보건의료산업학회지 (The Korean Journal of Health Service Management)

  • 제8권1호
  • /
  • Pages.151-164
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  • 2014
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  • 2093-5986(pISSN)
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  • 2288-0666(eISSN)
보건의료산업학회 (Korea Society of Health Service Management)
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요추 추간판탈출증 환자의 초기 수술시점이 진료결과에 미치는 영향

The Effect of Timing of Primary Surgery on Outcomes of Lumbar Herniated Intervertebral Disc

  • 최보람 (경동대학교 간호학과) ;
  • 지영건 (차의과학대학교 예방의학교실) ;
  • 신동아 (분당차병원 신경외과) ;
  • 엄영진 (차의과학대학교 예방의학교실) ;
  • 이동모 (차의과학대학교 예방의학교실) ;
  • 강형곤 (차의과학대학교 예방의학교실)
  • Choi, Bo-Ram (Department of Nursing, Kyungdong University) ;
  • Ji, Young-Geon (Department of Preventive Medicine, CHA University) ;
  • Shin, Dong-Ah (Department of Neurosurgery, Bundang CHA Medical Center) ;
  • Om, Young-Jin (Department of Preventive Medicine, CHA University) ;
  • Rhie, Dong-Mo (Department of Preventive Medicine, CHA University) ;
  • Kang, Hyung-Gon (Department of Preventive Medicine, CHA University)
  • 투고 : 2013.12.28
  • 심사 : 2014.02.07
  • 발행 : 2014.03.30
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초록

This study was conducted to investigate the effect of timing of surgery on outcomes of spine operated patients for lumbar herniated intervertebral disc. The research design was cohort study and based on the data of claims for the medical expenses of health insurance. 21,475 cases who had primary spine surgery between January 1, and December 31, 2003, observed to conservative treatment period in the past two years from preoperative primary diagnosis to timing of primary surgery. According to one and five year follow up monitoring, the probability of occurrence of reoperation was not statistically significant with preoperative duration of symptom. Also one year follow up, the probability of occurrence of complication, was not statistically significant with preoperative duration of symptom. But five year follow up, groups who had one to two month preoperative duration of symptom decreased complication rate than less than a month(95%CI:0.594-0.927). Thus, from the onset of symptoms of back pain before primary surgery with enough and adequate time observation is required. Also, medical consumers or providers to choose surgery in determining prudence is required.

키워드

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