Who's in the driver's seat? the influence of patient and physician enthusiasm on regional variation in degenerative lumbar spinal surgery: A population-based study

Spine

Volumn 36, Issue 6, 2011, Pages 481-489

  Bederman, S Samuel ^a,b   Coyte, Peter C ^c   Kreder, Hans J ^b   Mahomed, Nizar N ^b   McIsaac, Warren J ^c   Wright, James G ^b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF TORONTO   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

Author keywords

lumbar decompression; lumbar fusion; lumbar spondylosis; patient preferences; physician preferences; regional variation; spinal stenosis

Indexed keywords

ADULT; AGED; ARTICLE; COHORT ANALYSIS; CROSS-SECTIONAL STUDY; DECOMPRESSION SURGERY; DEGENERATIVE LUMBAR SPINE SURGERY; DEGENERATIVE SPONDYLOLISTHESIS; FEMALE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HUMAN; LAMINECTOMY; MAJOR CLINICAL STUDY; MALE; NEUROSURGERY; PATIENT ATTITUDE; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; SPINE FUSION; SPINE SURGERY; SPONDYLOLISTHESIS; VERTEBRAL CANAL STENOSIS;

AGED; AGED, 80 AND OVER; CROSS-SECTIONAL STUDIES; DATABASES, FACTUAL; FEMALE; HUMANS; LAMINECTOMY; LOGISTIC MODELS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; ONTARIO; ORTHOPEDIC PROCEDURES; PATIENTS; PHYSICIANS, FAMILY; PREVALENCE; SPINAL DISEASES; SPINAL FUSION; SPINAL STENOSIS; SPONDYLOLISTHESIS;

EID: 79952930648     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0b013e3181d25e6f     Document Type: Article

References (35)

1. American Academy of Orthopaedic Surgeons. The Burden of Musculoskeletal Diseases in the United States: Prevalence, Societal and Economic Cost. 1st ed. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2008.
2. Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical versus nonsurgical therapy for lumbar spinal stenosis. N Engl J Med 2008;358:794-810. (Pubitemid 351281641)
3. Weinstein JN, Lurie JD, Tosteson TD, et al. Surgical versus nonsur-gical treatment for lumbar degenerative spondylolisthesis. N Engl J Med 2007; 356:2257-70. (Pubitemid 46849156)
4. Birkmeyer NJ, Weinstein JN. Medical versus surgical treatment for low back pain: evidence and clinical practice. Eff Clin Prac 1999;2:218-27.
5. Weinstein JN, Bronner KK, Morgan TS, et al. Trends and geographic variations in major surgery for degenerative diseases of the hip, knee, and spine. Health ΛOl 2004;suppl web exclusives:VAR81-9.
6. Weinstein JN, Lurie JD, son PR, et al. United States' trends and regional variations in lumbar spine surgery:1992-2003. Spine 2006;31:2707-14. (Pubitemid 44679601)
7. Fisher ES, Bynum JP, Skinner JS. Slowing the growth of health care costs\lessons from regional variation. N Engl J Med 2009;360:849-52.
8. Wennberg J, Gittelsohn A. Variations in medical care among small areas. Sci Am 1982;246:120-34.
9. Volinn E, Mayer J, Diehr P, et al. Small area analysis of surgery for low-back pain. Spine 1992;17:575-81.
10. Wennberg JE, Gittelsohn A. Health care delivery in Maine I: pat-terns of use of common surgical procedures. J Maine Med Assoc 1975;66:123-30.
11. Katz JN. Patient preferences and health disparities. JAMA 2001; 286:1506-9. (Pubitemid 33015509)
12. Greer AL, Goodwin JS, Freeman JL, et al. Bringing the patient back in. Int J Tech Assess Health Care 2002;18:747-61.
13. Hawker GA, Wright JG, Coyte PC, et al. Determining the need for hip and knee arthroplasty: the role of clinical severity and patients' preferences. Med Care 2001;39:206-16. (Pubitemid 33694134)
14. Barnato AE, Herndon MB, Anthony DL, et al. Are regional varia-tions in end-of-life care intensity explained by patient preferenc-es? A study of the US medicare population. Med Care 2007;45: 386-93.
15. Cherkin DC, Deyo RA, Loeser J, et al. An international comparison of back surgery rates. Spine 1994;19:1201-6. (Pubitemid 24181240)
16. Wright JG, Hawker GA, Bombardier C, et al. Physician enthusiasm as an explanation for area variation in the utilization of knee re-placement surgery. Med Care 1999;37:946-56.
17. Coyte PC, Croxford R, Asche CV, et al. Physician and population determinants of rates of middle-ear surgery in Ontario. JAMA 2001;286:2128-35. (Pubitemid 34041598)
18. Lopushinsky SR, Austin PC, Rabeneck L, et al. Regional variation in surgery for gastroesophageal reflux disease in Ontario. Surg Innov 2007;14:35-40. (Pubitemid 46563265)
19. Cherkin DC, Deyo RA, Volinn E, et al. Use of the International Classification of Diseases (ICD-9-CM) to identify hospitalizations for mechanical low back problems in administrative databases. Spine 1992;17:817-25.
20. Bederman SS, Mahomed NN, Kreder HJ, et al. In the eye of the beholder: preferences of patients, family physicians, and surgeons for lumbar spinal surgery. Spine 2010;35:108-15.
21. Statistics Canada. Population and dwelling counts, for Canada, provinces and territories, and census divisions, 2006 and 2001 censuses. Ottawa, ON: 2006 Census of Population; 2007. Statistics Canada Catalogue no. 97-550XWE2006002.
22. Iron K, Przybysz R, Laupacis A. Access to MRI in Ontario: ad-dressing the information gap. Toronto, ON: Institute for Clinical Evaluative Sciences; 2003.
23. Chan BT, Schultz SE. ICES investigative report. Supply and utiliza-tion of general practitioner and family physician services in Ontario. Toronto, ON: Institute for Clinical Evaluative Sciences; 2005.
24. Statistics Canada. Canadian community health survey, cycle 3.1, 2005. Ottawa, ON: Statistics Canada; 2006.
25. Diehr P, Cain K, Connell F, et al. What is too much variation? The null hypothesis in small-area analysis. Health Serv Res 1990;24:741-71. (Pubitemid 20162310)
26. Diehr P, Cain KC, Kreuter W, et al. Can small-area analysis detect variation in surgery rates? The power of small-area variation analy-sis. Med Care 1992; 30:484-502.
27. Littell RC, Milliken GA, Stroup WW, et al. SAS for Mixed Models. 2nd ed. Cary, NC: SAS Institute Inc; 2006.
28. Naylor CD. Variations in selected surgical procedures and medical diagnoses by year and region. In: Goel V, Williams JI, Anderson GM, et al, eds. Patterns of Health Care in Ontario. The ICES Prac-tice Atlas. 2nd ed. Ottawa, ON: Canadian Medical Association; 1996:51-146.
29. Bederman SS, Kreder HJ, Weller I, et al. The who, what, and when of surgery for the degenerative lumbar spine: a population-based study of surgeon factors, surgical procedures, recent trends and re-operation rates. Can J Surg 2009;52:283-90.
30. Chassin MR. Explaining geographic variations: the enthusiasm hy-pothesis. Med Care 1993;31(suppl 5):YS37-44.
31. Nelson CL. Disparities in orthopaedic surgical intervention. J Am Acad Orthop Surg 2007;15(suppl 1):S13-7.
32. Hawker GA, Wright JG, Coyte PC, et al. Differences between men and women in the rate of use of hip and knee arthroplasty. N Engl J Med 2000; 342:1016-22. (Pubitemid 30180649)
33. Hawker GA, Coyte PC, Wright JG, et al. Accuracy of administra-tive data for assessing outcomes after knee replacement surgery. J Clin Epidemiol 1997; 50:265-73. (Pubitemid 27165703)
34. Wright JG, Coyte P, Hawker G, et al. Variation in orthopaedic sur-geons' perceptions of the indications for and outcomes of knee re-placement. Can Med Assoc J 1995;152:687-97.
35. Leitch KK, Dalgorf D, Borkhoff CM, et al. Bilateral total knee ar-throplasty-staged or simultaneous? Ontario's orthopedic surgeons reply. Can J Surg 2005;48:273-6. (Pubitemid 41297329)