• Spine · Jun 1994

    Low back pain hospitalization. Recent United States trends and regional variations.

    • V M Taylor, R A Deyo, D C Cherkin, and W Kreuter.
    • Department of Health Services, University of Washington, Seattle.
    • Spine. 1994 Jun 1;19(11):1207-12; discussion 13.

    Study DesignThis study describes recent United States trends and regional variations in the management of low back pain.ObjectivesThe authors investigated recent temporal trends and compared practices in different geographic regions.Summary Of Background DataControversy exists concerning the appropriate medical and surgical management of patients with low back pain.MethodsNational Hospital Discharge Survey data from 1979 through 1990 were analyzed. Case selection was based on previously developed algorithms intended to exclude nonmechanical causes of back pain.ResultsOver the period of study, nonsurgical hospitalizations for low back pain decreased dramatically. In contrast, low back operation rates, particularly for fusion surgery, increased substantially. In recent years, surgery and hospitalization rates were highest in the South and lowest in the West.ConclusionsRapidly increasing surgical rates and wide geographic variations suggest the need for a more consistent approach to back problems.

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