Value of Cervical Disk Arthroplasty

被引:3
作者
Tarazona, Daniel A. [1 ]
Schroeder, Gregory D. [1 ]
Vaccaro, Alexander R. [1 ]
Radcliff, Kris E. [1 ]
机构
[1] Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA
来源
CLINICAL SPINE SURGERY | 2019年 / 32卷 / 01期
关键词
cost-effectiveness; cervical disk arthroplasty; CDA; cervical disk replacement; CDR; anterior cervical decompression and fusion; ACDF; degenerative disk disease; cervical myelopathy; cervical radiculopathy; INVESTIGATIONAL DEVICE EXEMPTION; 5-YEAR COST-EFFECTIVENESS; HEALTH STATE UTILITY; FUSION; DISKECTOMY; REPLACEMENT; OUTCOMES; INDEX;
D O I
10.1097/BSD.0000000000000768
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Over the last decade, several of the Food and Drug Administration-regulated investigational device exemption (IDE) trials have compared multiple cervical disk arthroplasty (CDA) devices to anterior cervical decompression and fusion (ACDF) showing comparable and even superior patient-reported outcomes. CDA has been an increasingly attractive option because of the positive outcomes and the motion-preserving technology. However, with the large burden that health care expenditures place on the economy, the focus is now on the value of treatment options. Cost-effectiveness studies assess value by evaluating both outcomes and cost, and recently several have been conducted comparing CDA and ACDF. The results have consistently shown that CDA is a cost-effective alternative, however, in comparison to ACDF the results remain inconclusive. The lack of incorporation of disease specific measures into health state utility values, the inconsistent methods of calculating cost, and the fact that a vast majority of the results have come from industry-sponsored studies makes it difficult to form a definitive conclusion. Despite these limitations, both procedures have proven to be safe, effective, and cost-efficient alternatives.
引用
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页码:4 / 9
页数:6
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