Evidence map›Paper›PMID 35611476›Full record

ArticleActa orthopaedica2022

Surgery rates for lumbar spinal stenosis in Denmark between 2002 and 2018: a registry-based study of 43,454 patients.

Rikke K Jensen, Berit Schiøttz-Christensen, Christian Volmar Skovsgaard, Mathias Thorvaldsen, Rune Mygind Mieritz, Andreas K Andresen, Henrik Wulff Christensen, Jan Hartvigsen

Abstract read
In one paragraph

Article in Acta orthopaedica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Effect of Lower Extremity Osteoarthritis on Outcomes of Lumbar Decompression.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023
    Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rikke K JensenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense; Chiropractic Knowledge Hub, Odense. rikkekruger@kiroviden.sdu.dk.
Berit Schiøttz-ChristensenSpine Centre of Southern Denmark, University Hospital Lillebaelt, Middelfart; Department of Regional Health Research, University of Southern Denmark, Odense.
Christian Volmar SkovsgaardDaCHE-Danish Centre for Health Economics, Department of Public Health, University of Southern Denmark, Odense.
Mathias ThorvaldsenDepartment of Neurosurgery, University Hospital Odense, Odense.
Rune Mygind MieritzDepartment of Neurosurgery, University Hospital Odense, Odense.
Andreas K AndresenSpine Surgery and Research, Spine Centre of Southern Denmark, University Hospital Lillebaelt, Middelfart, Denmark.
Henrik Wulff ChristensenChiropractic Knowledge Hub, Odense.
Jan HartvigsenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense; Chiropractic Knowledge Hub, Odense.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeOver the last decades, many countries have shown increased surgery rates for lumbar spinal stenosis (LSS), but little information is available from Denmark. We describe the development in diagnosis and surgery of LSS in Denmark between 2002 and 2018. PATIENTS AND

methodsWe collected diagnostic ICD10-codes and surgical procedure codes from private and public hospitals in Denmark from the Danish National Patient Register. Patients diagnosed with LSS and those with surgical procedure codes for decompression surgery with or without fusion were identified. Annual surgery rates were stratified by age, sex, and type of surgery.

resultsDuring these 17 years, 132,138 patients diagnosed with LSS and 43,454 surgical procedures for LSS were identified. The number of surgical procedures increased by 144%, from 23 to 56 per 100,000 inhabitants. The proportion of patients diagnosed with LSS who received surgery was about 33%, which was almost stable over time. Decompression without fusion increased by 128% from 18 to 40 per 100,000 inhabitants and decompression with fusion increased by 199%, from 5 to 15 per 100,000.

interpretationBoth the prevalence of LSS diagnoses and LSS surgery rates more than doubled in Denmark between 2002 and 2018. However, the proportion of patients diagnosed with LSS who received surgery remained stable. Decompression surgery with fusion increased at a higher rate than decompression without fusion, although recent evidence suggests no advantage of decompression plus fusion over decompression alone.

Indexed as

Spinal FusionSpinal StenosisDecompression, SurgicalDenmarkHumansLumbar VertebraeRegistriesRetrospective StudiesTreatment Outcome

Identifiers

PMID35611476
PMCPMC9131200

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.