Small area analysis of surgery for low-back pain.

@article{Volinn1992SmallAA,
  title={Small area analysis of surgery for low-back pain.},
  author={Ernest Volinn and John Mayer and Paula K. Diehr and D Van Koevering and Frederick A. Connell and John D. Loeser},
  journal={Spine},
  year={1992},
  volume={17 5},
  pages={575-81}
}
Rates of spine surgery (discectomy, laminectomy, fusion) vary several-fold among "small areas" such as counties or hospital market areas. To ascertain why this is so, an analysis was conducted of variability in rates among counties in the State of Washington (N = 39). Since, unlike previous published reports, this study excluded patients with cancer, major trauma, and infection, as well as those with cervical and thoracic procedures, rates in this study pertain specifically to the problem of… CONTINUE READING

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