Do Orthopedic Surgeons or Neurosurgeons Detect More Hip Disorders in Patients with Hip-Spine Syndrome? A Nationwide Database Study

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Title:	Do Orthopedic Surgeons or Neurosurgeons Detect More Hip Disorders in Patients with Hip-Spine Syndrome? A Nationwide Database Study
Authors:	羅偉成 Tsung-Cheng Yin, Adam M. Wegner, Meng-Ling Lu, Yao-Hsu Yang, Yao-Chin Wang, Woon-Man Kung, Wei-Cheng Lo
Contributors:	應用流行病學碩士學位學程
Keywords:	hip-spine syndrome;total hip arthroplasty;orthopedic surgeon;neurosurgeon;Taiwan National Health Insurance Research Database
Date:	2021-04
Issue Date:	2025-03-26 16:27:34 (UTC+8)
Abstract:	Background: Disorders of the hip and lumbar spine can create similar patterns of pain and dysfunction. It is unknown whether all surgeons, regardless of orthopedic or neurosurgery training, investigate and diagnose concurrent hip and spine pathology at the same rate.?Methods: Data were retrieved from Taiwan’s National Health Insurance Research Database (NHIRD). Enrolled patients were stratified into hip and spine surgery at the same admission (Both), hip surgery before spine surgery (HS), or spine surgery before hip surgery (SH). The SH group was further subdivided based on whether spine surgery was performed by an orthopedic surgeon (OS) or neurosurgeon (NS), and differences in preoperative radiographic examinations and diagnoses were collected and analyzed.?Results: In total, 1824 patients received lumbar spine surgery within 1 year before or after hip replacement surgery. Of these, 103 patients had spine and hip surgery in the same admission (Both), 1290 patients had spine surgery before hip surgery (SH), and 431 patients had hip surgery before spine surgery (HS). In the SH group, patients were categorized into spine surgery by orthopedic surgeons (OS) (n?= 679) or neurosurgeons (NS) (n?= 522). In the SH group, orthopedic surgeons investigated hip pathology with X-rays more often (52.6% vs. 38.1%,?p?< 0.001) and diagnosed more cases of hip disease (43.6% vs. 28.9%,?p?< 0.001) than neurosurgeons.?Conclusions: Of patients in Taiwan’s NHIRD who had concurrent surgical degenerative hip and lumbar spine disorders who had spine surgery before hip surgery, orthopedic surgeons obtained hip images and made hip-related diagnoses more frequently than did neurosurgeons.
Relation:	Brain Sci. 2021, 11(4), 485
Description:	【112-1 升等】臺北醫學大學教師升等專門著作職別：專任送審等級：副教授著作送審
Data Type:	article
Appears in Collections:	[Scholarly output for promotion] 112 [Master Program in Applied Epidemiology] article

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