title: Temporal relationship between lumbar spine surgeries, return to work, and workers' compensation costs in a cohort of injured workers.
abstract: OBJECTIVE
  Determine the relationship between time to surgery, lost time, and insurance costs.
  
  
  METHODS
  A cohort of 582 claimants undergoing lumbar spine surgery (1999 to 2002) in the state of Louisiana was observed for 7 years.
  
  
  RESULTS
  The shorter the time interval between injury and first lumbar surgery, the lower the cost and time lost from work. Average days lost from work and claim costs for 42% of those undergoing early lumbar surgery did not differ from injured workers who lost time from work for claims not involving lumbar surgery. Claim cost for the remaining 58% who had delayed surgery was 5.7 times greater than that for the early surgery cohort.
  
  
  CONCLUSIONS
  The decision to perform lumbar surgery is not necessarily associated with high claim costs or longer time out from work, provided that the determination to operate is early.
authors.affiliation: Department of Neurology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Lavin
authors.forename: Xuguang
authors.initials: X
authors.lastname: Tao
authors.forename: Larry
authors.initials: L
authors.lastname: Yuspeh
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Bernacki
mesh_terms: D017586:Diskectomy / Q000191:economics; D006801:Humans; D007796:Laminectomy / Q000191:economics; D008137:Longitudinal Studies; D008145:Louisiana; D017116:Low Back Pain / Q000191:economics* / Q000601:surgery; D008159:Lumbar Vertebrae; D060051:Occupational Injuries / Q000191:economics* / Q000601:surgery; D062707:Return to Work / Q000191:economics*; D018582:Sick Leave / Q000191:economics*; D013123:Spinal Fusion / Q000191:economics; D013997:Time Factors; D014942:Workers' Compensation / Q000191:economics*