ArticleGlobal spine journal2017
Impact of the Economic Downturn on Elective Lumbar Spine Surgery in the United States: A National Trend Analysis, 2003 to 2013.
Article in Global spine journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04379921 (Improving Spine Surgical Care With Real-Time Objective Patient Tracking Using the Apple Watch), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Improving Spine Surgical Care With Real-Time Objective Patient Tracking Using the Apple Watch
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The effect of symptom duration on the outcomes of lumbar discectomy for radicular pain secondary to lumbar disc herniation: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Pooled it
- Surgical versus non-surgical treatment for sciatica: systematic review and meta-analysis of randomised controlled trials.BMJ (Clinical research ed.) · 2023Pooled it
- The efficacy of oral vitamin D supplements on fusion outcome in patients receiving elective lumbar spinal fusion-a randomized control trial.BMC musculoskeletal disorders · 2022Trial
- Providing Epidemiological Data in Lumbar Spine Imaging Reports Did Not Affect Subsequent Utilization of Spine Procedures: Secondary Outcomes from a Stepped-Wedge Randomized Controlled Trial.Pain medicine (Malden, Mass.) · 2021Trial
- Hospitalizations and surgical management of lumbar disc degeneration in Italy: a 22-Year nationwide retrospective study.BMC musculoskeletal disorders · 2025Article
- A study on the 10-year trend of surgeries performed for lumbar disc herniation and comparative analysis of prescribed opioid analgesics and hospitalization duration: 2010-2019 HIRA NPS Data.BMC musculoskeletal disorders · 2024Article
- Effectiveness of postsurgical rehabilitation following lumbar disc herniation surgery: A systematic review.Brain & spine · 2024Review
- Characterizing negative reviews of orthopedic spine surgeons and practices.North American Spine Society journal · 2022Article
- Delayed Ejaculation After Lumbar Spine Surgery: A Claims Database Analysis.Global spine journal · 2022Article
- Surgical microdiscectomy versus transforaminal epidural steroid injection in patients with sciatica secondary to herniated lumbar disc (NERVES): a phase 3, multicentre, open-label, randomised controlled trial and economic evaluation.The Lancet. Rheumatology · 2021Article
- Healthcare resources attributable to methicillin-resistant Staphylococcus aureus orthopedic surgical site infections.Scientific reports · 2020Article
- Low volumetric bone density is a risk factor for early complications after spine fusion surgery.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- The problems associated with revision surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Article
- Article
- Toward real-time rigid registration of intra-operative ultrasound with preoperative CT images for lumbar spinal fusion surgery.International journal of computer assisted radiology and surgery · 2019Article
- The appropriate management of persisting pain after spine surgery: a European panel study with recommendations based on the RAND/UCLA method.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019Article
- Relationship between surgeon volume and outcomes in spine surgery: a dose-response meta-analysis.Annals of translational medicine · 2018Article
- Nationwide Macroeconomic Variables and the Growth Rate of Bariatric Surgeries in Brazil.Obesity surgery · 2018Article
- Utilization of Interspinous Devices Throughout the United States Over a Recent Decade: An Analysis of the Nationwide Inpatient Sample.Global spine journal · 2018Article
- Lower complication and reoperation rates for laminectomy rather than MI TLIF/other fusions for degenerative lumbar disease/spondylolisthesis: A review.Surgical neurology international · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective database analysis.
objectiveThe impact of the 2008-2009 economic downtown on elective lumbar spine surgery is unknown. Our objective was to investigate the effect of the economic downturn on the overall trends of elective lumbar spine surgery in the United States.
methodsThe Nationwide Inpatient Sample (NIS) was used in conjunction with US Census and macroeconomic data to determine historical trends. The economic downturn was defined as 2008 to 2009. Codes from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), were used in order to identify appropriate procedures. Confidence intervals were determined using subgroup analysis techniques.
resultsFrom 2003 to 2012, there was a 19.8% and 26.1% decrease in the number of lumbar discectomies and laminectomies, respectively. Over the same time period, there was a 56.4% increase in the number of lumbar spinal fusions. The trend of elective lumbar spine surgeries per 100 000 persons in the US population remained consistent from 2008 to 2009. The number of procedures decreased by 4.5% from 2010 to 2011, 7.6% from 2011 to 2012, and 3.1% from 2012 to 2013. The
conclusionsThe economic downturn did not affect elective lumbar fusions, which increased in total from 2003 to 2013. The relationship between the S&P 500 Index and surgical trends suggests that during recessions, individuals may utilize other means, such as insurance, to cover procedural costs and reduce out-of-pocket expenditures, accounting for no impact of the economic downturn on surgical trends. These findings can assist multiple stakeholders in better understanding the interconnectedness of macroeconomics, policy, and elective lumbar spine surgery trends.
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Registered trials
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