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Private and Non-Private Disc Herniation Patients: Do they Differ?
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2014 (English)In: The Open Orthopaedics Journal, ISSN 1874-3250, Vol. 8, 237-241 p.Article 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, 237-241 p.
Keyword [en]
Lumbar disc herniation, non-private patients, outcome, private patients, prognostic factors, surgery.
National Category
Probability Theory and Statistics
URN: urn:nbn:se:uu:diva-287866DOI: 10.2174/1874325001408010237OAI: oai:DiVA.org:uu-287866DiVA: diva2:923973
Available from: 2016-04-27 Created: 2016-04-26 Last updated: 2016-04-27

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Taube, Adam
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Department of Statistics
Probability Theory and Statistics

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