

    更新日期:2003-06-01 00:00:00

  • Risk factors for complications associated with growing-rod surgery for early-onset scoliosis.

    abstract:STUDY DESIGN:A retrospective multicenter study. OBJECTIVE:To identify risk factors for postoperative complications associated with growing-rod (GR) surgery for early-onset scoliosis (EOS). SUMMARY OF BACKGROUND DATA:Results and complications of GR surgery for EOS have not been adequately studied. METHODS:We evaluate...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e318288671a

    authors: Watanabe K,Uno K,Suzuki T,Kawakami N,Tsuji T,Yanagida H,Ito M,Hirano T,Yamazaki K,Minami S,Kotani T,Taneichi H,Imagama S,Takeshita K,Yamamoto T,Matsumoto M

    更新日期:2013-04-15 00:00:00

  • Analysis of the Fracture Mechanism of Ti-6Al-4V Alloy Rods That Failed Clinically After Spinal Instrumentation Surgery.

    abstract:STUDY DESIGN:Retrieval analysis of 2 Ti-6Al-4V alloy rods that fractured after spinal instrumentation surgery. OBJECTIVE:To determine the mechanism that underlies fractures of Ti-6Al-4V alloy rods after spinal instrumentation surgery from a materials science viewpoint. SUMMARY OF BACKGROUND DATA:Rod failures after sp...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000881

    authors: Yamanaka K,Mori M,Yamazaki K,Kumagai R,Doita M,Chiba A

    更新日期:2015-07-01 00:00:00

  • Preventive interventions for back and neck pain problems: what is the evidence?

    abstract:STUDY DESIGN:A review of controlled trials. OBJECTIVES:To determine which interventions are used to prevent back and neck pain problems as well as what the evidence is for their utility. SUMMARY OF BACKGROUND DATA:Given the difficulty in successfully treating long-term back and neck pain problems, there has been a ca...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,评审

    doi:10.1097/00007632-200104010-00019

    authors: Linton SJ,van Tulder MW

    更新日期:2001-04-01 00:00:00

  • Intraabdominal pressure response to loads applied to the torso in normal subjects.

    abstract::The study is an investigation into the form of the abdominal pressure reflex in normal individuals under isometric loading of the torso. Various directions of load are imposed, and both flexed and upright postures are adopted. The sensitivity of the pressurization to the applied moment is calculated, the form of the r...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198003000-00009

    authors: Grew ND

    更新日期:1980-03-01 00:00:00

  • Posterior spinal fusion complicated by posterior column injury. A case report of a false-negative wake-up test.

    abstract::A case is reported of an isolated posterior column injury secondary to direct mechanical trauma complicating a posterior spinal fusion. This case documents a rare complication of posterior spinal surgery. Intraoperative somatosensory-evoked potential (SEP) monitoring documented the injury whereas two intraoperative wa...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198707000-00006

    authors: Ben-David B,Taylor PD,Haller GS

    更新日期:1987-07-01 00:00:00

  • Effect of spinal construct stiffness on short segment fusion mass incorporation.

    abstract:STUDY DESIGN:Three segment (L3-L5) pedicle screw constructs were implanted in caprine spines, and the resulting ankylosis evaluated mechanically and compared 12 weeks after surgery. OBJECTIVES:To determine if a construct of maximal stiffness could impair the biologic process of spinal arthrodesis by "stress-shielding....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199511001-00006

    authors: Johnston CE 2nd,Welch RD,Baker KJ,Ashman RB

    更新日期:1995-11-15 00:00:00

  • Relative safety of anterior microsurgical decompression versus laminoplasty for cervical myelopathy with a massive ossified posterior longitudinal ligament.

    abstract:STUDY DESIGN:A retrospective clinical study was conducted. OBJECTIVE:To investigate the relative safety of anterior microsurgical decompression with iliac strut graft fusion versus laminoplasty for a massive ossified posterior longitudinal ligament in the cervical spine. SUMMARY OF BACKGROUND DATA:The question of how...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200211150-00013

    authors: Tani T,Ushida T,Ishida K,Iai H,Noguchi T,Yamamoto H

    更新日期:2002-11-15 00:00:00

  • Esophageal perforation with a locking screw: a case report and review of the literature.

    abstract:STUDY DESIGN:A case report with a review of the literature. OBJECTIVES:Anterior cervical spine surgery (ACS) has received widespread acceptance, and as a result, a variety of complications have been reported. Several cases of esophageal complications, arising from the use of various implants and grafts, have been desc...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318074d56c

    authors: Nourbakhsh A,Garges KJ

    更新日期:2007-07-01 00:00:00

  • Whole-body vibration: is there a causal relationship to specific imaging findings of the spine?

    abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To perform a systematic review of the available literature for those studies that evaluated the role of whole-body vibration (WBV) on the spine, using imaging modalities as well as an estimation of WBV exposure. SUMMARY OF BACKGROUND DATA:Numerous comparative studies have rep...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3182697a47

    authors: Bible JE,Choemprayong S,O'Neill KR,Devin CJ,Spengler DM

    更新日期:2012-10-01 00:00:00

  • Who should have surgery for an intervertebral disc herniation? Comparative effectiveness evidence from the spine patient outcomes research trial.

    abstract:STUDY DESIGN:Combined prospective randomized controlled trial and observational cohort study of intervertebral disc herniation (IDH), an as-treated analysis. OBJECTIVE:To determine modifiers of the treatment effect (TE) of surgery (the difference between surgical and nonoperative outcomes) for intervertebral disc hern...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/BRS.0b013e3182276b2b

    authors: Pearson A,Lurie J,Tosteson T,Zhao W,Abdu W,Mirza S,Weinstein J

    更新日期:2012-01-15 00:00:00

  • Difficulty of diagnosing the origin of lower leg pain in patients with both lumbar spinal stenosis and hip joint osteoarthritis.

    abstract:STUDY DESIGN:Case series. OBJECTIVE:To present the difficulty of diagnosing the origin of lower leg pain in patients with lumbar spinal stenosis and hip joint arthritis. SUMMARY OF BACKGROUND DATA:Pain arising from a degenerated hip joint is sometimes localized to the lower leg. Patients with lumbar spinal disease ma...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31825d213d

    authors: Saito J,Ohtori S,Kishida S,Nakamura J,Takeshita M,Shigemura T,Takazawa M,Eguchi Y,Inoue G,Orita S,Takaso M,Ochiai N,Kuniyoshi K,Aoki Y,Ishikawa T,Arai G,Miyagi M,Kamoda H,Suzuki M,Sakuma Y,Oikawa Y,Kubota G,In

    更新日期:2012-12-01 00:00:00

  • Epidemiological State, Predictors of Early Mortality, and Predictive Models for Traumatic Spinal Cord Injury: A Multicenter Nationwide Cohort Study.

    abstract:STUDY DESIGN:Multi-center, retrospective cohort study. OBJECTIVE:To determine the epidemiology, identify predictors of early mortality, and develop predictive models for traumatic spinal cord injury (SCI). SUMMARY OF BACKGROUND DATA:Despite improved initial care and management strategies, traumatic SCI remains a deva...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000002871

    authors: Shibahashi K,Nishida M,Okura Y,Hamabe Y

    更新日期:2019-04-01 00:00:00

  • Persistence and change in nonspecific low back pain among adolescents: a 3-year prospective study.

    abstract:STUDY DESIGN:This is a 3-year prospective study of juvenile low back pain (LBP). OBJECTIVES:To investigate persistence and change in LBP. SUMMARY OF BACKGROUND DATA:Earlier episodes of LBP are a strong risk factor for LBP in adults, while the persistence of LBP through adolescence is not known. METHODS:The material ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000143666.58758.8b

    authors: Sjolie AN

    更新日期:2004-11-01 00:00:00

  • The osteogenic potential of rib autografts can be preserved in culture.

    abstract:STUDY DESIGN:This was an experimental study to compare various methods of storing rib autograft between stages of spinal surgery. OBJECTIVE:The authors' goal was to determine the optimum conditions for storing bone graft, while preserving its osteogenic potential. SUMMARY OF BACKGROUND DATA:It never has been demonstr...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199404000-00004

    authors: Evans CE,Williamson JB

    更新日期:1994-04-01 00:00:00

  • Augment bone graft products compare favorably with autologous bone graft in an ovine model of lumbar interbody spine fusion.

    abstract:STUDY DESIGN:This study was designed to determine whether Augment Bone Graft (Augment, Biomimetic Therapeutics, Inc., Franklin, TN) and Augment Injectable Bone Graft (Augment Injectable, Biomimetic Therapeutics, Inc., Franklin, TN), 2 combination devices comprising recombinant human platelet-derived growth factor-BB an...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31823b01dc

    authors: Solchaga LA,Hee CK,Aguiar DJ,Ratliff J,Turner AS,Seim HB 3rd,Hollinger JO,Snel LB,Lynch SE

    更新日期:2012-04-15 00:00:00

  • Risk Factors for Rapidly Progressive Neurological Deterioration in Cervical Spondylotic Myelopathy.

    abstract:STUDY DESIGN:A retrospective single-center study. OBJECTIVE:This study sought to clarify the risk factors and to evaluate the surgical outcome in patients with rapidly progressive cervical spondylotic myelopathy (rp-CSM). SUMMARY OF BACKGROUND DATA:CSM is a degenerative spine disease presenting a slow development of ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002969

    authors: Takasawa E,Sorimachi Y,Iizuka Y,Tsunoda D,Mieda T,Iizuka H,Chikuda H

    更新日期:2019-06-15 00:00:00

  • Posterior thoracic extrapedicular fixation: a biomechanical study.

    abstract:STUDY DESIGN:In vitro biomechanical testing of thoracic spine specimens using a standardized three-dimensional spine flexibility protocol. OBJECTIVES:To compare the mechanical stability of the intrapedicular and extrapedicular technique for pedicle screw placement. The hypothesis was that extrapedicular screw placemen...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000083280.72978.D1

    authors: Morgenstern W,Ferguson SJ,Berey S,Orr TE,Nolte LP

    更新日期:2003-08-15 00:00:00

  • Decision making in the surgical treatment of cervical spine metastases.

    abstract:STUDY DESIGN:Qualitative systematic review of the literature. OBJECTIVE:To determine whether surgical indications and techniques are influenced by the region of the cervical spine (occipitocervical, midcervical, and cervicothoracic junctions). SUMMARY OF BACKGROUND DATA:There are distinct differences in the anatomic ...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181bae1d2

    authors: Fehlings MG,David KS,Vialle L,Vialle E,Setzer M,Vrionis FD

    更新日期:2009-10-15 00:00:00

  • Occipitocervical fusion for rheumatoid arthritis using the inside-outside stabilization technique.

    abstract:STUDY DESIGN:A retrospective study investigating the clinical outcome of the inside-outside cranial bolt technique for occipitocervical stabilization used to manage rheumatoid arthritis was conducted. OBJECTIVE:To evaluate the safety and efficacy of the inside-outside technique for occipitocervical stabilization used ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000048460.58471.DB

    authors: Sandhu FA,Pait TG,Benzel E,Henderson FC

    更新日期:2003-02-15 00:00:00