Surgery for spinal disc herniation

Neurologie, Neurology, Neurosurgery, Primary care

Surgery for spinal disc herniation

Neurologie, Neurology, Neurosurgery, Primary care
Surgery for patients with lower back hernias is not always indicated, since a subset of patients will recover without undergoing surgery. Although the number of operations is reduced, it is still often used as treatment.

The number of surgeries for a spinal disc herniation has decreased over the past few years. But surgeries are still frequently performed although studies have shown that there are no long-term differences in functional outcomes between patients undergoing surgery and patients who are being treated with nonsurgical interventions. Performance of a surgical intervention does expose the patient to the risk of developing complications such as post-operative bleeding, liquor leakage, infections etc. The practice variation of spinal disc herniation surgeries performed is considered large, thereby making this a group which could contain great potential for improvement.

‘This project will focus on the use of monitoring and feedback within hospital care’

Approach:

The project team aims to motivate the specialists working within hospital care to reduce their practice variation through monitoring and feedback. General practitioners will be involved in a pilot study, and will also receive the same feedback and monitoring interventions. Patients will be more involved in the decision making process regarding their treatment by stimulating the use of decision aids and brochures.

Progress:

Starting
Expected intervention start date: winter 2019.
Expected duration: 1,5 years.

Learn more:

Contact us at info@doenoflaten.nl

Stakeholders:

Prof. Wilco Peul, MD, PhD

| Leids Universitair Medisch Centrum (LUMC)

Juliëtte van Munster

| Leids Universitair Medisch Centrum (LUMC)