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- Title
Incidence and Risk Factors for Wound Revision after Surgical Treatment of Spinal Metastasis: A National Population-Based Study in South Korea.
- Authors
Lee, Han-Dong; Jang, Hae-Dong; Park, Jin-Sung; Chung, Nam-Su; Chung, Hee-Woong; Jun, Jin-Young; Han, Kyungdo; Hong, Jae-Young
- Abstract
Wound complications are commonly seen after surgeries for metastatic spine tumors. While numerous studies have pinpointed various risk factors, there is ongoing debate. Therefore, this study aimed to verify various factors that are still under debate utilizing the comprehensive Korean National Health Insurance Service database. We identified and retrospectively reviewed a cohort of 3001 patients who underwent one of five surgical treatments (corpectomy, decompression and instrumentation, instrumentation only, decompression only, and vertebroplasty) for newly diagnosed spinal metastasis between 2009 and 2017. A Cox regression analysis was performed to determine the risk factors. A total of 197 cases (6.6%) of wound revision were found. Only the surgical method and Charlson comorbidity index were significantly different between the group that underwent wound revision and the group that did not. Regarding surgical methods, the adjusted hazard ratios for decompression only, corpectomy, instrumentation and decompression, and instrumentation only were 1.3, 2.2, 2.2, and 2.4, with these ratios being compared to the vertebroplasty group (p for trend = 0.02). In this regard, based on a sizable South Korean cohort, both surgical methods and medical comorbidity were found to be associated with the wound revision rate among spinal surgery patients for spinal metastasis.
- Subjects
SOUTH Korea; NOSOLOGY; CONFIDENCE intervals; LOG-rank test; METASTASIS; SURGICAL complications; POSTOPERATIVE care; RETROSPECTIVE studies; DISEASE incidence; SURGICAL decompression; CASE-control method; RISK assessment; SURGICAL wound dehiscence; CANCER patients; T-test (Statistics); ADJUVANT treatment of cancer; CHEMORADIOTHERAPY; COMPARATIVE studies; SURGICAL site infections; SURGICAL site; DESCRIPTIVE statistics; CHI-squared test; SURVIVAL analysis (Biometry); KAPLAN-Meier estimator; QUESTIONNAIRES; RESEARCH funding; DATA analysis software; SPINAL tumors; LONGITUDINAL method; VERTEBROPLASTY; COMORBIDITY; PROPORTIONAL hazards models; DISEASE risk factors
- Publication
Healthcare (2227-9032), 2023, Vol 11, Issue 22, p2962
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare11222962