Trends, Major Medical Complications, and Charges Associated With Surgery for Lumbar Spinal Stenosis in Older Adults.

Nov 16, 2011 by

Deyo RA, Mirza SK, Martin BI, Kreuter W, Goodman DC, Jarvik JG.

JAMA. 2010; 303: 1259-1265.

PMID: 20371784

This retrospective analysis of Medicare claims from 2002-2007 documented an inflation-adjusted 40% increase in hospital charges. While surgeons performed fewer decompressions and simple fusions, complex fusion procedures multiplied 15-fold and increased the complications, mortality, and costs. This paper alerts the surgical community to important negative changes in practice patterns.

web: http://jama.ama-assn.org/content/303/13/1259.full.pdf

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