Lumbar intervertebral disc replacement in Australia: An epidemiological study
Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence regarding the uptake of L-TDR in practice. The objective of this study was to analyze Australian-based population trends in L-TDR over the past 5 yea...
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| Published in | Journal of craniovertebral junction and spine Vol. 15; no. 3; pp. 338 - 342 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Medknow Publications and Media Pvt. Ltd
01.07.2024
Medknow Publications & Media Pvt. Ltd Wolters Kluwer - Medknow Wolters Kluwer Medknow Publications |
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| Abstract | Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence regarding the uptake of L-TDR in practice. The objective of this study was to analyze Australian-based population trends in L-TDR over the past 5 years.
The 5-year incidence of L-TDR from 2019 to 2023 in adult patients was analyzed using the Medicare Benefits Schedule (MBS) database. Data were stratified by sex and year, with an offset term introduced using population data from the Australian Bureau of Statistics to account for population changes over the study period.
A total of 1558 L-TDRs were completed in Australia under the MBS in the 5 years of interest. The 5-year annual mean case volume was 311.6 cases per annum. A downtrend and plateau in the rate of L-TDR has been seen from 2021 onward. The distribution of L-TDR across ages showed a significantly higher concentration in the 35-44 and 45-54 age groups (P < 0.05). More operations were performed in males (n = 876, 56.2%) than females (n = 682, 43.8%).
The uptake of L-TDR has declined throughout the 5-year study period in Australia. Despite modest use currently, the future of L-TDR will rely on more robust long-term outcome data. |
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| AbstractList | ABSTRACTIntroduction:Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence regarding the uptake of L-TDR in practice. The objective of this study was to analyze Australian-based population trends in L-TDR over the past 5 years.Methods:The 5-year incidence of L-TDR from 2019 to 2023 in adult patients was analyzed using the Medicare Benefits Schedule (MBS) database. Data were stratified by sex and year, with an offset term introduced using population data from the Australian Bureau of Statistics to account for population changes over the study period.Results:A total of 1558 L-TDRs were completed in Australia under the MBS in the 5 years of interest. The 5-year annual mean case volume was 311.6 cases per annum. A downtrend and plateau in the rate of L-TDR has been seen from 2021 onward. The distribution of L-TDR across ages showed a significantly higher concentration in the 35–44 and 45–54 age groups (P < 0.05). More operations were performed in males (n = 876, 56.2%) than females (n = 682, 43.8%).Conclusions:The uptake of L-TDR has declined throughout the 5-year study period in Australia. Despite modest use currently, the future of L-TDR will rely on more robust long-term outcome data. ABSTRACT Introduction: Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence regarding the uptake of L-TDR in practice. The objective of this study was to analyze Australian-based population trends in L-TDR over the past 5 years. Methods: The 5-year incidence of L-TDR from 2019 to 2023 in adult patients was analyzed using the Medicare Benefits Schedule (MBS) database. Data were stratified by sex and year, with an offset term introduced using population data from the Australian Bureau of Statistics to account for population changes over the study period. Results: A total of 1558 L-TDRs were completed in Australia under the MBS in the 5 years of interest. The 5-year annual mean case volume was 311.6 cases per annum. A downtrend and plateau in the rate of L-TDR has been seen from 2021 onward. The distribution of L-TDR across ages showed a significantly higher concentration in the 35-44 and 45-54 age groups (P < 0.05). More operations were performed in males (n = 876, 56.2) than females (n = 682, 43.8). Conclusions: The uptake of L-TDR has declined throughout the 5-year study period in Australia. Despite modest use currently, the future of L-TDR will rely on more robust long-term outcome data. Keywords: Degenerative disc disease, intervertebral disc replacement, lower back pain, lumbar spine Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence regarding the uptake of L-TDR in practice. The objective of this study was to analyze Australian-based population trends in L-TDR over the past 5 years. The 5-year incidence of L-TDR from 2019 to 2023 in adult patients was analyzed using the Medicare Benefits Schedule (MBS) database. Data were stratified by sex and year, with an offset term introduced using population data from the Australian Bureau of Statistics to account for population changes over the study period. A total of 1558 L-TDRs were completed in Australia under the MBS in the 5 years of interest. The 5-year annual mean case volume was 311.6 cases per annum. A downtrend and plateau in the rate of L-TDR has been seen from 2021 onward. The distribution of L-TDR across ages showed a significantly higher concentration in the 35-44 and 45-54 age groups (P < 0.05). More operations were performed in males (n = 876, 56.2) than females (n = 682, 43.8). The uptake of L-TDR has declined throughout the 5-year study period in Australia. Despite modest use currently, the future of L-TDR will rely on more robust long-term outcome data. Introduction: Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence regarding the uptake of L-TDR in practice. The objective of this study was to analyze Australian-based population trends in L-TDR over the past 5 years. Methods: The 5-year incidence of L-TDR from 2019 to 2023 in adult patients was analyzed using the Medicare Benefits Schedule (MBS) database. Data were stratified by sex and year, with an offset term introduced using population data from the Australian Bureau of Statistics to account for population changes over the study period. Results: A total of 1558 L-TDRs were completed in Australia under the MBS in the 5 years of interest. The 5-year annual mean case volume was 311.6 cases per annum. A downtrend and plateau in the rate of L-TDR has been seen from 2021 onward. The distribution of L-TDR across ages showed a significantly higher concentration in the 35–44 and 45–54 age groups (P < 0.05). More operations were performed in males (n = 876, 56.2%) than females (n = 682, 43.8%). Conclusions: The uptake of L-TDR has declined throughout the 5-year study period in Australia. Despite modest use currently, the future of L-TDR will rely on more robust long-term outcome data. Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence regarding the uptake of L-TDR in practice. The objective of this study was to analyze Australian-based population trends in L-TDR over the past 5 years.IntroductionFavorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence regarding the uptake of L-TDR in practice. The objective of this study was to analyze Australian-based population trends in L-TDR over the past 5 years.The 5-year incidence of L-TDR from 2019 to 2023 in adult patients was analyzed using the Medicare Benefits Schedule (MBS) database. Data were stratified by sex and year, with an offset term introduced using population data from the Australian Bureau of Statistics to account for population changes over the study period.MethodsThe 5-year incidence of L-TDR from 2019 to 2023 in adult patients was analyzed using the Medicare Benefits Schedule (MBS) database. Data were stratified by sex and year, with an offset term introduced using population data from the Australian Bureau of Statistics to account for population changes over the study period.A total of 1558 L-TDRs were completed in Australia under the MBS in the 5 years of interest. The 5-year annual mean case volume was 311.6 cases per annum. A downtrend and plateau in the rate of L-TDR has been seen from 2021 onward. The distribution of L-TDR across ages showed a significantly higher concentration in the 35-44 and 45-54 age groups (P < 0.05). More operations were performed in males (n = 876, 56.2%) than females (n = 682, 43.8%).ResultsA total of 1558 L-TDRs were completed in Australia under the MBS in the 5 years of interest. The 5-year annual mean case volume was 311.6 cases per annum. A downtrend and plateau in the rate of L-TDR has been seen from 2021 onward. The distribution of L-TDR across ages showed a significantly higher concentration in the 35-44 and 45-54 age groups (P < 0.05). More operations were performed in males (n = 876, 56.2%) than females (n = 682, 43.8%).The uptake of L-TDR has declined throughout the 5-year study period in Australia. Despite modest use currently, the future of L-TDR will rely on more robust long-term outcome data.ConclusionsThe uptake of L-TDR has declined throughout the 5-year study period in Australia. Despite modest use currently, the future of L-TDR will rely on more robust long-term outcome data. Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence regarding the uptake of L-TDR in practice. The objective of this study was to analyze Australian-based population trends in L-TDR over the past 5 years. The 5-year incidence of L-TDR from 2019 to 2023 in adult patients was analyzed using the Medicare Benefits Schedule (MBS) database. Data were stratified by sex and year, with an offset term introduced using population data from the Australian Bureau of Statistics to account for population changes over the study period. A total of 1558 L-TDRs were completed in Australia under the MBS in the 5 years of interest. The 5-year annual mean case volume was 311.6 cases per annum. A downtrend and plateau in the rate of L-TDR has been seen from 2021 onward. The distribution of L-TDR across ages showed a significantly higher concentration in the 35-44 and 45-54 age groups (P < 0.05). More operations were performed in males (n = 876, 56.2%) than females (n = 682, 43.8%). The uptake of L-TDR has declined throughout the 5-year study period in Australia. Despite modest use currently, the future of L-TDR will rely on more robust long-term outcome data. |
| Audience | Academic |
| Author | George, Adam R Campbell, Ryan J Gray, Randolph Symes, Michael Sivakumar, Brahman Shankar Dragan, Zac |
| AuthorAffiliation | 4 Faculty of Medicine and Health, Discipline of Surgery, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia 7 Department of Orthopaedic Surgery, St. George Hospital, Sydney, New South Wales, Australia 3 Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, New South Wales, Australia 1 Faculty of Medicine and Health, The University of Sydney, Sydney Medical School, Faculty of Medicine and Health, Camperdown, New South Wales, Australia 2 Department of Orthopaedics and Trauma Surgery, Royal North Shore Hospital, New South Wales, Australia 5 Department of Orthopaedic Surgery, Hornsby Ku-ring-gai Hospital, Hornsby, New South Wales, Australia 8 Department of Orthopaedic, St. George and Southerland Clinical School, University of New South Wales Medicine, Sydney, New South Wales, Australia 6 Department of Orthopaedic Surgery, Nepean Hospital, Sydney, New South Wales, Australia |
| AuthorAffiliation_xml | – name: 1 Faculty of Medicine and Health, The University of Sydney, Sydney Medical School, Faculty of Medicine and Health, Camperdown, New South Wales, Australia – name: 5 Department of Orthopaedic Surgery, Hornsby Ku-ring-gai Hospital, Hornsby, New South Wales, Australia – name: 3 Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, New South Wales, Australia – name: 6 Department of Orthopaedic Surgery, Nepean Hospital, Sydney, New South Wales, Australia – name: 4 Faculty of Medicine and Health, Discipline of Surgery, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia – name: 8 Department of Orthopaedic, St. George and Southerland Clinical School, University of New South Wales Medicine, Sydney, New South Wales, Australia – name: 7 Department of Orthopaedic Surgery, St. George Hospital, Sydney, New South Wales, Australia – name: 2 Department of Orthopaedics and Trauma Surgery, Royal North Shore Hospital, New South Wales, Australia |
| Author_xml | – sequence: 1 givenname: Zac surname: Dragan fullname: Dragan, Zac organization: Faculty of Medicine and Health, The University of Sydney, Sydney Medical School, Faculty of Medicine and Health, Camperdown, New South Wales, Australia – sequence: 2 givenname: Adam R surname: George fullname: George, Adam R organization: Faculty of Medicine and Health, The University of Sydney, Sydney Medical School, Faculty of Medicine and Health, Camperdown, New South Wales, Australia – sequence: 3 givenname: Ryan J surname: Campbell fullname: Campbell, Ryan J organization: Department of Orthopaedics and Trauma Surgery, Royal North Shore Hospital, New South Wales, Australia – sequence: 4 givenname: Randolph surname: Gray fullname: Gray, Randolph organization: Department of Orthopaedics and Trauma Surgery, Royal North Shore Hospital, New South Wales, Australia – sequence: 5 givenname: Brahman Shankar surname: Sivakumar fullname: Sivakumar, Brahman Shankar organization: Department of Orthopaedic Surgery, Nepean Hospital, Sydney, New South Wales, Australia – sequence: 6 givenname: Michael surname: Symes fullname: Symes, Michael organization: Department of Orthopaedic, St. George and Southerland Clinical School, University of New South Wales Medicine, Sydney, New South Wales, Australia |
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| Cites_doi | 10.1097/MRR.0b013e328363ba4b 10.21037/jss-22-36 10.21037/jss-22-46 10.1016/S0140-6736(21)00733-9 10.1111/ans.18312 10.29245/2767-5130/2023/1.1190 10.1111/ans.16375 10.1177/2192568217737317 10.5455/medarh.2019.73.421-424 10.1097/01.BRS.0000083234.62751.7A 10.1007/s11916-019-0757-1 10.14444/5029 10.1142/S2424835522300043 10.1016/S0140-6736(18)32279-7 10.1007/s00586-006-0186-9 10.1177/2192568219838535 10.1016/j.wneu.2016.10.074 10.21037/jss.2016.07.01 10.1016/j.spinee.2013.08.028 10.1177/21925682221079571 10.14444/8330 10.1097/AJP.0b013e31827a6dd8 10.1097/BPO.0000000000002646 10.1111/ans.17818 10.1016/j.wneu.2018.10.033 10.3390/ijerph19084599 10.1016/j.spinee.2006.05.012 10.1097/MD.0000000000016460 10.3390/cells13020153 10.1007/s00590-024-03884-z 10.1111/ans.18456 10.1007/s00586-019-06100-3 10.21037/jss-22-4 10.1097/BRS.0b013e3181714a1d 10.1007/s12178-017-9397-4 |
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| Keywords | lumbar spine lower back pain intervertebral disc replacement Degenerative disc disease |
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| Snippet | Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence... ABSTRACT Introduction: Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is... ABSTRACTIntroduction:Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is... Introduction: Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little... |
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| SubjectTerms | Care and treatment degenerative disc disease Diagnosis Hernia intervertebral disc replacement Intervertebral disk Intervertebral disk displacement lower back pain lumbar spine Original Patient outcomes Spine Surgery |
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| Title | Lumbar intervertebral disc replacement in Australia: An epidemiological study |
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