| アブストラクト | BACKGROUND: Both cancer diagnosis/treatment modality and surgical technique for the spine have been developed recently. Nationwide trends in the surgical treatment for metastatic spinal tumors have not been reported in the last decades. This study aimed to examine recent trends in the surgical treatment for spinal metastasis and in-hospital patient outcomes using nationwide administrative hospital discharge data. METHODS: The Diagnosis Procedure Combination database from 2012 to 2020 was used to extract data from patients who underwent surgical procedures for spinal metastasis with the number of non-metastatic spinal surgery at the institutions that have performed metastatic spine surgeries at least one case in the same year. Trends in the surgical treatment for spinal metastasis, patients' demographics, and in-hospital mortality/outcomes were investigated. RESULTS: This study analyzed 10,321 eligible patients with spinal metastasis. The surgical treatment for spinal metastasis increased 1.68 times from 2012 to 2020, especially in fusion surgery, whereas the proportion of metastatic spinal surgery retained with a slight increase in the 2%s. Distributions of the primary site did not change, whereas age was getting older. In-hospital mortality and length of stay decreased over time (9.9-6.8%, p < 0.001; 37-30 days, p < 0.001). Postoperative complication and unfavorable ambulatory retained stable and slightly decreased, respectively. CONCLUSION: During the last decade, surgical treatment for spinal metastasis, especially fusion surgery, has increased in Japan. In-hospital mortality and length of stay decreased. Recent advances in cancer treatment and surgical techniques might influence this trend. |
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| ジャーナル名 | International journal of clinical oncology |
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| 投稿日 | 2024/6/3 |
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| 投稿者 | Yamada, Kentaro; Yoshii, Toshitaka; Toba, Mikayo; Egawa, Satoru; Morishita, Shingo; Matsukura, Yu; Hirai, Takashi; Kudo, Atsushi; Fushimi, Kiyohide |
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| 組織名 | Department of Orthopaedics and Trauma Research, Tokyo Medical and Dental;University, Tokyo, Japan.;Department of Orthopaedics, Tokyo Medical and Dental University, 1-5-45 Yushima,;Bunkyo-ku, Tokyo, 113-8519, Japan. yoshii.orth@tmd.ac.jp.;Department of Quality Management Center, Tokyo Medical and Dental Univ Hospital,;Tokyo, Japan.;Bunkyo-ku, Tokyo, 113-8519, Japan.;Department of Hepato-Biliary-Pancreatic Surgery, Tokyo Medical and Dental;Department of Health Policy and Informatics Section, Tokyo Medical and Dental |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/38829471/ |
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