Longitudinal Analysis of the Care Pathway of Patients with Lumbar Spinal Stenosis in the US

Evidence regarding the frequency and timing of treatment for lumbar spinal stenosis (LSS) fails to offer clear consensus. We describe the LSS care journey from initial diagnosis to first surgical intervention. Using Medicare claims database from 2009 through 2020, we identified patients who were dia...

Full description

Saved in:
Bibliographic Details
Published in:Journal of pain research 2024-06, Vol.17, p.1979-1987
Main Authors: Naidu, Ramana K, Tran, Oth V, Schatman, Michael E
Format: Article
Language:English
Subjects:
Analysis
chronic pain
interspinous spacer
lumbar decompression
lumbar spinal stenosis
Medical equipment and supplies industry
Medical research
Medical test kit industry
Medicine, Experimental
Original Research
Spinal canal
Stenosis
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Evidence regarding the frequency and timing of treatment for lumbar spinal stenosis (LSS) fails to offer clear consensus. We describe the LSS care journey from initial diagnosis to first surgical intervention. Using Medicare claims database from 2009 through 2020, we identified patients who were diagnosed with LSS. The use and timing of conservative and surgical treatments during the entire follow-up from the initial diagnosis were reported. Of the 143,849 patients identified, 68% received conservative care within 8.4 months and 25.3% received a surgical or minimally invasive intervention over 5.7 years following initial diagnosis, with 12.6% undergoing open decompression alone, 10.2% undergoing open decompression with fusion, and 5.1% undergoing fusion surgery alone. Fewer than 1% were provided with interspinous spacers or a percutaneous image-guided lumbar decompression. Approximately three-quarters of patients in the study received no surgical or non-invasive interventions for approximately six years following diagnosis with LSS.
ISSN:1178-7090
1178-7090
DOI:10.2147/JPR.S454887