Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data

Abstract Identifying the prevalence of degenerative spinal pathologies and relevant demographic risk factors is important for understanding spine injury risk, prevention, treatment, and outcome, and for distinguishing acute injuries from degenerative pathologies. Prevalence data in the literature ar...

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Autores principales:	Chantal S. Parenteau, Edmund C. Lau, Ian C. Campbell, Amy Courtney
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5cf6892aaf1f4d4e8317c38161a2dd25
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spelling	oai:doaj.org-article:5cf6892aaf1f4d4e8317c38161a2dd252021-12-02T11:35:52ZPrevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data10.1038/s41598-021-84724-62045-2322https://doaj.org/article/5cf6892aaf1f4d4e8317c38161a2dd252021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84724-6https://doaj.org/toc/2045-2322Abstract Identifying the prevalence of degenerative spinal pathologies and relevant demographic risk factors is important for understanding spine injury risk, prevention, treatment, and outcome, and for distinguishing acute injuries from degenerative pathologies. Prevalence data in the literature are often based on small-scale studies focused on a single type of pathology. This study evaluates the prevalence of diagnosis of selected degenerative spinal pathology diagnoses using Medicare insurance claim data in the context of published smaller-scale studies. In addition, the data are used to evaluate whether the prevalence is affected by age, sex, diagnosed obesity, and the use of medical imaging. The Medicare Claims 5% Limited Data Set was queried to identify diagnoses of degenerative spinal pathologies. Unique patient diagnoses per year were further evaluated as a function of age, gender, and obesity diagnosis. Participants were also stratified by coding for radiological imaging accompanying each diagnosis. The overall prevalence of diagnosed spinal degenerative disease was 27.3% and increased with age. The prevalence of diagnosed disc disease was 2.7 times greater in those with radiology. The results demonstrate that degenerative findings in the spine are common, and, since asymptomatic individuals may not receive a diagnosis of degenerative conditions, this analysis likely underestimates the general prevalence of these conditions.Chantal S. ParenteauEdmund C. LauIan C. CampbellAmy CourtneyNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chantal S. Parenteau Edmund C. Lau Ian C. Campbell Amy Courtney Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data
description	Abstract Identifying the prevalence of degenerative spinal pathologies and relevant demographic risk factors is important for understanding spine injury risk, prevention, treatment, and outcome, and for distinguishing acute injuries from degenerative pathologies. Prevalence data in the literature are often based on small-scale studies focused on a single type of pathology. This study evaluates the prevalence of diagnosis of selected degenerative spinal pathology diagnoses using Medicare insurance claim data in the context of published smaller-scale studies. In addition, the data are used to evaluate whether the prevalence is affected by age, sex, diagnosed obesity, and the use of medical imaging. The Medicare Claims 5% Limited Data Set was queried to identify diagnoses of degenerative spinal pathologies. Unique patient diagnoses per year were further evaluated as a function of age, gender, and obesity diagnosis. Participants were also stratified by coding for radiological imaging accompanying each diagnosis. The overall prevalence of diagnosed spinal degenerative disease was 27.3% and increased with age. The prevalence of diagnosed disc disease was 2.7 times greater in those with radiology. The results demonstrate that degenerative findings in the spine are common, and, since asymptomatic individuals may not receive a diagnosis of degenerative conditions, this analysis likely underestimates the general prevalence of these conditions.
format	article
author	Chantal S. Parenteau Edmund C. Lau Ian C. Campbell Amy Courtney
author_facet	Chantal S. Parenteau Edmund C. Lau Ian C. Campbell Amy Courtney
author_sort	Chantal S. Parenteau
title	Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data
title_short	Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data
title_full	Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data
title_fullStr	Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data
title_full_unstemmed	Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data
title_sort	prevalence of spine degeneration diagnosis by type, age, gender, and obesity using medicare data
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5cf6892aaf1f4d4e8317c38161a2dd25
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Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data

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