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Hospitalisation for degenerative cervical myelopathy in England: insights from the National Health Service Hospital Episode Statistics 2012 to 2019.

Goacher, E; Phillips, R; Mowforth, OD; Yordanov, S; Pereira, EAC; Gardner, A; Quraishi, NA; Bateman, AH; Demetriades, AK; Ivanov, M; et al. Goacher, E; Phillips, R; Mowforth, OD; Yordanov, S; Pereira, EAC; Gardner, A; Quraishi, NA; Bateman, AH; Demetriades, AK; Ivanov, M; Budu, A; Dyson, E; Wynne-Jones, G; Davies, BM; Kotter, MRN; NIHR POLYFIX-DCM Consortia (2022) Hospitalisation for degenerative cervical myelopathy in England: insights from the National Health Service Hospital Episode Statistics 2012 to 2019. Acta Neurochir (Wien), 164 (6). pp. 1535-1541. ISSN 0942-0940 https://doi.org/10.1007/s00701-022-05219-5
SGUL Authors: Pereira, Erlick Abilio Coelho

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Abstract

PURPOSE: Degenerative cervical myelopathy (DCM) is the most common cause of adult spinal cord dysfunction worldwide. However, the current incidence of DCM is poorly understood. The Hospital Episode Statistics (HES) database contains details of all secondary care admissions across NHS hospitals in England. This study aimed to use HES data to characterise surgical activity for DCM in England. METHODS: The HES database was interrogated for all cases of DCM between 2012 and 2019. DCM cases were identified from 5 ICD-10 codes. Age-stratified values were collected for 'Finished Consultant Episodes' (FCEs), which correspond to a patient's hospital admission under a lead clinician. Data was analysed to explore current annual activity and longitudinal change. RESULTS: 34,903 FCEs with one or more of the five ICD-10 codes were identified, of which 18,733 (53.6%) were of working age (18-64 years). Mean incidence of DCM was 7.44 per 100,000 (SD ± 0.32). Overall incidence of DCM rose from 6.94 per 100,000 in 2012-2013 to 7.54 per 100,000 in 2018-2019. The highest incidence was seen in 2016-2017 (7.94 per 100,000). The median male number of FCEs per year (2919, IQR: 228) was consistently higher than the median female number of FCEs per year (2216, IQR: 326). The rates of both emergency admissions and planned admissions are rising. CONCLUSIONS: The incidence of hospitalisation for DCM in England is rising. Health care policymakers and providers must recognise the increasing burden of DCM and act to address both early diagnoses and access to treatment in future service provision plans.

Item Type: Article
Additional Information: © The Author(s) 2022 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Cervical, Degeneration, Disability, Myelopathy, Spondylosis, NIHR POLYFIX-DCM Consortia, Cervical, Myelopathy, Spondylosis, Degeneration, Disability, Neurology & Neurosurgery, 1103 Clinical Sciences, 1109 Neurosciences
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Journal or Publication Title: Acta Neurochir (Wien)
ISSN: 0942-0940
Language: eng
Dates:
DateEvent
June 2022Published
5 May 2022Published Online
13 April 2022Accepted
Publisher License: Creative Commons: Attribution 4.0
Projects:
Project IDFunderFunder ID
CS-2015–15-023National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
PubMed ID: 35511406
Web of Science ID: WOS:000791093600001
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/114371
Publisher's version: https://doi.org/10.1007/s00701-022-05219-5

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