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Full-endoscopic lumbar disc surgery: the new gold standard? (PhD Academy Award)
Ist Teil von
British journal of sports medicine, 2022-05, Vol.56 (21), p.1253-1254
Ort / Verlag
England: BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
Erscheinungsjahr
2022
Link zum Volltext
Quelle
British Medical Journals Online Archive (BMJ)
Beschreibungen/Notizen
Preliminary outcomes of PTED in the literature were promising but the general consensus was that there was moderate quality of evidence suggesting no differences in leg pain reduction or functional status between PTED and microdiscectomy.3 4 Furthermore, as the past had shown that innovative, intended less-invasive techniques appeared to have no merits over conventional techniques, PTED was faced by some scepticism from the professional organisations.5 Consequently, PTED was not reimbursed in the Netherlands which disappointed both patients and some surgeons. [...]it was decided in an agreement between the Dutch Health Care Institute and the research team that PTED would become reimbursed care if it would be non-inferior. Twelve months after surgery, patients of the PTED arm had less leg pain (7.1 on the 0–100 VAS), less back pain, a better functional status, a higher quality of life and higher rates of self-perceived recovery.7 Furthermore, patients of the PTED arm had less intraoperative blood loss, less complications, a shorter length of hospital stay, used less analgesics and had a similar rate of repeated surgery within 1 year.