Trends in vertebral augmentation for spinal fractures in myeloma patients: a 2002–2012 population-based study using a large national cancer registry
| Autor: | Richard Duszak, David Howard, Falgun H. Chokshi, Jeffrey G. Jarvik |
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| Rok vydání: | 2017 |
| Předmět: |
Male
End results medicine.medical_specialty Medicare Logistic regression Cohort Studies 03 medical and health sciences 0302 clinical medicine Epidemiology Humans Medicine In patient Registries 030212 general & internal medicine Claims database Aged Retrospective Studies Aged 80 and over business.industry Retrospective cohort study General Medicine Middle Aged United States Surgery Cancer registry Population based study Spinal Fractures Female Neurology (clinical) Multiple Myeloma business 030217 neurology & neurosurgery |
| Zdroj: | Journal of NeuroInterventional Surgery. 10:183-190 |
| ISSN: | 1759-8486 1759-8478 |
| DOI: | 10.1136/neurintsurg-2017-013011 |
| Popis: | PurposeTo evaluate temporal trends and factors associated with vertebral augmentation use in myeloma patients with spinal fractures from 2002 to 2012.MethodsThis retrospective cohort study used the Surveillance, Epidemiology and End Results (SEER)-Medicare claims database for 2002 through 2012. We included patients age ≥66 years with myeloma and spinal fractures. First, we evaluated receipt of vertebral augmentation. Second, multivariate logistic regression was used to assess the impact of sociodemographic factors, treatment facility type, and underlying comorbidities on the odds of undergoing vertebral augmentation.ResultsOf 4725 myeloma patients with spinal fractures, 653 underwent vertebral augmentation. Procedures increased initially from ConclusionsVertebral augmentation for myeloma patients with spinal fractures peaked between 2007 and 2009 and then declined. Providers may have adopted vertebral augmentation in myeloma patients since its introduction, and potentially modified practice patterns following the publication of trials of vertebral augmentation in patients with osteoporotic spinal fractures. |
| Databáze: | OpenAIRE |
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