Statistical analysis of the intracranial procedures in Poland in 2008–2009

• Published in: Neurologia i neurochirurgia polska 2012-07, Vol.46 (4), p.326-332
• Main Authors: Tykocki, Tomasz, Mandat, Tomasz, Bonicki, Wiesław, Barszcz, Sławomir, Michalik, Radosław, Kunicki, Jacek, Oziębło, Artur, Kostkiewicz, Bogusław, Nauman, Paweł
• Format: Article
• Language: English
• Subjects: Aged; analiza statystyczna; Female; Hospitalization - economics; Hospitalization - statistics & numerical data; Humans; Insurance, Health - statistics & numerical data; Intraoperative Complications - economics; Intraoperative Complications - epidemiology; Length of Stay - economics; Length of Stay - statistics & numerical data; Male; Middle Aged; National Health Programs - organization & administration; Neurosurgery - economics; neurosurgical procedures; Neurosurgical Procedures - economics; Neurosurgical Procedures - statistics & numerical data; Poland; Poland - epidemiology; Polska; procedury neurochirurgiczne; Registries - statistics & numerical data; Risk Factors; Rural Population - statistics & numerical data; Severity of Illness Index; statistical analysis; Urban Population - statistics & numerical data; Young Adult
• ISSN: 0028-3843; 1897-4260
• DOI: 10.5114/ninp.2012.29565

Quantitative and qualitative analysis of neurosurgical procedures provides important data for assessment of the development and trends in the field of neurosurgery. The authors present statistical data on intracranial procedures (IPs) performed in Poland in 2008–2009. Data on IPs come from reports of the National Health Fund, grouped according to the system of Diagnosis-Related Groups, group A – nervous system diseases. Data concerning the year 2009 include all IPs performed in Poland. Data from the second half of 2008 to 2009 (18 months) come from 35 neurosurgical centers in Poland, divided by provinces. We analyzed the number of IPs, the cost of procedures, duration of hospitalization and deaths. 20 849 IPs were performed in Poland in 2009. The most common procedure was A12 (6807; 32.65%), and the rarest was A04 (96; 0.46%). The annual cost of all IPs was 228 599 956 PLN. Average cost of the procedure ranged from 1578 PLN (A14) to 47 940 PLN (A03). Duration of the hospitalization ranged between 3 days (A14) and 12 days (A12). The highest percentage of deaths was reported for A01 (n = 1050, 19.06%). Reports from 35 neurosurgical centers in the second half of 2008 and 2009 showed the highest number of IPs per 100 000 population in Kujawsko-Pomorskie (93) and the lowest in Wielkopolskie (27) and Podkarpackie (27). The highest number of IPs (1669) was performed in neurosurgical center Ml (Małopolskie), and the lowest (99) in W1 (Wielkopolskie). A significant disparity in the number of IPs performed in different centers in Poland was observed. There are no data in the literature on the number of neurosurgical procedures performed in Poland in other periods. Analiza ilościowa i jakościowa procedur neurochirurgicznych dostarcza istotnych danych dotyczących rozwoju oraz trendów w dziedzinie neurochirurgii. Autorzy pracy przedstawiają dane statystyczne dotyczące procedur wewnątrzczaszkowych (PW) wykonywanych w Polsce w latach 2008–2009. Dane dotyczące PW pochodzą z raportów Narodowego Funduszu Zdrowia i były grupowane wg systemu Jednorodnych Grup Pacjentów dla grupy A – choroby układu nerwowego. Dane z 2009 r. uwzględniają wszystkie PW wykonane w Polsce, dane z drugiej połowy 2008 i 2009 r. (18 miesięcy) pochodzą z 35 ośrodków neurochirurgicznych w Polsce podzielonych według województw. Analizowano liczbę PW, koszty procedur, czas hospitalizacji i liczbę zgonów. W 2009 r. w Polsce wykonano 20 849 PW. Najczęstszą procedurą była A12 (6807; 32,65%), a najrzadszą A04