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HALIFAX, NOVA SCOTIA – A new study suggests that while older spine surgeons achieve comparable functional outcomes for patients undergoing elective degenerative spine surgery, they tend to receive lower patient satisfaction scores than their younger counterparts, even while handling more complex cases.
The research, published online April 21st in JAMA Network Open, analyzed data from the Canadian Spine Outcomes and Research Network, involving over 3,400 adult patients. The study aimed to determine if surgeon age impacts patient outcomes following procedures for conditions like spinal stenosis, degenerative disk disease, disk herniation, and spondylolisthesis.
Surgeons were categorized into three age groups: younger (35-44 years), middle-aged (45-59 years), and older (60 years or older). The results showed no significant differences among the groups regarding objective measures 12 months after surgery. Patient-reported disability scores (using the Ostwestry Disability Index and Neck Disability Index) and pain levels were similar regardless of the surgeon’s age group.
However, the study found notable differences in subjective patient feedback. Patients treated by younger or middle-aged surgeons were significantly more likely to report that their expectations were fully met compared to those treated by older surgeons. Furthermore, patients reported higher overall satisfaction levels when their surgery was performed by surgeons in the youngest age group (35-44).
Crucially, the study also revealed that older surgeons (60+) handled significantly more complex cases. They performed more lumbar spine surgeries and spinal fusions compared to middle-aged surgeons. They also operated on a higher proportion of younger patients (under 45) and saw more patients specifically with degenerative disk disease compared to the youngest surgeons. Additionally, older surgeons undertook more surgeries classified as highly invasive, according to the spine surgical invasiveness index (SSII).
Lead study author Dr. Brett Ells from Dalhousie University and colleagues noted the inherent dilemma: “Older surgeons contribute valuable experience and expertise; however, they are subject to age-related changes…and the stress associated with the evolution of techniques and equipment.” They stressed the importance of balancing the identification of impaired physicians with protecting experienced colleagues from ageism, especially given the increasing demand for surgeons.
The researchers hypothesized that the disparity in satisfaction and expectation scores might be linked to evolving medical training, suggesting that more recent education may place a stronger emphasis on patient communication skills.
Despite the differences in patient satisfaction, the authors concluded that based on the similar objective functional outcomes, “spine surgeons of all ages are a valuable resource.” They recommended future research delve into qualitative patient outcomes to better understand why satisfaction rates differ between surgeon age groups.
Several study investigators disclosed receiving grants or personal fees from various organizations and companies.
Disclaimer: This news article is based on information from a study published in JAMA Network Open. It is intended for informational purposes only and does not constitute medical advice. The findings represent correlations observed in a specific patient cohort and may not apply to all individuals or situations. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.
