Earticle

초록

영어

This study was conducted to investigate the effect of timing of surgery on outcomes of spine operated patients for lumbar herniated intervertebral disc. The research design was cohort study and based on the data of claims for the medical expenses of health insurance. 21,475 cases who had primary spine surgery between January 1, and December 31, 2003, observed to conservative treatment period in the past two years from preoperative primary diagnosis to timing of primary surgery. According to one and five year follow up monitoring, the probability of occurrence of reoperation was not statistically significant with preoperative duration of symptom. Also one year follow up, the probability of occurrence of complication, was not statistically significant with preoperative duration of symptom. But five year follow up, groups who had one to two month preoperative duration of symptom decreased complication rate than less than a month(95%CI:0.594-0.927). Thus, from the onset of symptoms of back pain before primary surgery with enough and adequate time observation is required. Also, medical consumers or providers to choose surgery in determining prudence is required.

목차

 Ⅰ. 서론
  1. 연구 배경
  2. 연구목적
 Ⅱ. 연구방법
  1. 연구 설계 및 대상
  2. 관찰기간
  3. 자료 분석
 Ⅲ. 연구결과
  1. 대상자의 일반적 특성
  2. 초기수술 전 증상의 기간(보존적 치료기간)
  3. 초기수술 후 재수술 발생
  4. 초기수술 후 합병증 발생
 Ⅳ. 고찰
  1. 초기수술 시점
  2. 그 밖의 위험요인
 Ⅴ. 결론
 REFERENCES

키워드

저자

• 최보람 [ Bo-Ram Choi | 경동대학교 간호학과 ]
• 지영건 [ Young-Geon Ji | 차의과학대학교 예방의학교실 ] Corresponding author
• 신동아 [ Dong-Ah Shin | 분당차병원 신경외과 ]
• 엄영진 [ Young-Jin Om | 차의과학대학교 예방의학교실 ]
• 이동모 [ Dong-Mo Rhie | 차의과학대학교 예방의학교실 ]
• 강형곤 [ Hyung-Gon Kang | 차의과학대학교 예방의학교실 ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  보건의료산업학회지 [The Korean Journal of Health Service Management]

• 간기

  계간

• pISSN

  2093-5986

• 수록기간

  2007~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 517 DDC 613