Rasmussen C
Reumatologisk afdeling, Hjørring Sygehus.
Ugeskr Laeger. 1995 Feb 27;157(9):1189-92.
This study was set up to show whether certain social and demographic characteristics play any significant role for the length of disease in patients with lumbar disc herniation. All patients operated upon during one year (n = 171), were included. Of these, 168 had been operated for the first time. Four dates were recorded: Onset of symptoms, referral to hospital, operation and recovery. They were grouped according to sex, age, domicile (town, rural area), employed/unemployed, socialclass and way of referral. The total period from onset of symptoms to recovery was significantly shorter for those who were employed as opposed to unemployed and even shorter with increasing socialclass. The period from onset of symptoms to referral was responsible for most of this difference. None of the factors sex, age or domicile were found to be related to outcome parameters. It is recommended that general practitioners are especially aware of the late referral of patients with lumbar disc herniation from the lower social groups.
本研究旨在表明某些社会和人口统计学特征对于腰椎间盘突出症患者的病程是否具有显著作用。纳入了在一年中接受手术的所有患者（n = 171）。其中，168例为首次接受手术。记录了四个日期：症状出现、转诊至医院、手术和康复。根据性别、年龄、居住地（城镇、农村地区）、就业/失业、社会阶层和转诊方式进行分组。与失业者相比，就业者从症状出现到康复的总时间显著更短，并且随着社会阶层的提高甚至更短。症状出现到转诊的时间段造成了大部分这种差异。未发现性别、年龄或居住地等因素与结果参数相关。建议全科医生尤其要注意来自较低社会群体的腰椎间盘突出症患者的延迟转诊情况。
