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Private and Non-Private Disc Herniation Patients: Do they Differ?

Birgitta Gregebo¹, Deliang Dai², Birgitta Schillberg¹

¹Clinic of Spinal Surgery, Strängnäs, Sweden.

The Open Orthopaedics Journal

|August 20, 2014

Summary

This study found that despite some pre-operative differences, private and non-private patients experienced similar outcomes after lumbar spine surgery for herniated discs. Patient satisfaction and return to work rates were comparable between groups.

Keywords:

Lumbar disc herniation non-private patients outcome private patients prognostic factors surgery.

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Area of Science:

Orthopedics
Neurosurgery
Health Services Research

Background:

A Swedish report suggested outcome disparities between private and non-private patients undergoing back surgery.
Previous international studies indicated potential differences in surgical results based on patient payment status.

Purpose of the Study:

To investigate and compare clinical outcomes for private versus non-private patients undergoing lumbar disc herniation surgery.
To determine if patient payment status influences surgical success rates at a private clinic.

Main Methods:

A retrospective analysis of 1184 patients who underwent lumbar disc herniation surgery between 1987 and 2007.
Pre-operative data collected from medical records; post-operative follow-up via questionnaire at approximately 5 years.

Main Results:

Statistically significant pre-operative differences observed in gender distribution, physically demanding jobs, sick leave status, and lumbar pain levels.
Private patients showed a decreasing mean symptom duration over time, unlike non-private patients.
Post-operative improvements in leg and lumbar pain, patient satisfaction, and return-to-work rates were similar between private and non-private groups.

Conclusions:

Pre-operative variations exist between private and non-private patients, including symptom duration.
Despite these initial differences, lumbar spine surgery yields comparable clinical results and patient satisfaction regardless of payment status.
The study suggests that payment status does not significantly impact the long-term effectiveness of surgical treatment for lumbar disc herniation.