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Laminectomy and the Treatment of Lower-Back Pain in Massachusetts

Published online by Cambridge University Press:  10 March 2009

Debra R. Milamed ,
Carol A. Warfield ,
John Hedley-whyte  and
Frederick Mosteller
Debra R. Milamed
Affiliation:
Harvard Medical School
Carol A. Warfield
Affiliation:
Harvard Medical School
John Hedley-whyte
Affiliation:
Harvard Medical School
Frederick Mosteller
Affiliation:
Harvard School of Public Health
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Abstract

During 1984–1985, laminectomy rates in Massachusetts demonstrated a 2.2-fold variation among districts. Thirty-five percent of laminectomies occurred in 7 of the 108 hospitals studied. Approximately 81% of laminectomies were performed by neurosurgeons. Rates of laminectomy decline with increasing age after 65, while rates of hospitalization for lower-back pain rise.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 9 , Issue 3 , Summer 1993 , pp. 426 - 439
Copyright
Copyright © Cambridge University Press 1993

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References

REFERENCES

1.American College of Surgeons, American Surgical Association. Surgery in the United States: A summary report of the study on surgical services for the U.S., vol. 1. Chicago IL: American College of Surgeons, 1976, 221–24.Google Scholar
2.American Hospital Association. Guide to the health care field, 1985 edition. Chicago, IL: AHA, 1985, A118–24.Google Scholar
3.American Hospital Association. Guide to the health care field, 1986 edition. Chicago, IL: AHA,1986, A116–23.Google Scholar
4.Bailey, N. T. J.Statistical methods in biology, 2nd ed.New York: Wiley, 1981, 12–26; 49; 79–83; 93–96; 208.Google Scholar
5.Barnes, B. A., O’Brien, E., Comstock, C., et al. Report on variation in rates of utilization of surgical services in the Commonwealth of Massachusetts. Journal of the American Medical Association, 1985, 254, 371–75.Google Scholar
6.Bentkover, J., Sheshinski, R., Hedley-Whyte, J., et al. Lower back pain: Laminectomies, spinal fusions, demographics, and socioeconomics. International Journal of Technology Assessment in Health Care, 1992, 8, 309–17.Google Scholar
7.Brook, R. H., Rolla, E. P., Chassin, M. R., et al. Predicting the appropriate use of carotid endarterectomy, upper gastrointestinal endoscopy and coronary angiography. New England Journal of Medicine, 1990, 323, 1173–77.Google Scholar
8.Bruske-Hohlfeld, I., Merritt, J. L., Onofrio, B. M., et al. Incidence of lumbar discsurgery. A population-based study in Olmsted County, Minnesota, 1959–1979. Spine, 1990, 15, 31–35.CrossRefGoogle Scholar
9.Chassin, M. R., Kosecoff, J., Park, R. E., et al. Does inappropriate use explain geographic variations in the use of health care services? Journal of the American Medical Association, 1987, 258, 2533–37.CrossRefGoogle ScholarPubMed
10.Connolly, E. S.Results of Spinal Task Force survey (letter). Journal of Neurosurgery, 1989, 70, 292–93.Google Scholar
11.Densen, P. M., Fielding, J. E., Getson, J., et al. The collection of data on hospital patients — the Massachusetts Health Data Consortium approach. New England Journal of Medicine, 1980, 302, 171–73.CrossRefGoogle ScholarPubMed
12.Deyo, R. A., Loeser, J. D., & Bigos, S. J.Herniated lumbar intervertebral disk. Annals of Internal Medicine, 1990, 112, 598–603.Google Scholar
13.Deyo, R. A., & Tsui-Wu, Y. J.Descriptive epidemiology of low-back pain and its related medical care in the United States. Spine, 1987, 12, 264–68.Google Scholar
14.Fager, C. A., & Freidberg, S. R.Analysis of failures and poor results of lumbar spine surgery. Spine, 1980, 5, 87–94.CrossRefGoogle ScholarPubMed
15.Gardner, W. H.Specialization in intraspinal surgery. Surgery, Gynecology and Obstetrics, 1965, 121, 838–39.Google Scholar
16.Investigation of failed low-back surgery (editorial). The Lancet, 1989, i, 939–40.Google Scholar
17.Jones, J. B.The training of orthopaedic surgery residents in lumbar disc surgery. Clinical Orthopaedics and Related Research, 1971, 81, 88–92.CrossRefGoogle Scholar
18.Lapin, L. L.Statistics: Meaning and method. New York: Harcourt, 1975, 341–46.Google Scholar
19.Leape, L. L., Park, R. E., Solomon, D. H., et al. Does inappropriate use explain small area variations in the use of health care services? Journal of the A merican Medical Association, 1990, 263, 669–72.CrossRefGoogle ScholarPubMed
20.Massachusetts, Commonwealth of, Department of Public Health. Hospital bed and discharge data book, fiscal year 1985. Boston, MA: Division of Health Statistics and Research, Health Resources Statistics Unit, 1987.Google Scholar
21.Massachusetts Medical Society. Directory of the membership. Waltham, MA: The Society, 1988.Google Scholar
22.McPherson, K., Wennberg, J. E., Hovind, O. B., et al. Small area variations in the use of common surgical procedures: An international comparison of New England, England and Norway. New England Journal of Medicine, 1982, 307, 1310–14.Google Scholar
23.Mixter, W. J., & Barr, J. S.Rupture of the intervertebral disc with involvement of the spinal canal. New England Journal of Medicine, 1934, 34, 211, 209–17.Google Scholar
24.Moore, D. S.Statistics: Concepts and controversies, 2nd ed.New York: W. H. Freeman, 1985,208–11.Google Scholar
25.Perrin, J. M., Homer, C. J., Berwick, D. M., et al. Variations in rates of hospitalization of children in three urban communities. New England Journal of Medicine, 1989, 320, 1183–87.CrossRefGoogle ScholarPubMed
26.Selecki, B. R., & Sewell, M.Neurosurgical management of spinal conditions — an overview. Australian and New Zealand Journal of Surgery, 1984, 54, 37–42.Google Scholar
27.U.S. Public Health Service. Health Care Finance Administration. International classification of diseases, 9th revision, clinical modification, 2nd ed., DHHS Pub. No. (PHS)1260. Washington, DC: Government Printing Office, 09 1980.Google Scholar
28.U.S. Public Health Service. National Center for Health Statistics. Detailed diagnoses and procedures for patients discharged from short-stay hospitals, United States, 1984. Data from the National Health Survey, Series 13, No. 90, DHHS Pub. No. (PHS) 86–1747. Washington, DC: Government Printing Office, 04 1986.Google Scholar
29.U.S. Public Health Service. National Center for Health Statistics. Detailed diagnoses and procedures for patients discharged from short-stay hospitals, United States, 1985. Series 13, No. 90 DHHS Pub. No. (PHS) 87–1751. Washington, DC: Government Printing Office, 04 1987.Google Scholar
30.U.S. Public Health Service. National Center for Health Statistics. Eighth revision of the International Classification of Diseases adapted for use in the United States. ICDA Washington, DC: Government Printing Office, vol. 1, 1967, vol. 2, 1969.Google Scholar
31.U.S. Public Health Service. National Center for Health Statistics. Utilization of short-stay hospitals, United States, Annual Summary, Vital and Health Statistics, Series 13, No. 84, DHHS Pub. No. (PHS) 86–1745. Washington, DC: Government Printing Office, 03 1986, 53.Google Scholar
32.U.S. Public Health Service. National Center for Health Statistics. Utilization of short-stay hospitals. United States, 1985, Annual Summary, Vital and Health Statistics, Series 13, No. 91, DHHS Pub. No. (PHS) 87–1752. Washington, DC: Government Printing Office, 05 1987, 53.Google Scholar
33.Weber, H.Lumbar disc herniation. A controlled, prospective study with 10 years of observation. Spine, 1983, 8, 131–40.Google Scholar
34.Wennberg, J. E., Freeman, J. L., Shelton, R. M., et al. Hospital use and mortality among Medicare beneficiaries in Boston and New Haven. New England Journal of Medicine, 1989, 321, 1168–73.Google Scholar
35.Wennberg, J. E., & Gittelsohn, A.Health care delivery in Maine I: Patterns of use of common surgical procedures. Journal of the Maine Medical Association, 1975, 66, 123–49.Google Scholar
36.White, A. A., Ill, & Gordon, S. L. (eds.). Symposium on idiopathic low back pain, Miami, Florida, December 1990. St. Louis, MO: C.V. Mosby Co., 1982, 1–492.Google Scholar