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Private and non-private disc herniation patients: do they differ?
Ryggkirurgiska kliniken i Strängnäs.
Uppsala universitet.ORCID iD: 0000-0002-0789-5826
Ryggkirurgiska kliniken i Strängnäs.
Ryggkirurgiska kliniken i Strängnäs.
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2014 (English)In: Open Orthopaedics Journal, ISSN 1874-3250, E-ISSN 1874-3250, Vol. 8, p. 237-241Article in journal (Refereed) Published
Abstract [en]

Objectives :

In the 2006 yearly report from the Swedish National Register for Lumbar Spine Surgery it was claimed that international studies show obvious differences between private and non-private patients with regard to results from back surgery. Therefore our aim was to reveal such possible differences by comparing the two categories of patients at a private clinic.

Material and Methods :

The material comprises 1184 patients operated on for lumbar disc herniation during the period of 1987 to 2007. Basic pre-operative data were obtained from the medical records and follow-up was performed by a questionnaire around 5 years post-operatively.

Results :

Small but statistically significant differences between private and non-private patients were seen pre-operatively regarding the proportions of a/ men and women in the samples, b/ those with physically demanding jobs, c/ those on sick leave and d/ those with lumbar pain. Over the years the admitted private patients had a decreasing mean duration of symptoms which was not seen in the non-private patients. No apparent differences (n.s.) were seen between the two categories of patients pre-operatively regarding age, presence and level of leg pain or the proportion who smoked. Post-operative improvement in leg and lumbar pain was very similar in private and non-private patients as was satisfaction with the results and the proportion of patients returning to work.

Conclusion :

Despite small pre-operative differences concerning some variables and a significant difference in symptom duration between private and non-private disc herniation patients, the final clinical results were very similar.

Place, publisher, year, edition, pages
Bentham Open , 2014. Vol. 8, p. 237-241
National Category
Health Sciences
Research subject
Statistics/Econometrics
Identifiers
URN: urn:nbn:se:lnu:diva-39354DOI: 10.2174/1874325001408010237OAI: oai:DiVA.org:lnu-39354DiVA, id: diva2:782875
Available from: 2015-01-22 Created: 2015-01-22 Last updated: 2017-12-05Bibliographically approved

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Dai, Deliang

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