Cost-Effectiveness of Adult Spinal Deformity Surgery

被引:16
作者
Alvarado, Anthony M. [1 ]
Schatmeyer, Bryan A. [1 ]
Arnold, Paul M. [2 ]
机构
[1] Univ Kansas, Med Ctr, Kansas City, KS 66103 USA
[2] Carle Clin Assoc, Urbana, IL USA
关键词
adult; spine; spinal deformity; cost-effectiveness; SURGICAL-TREATMENT; MANAGEMENT; SCOLIOSIS;
D O I
10.1177/2192568220964098
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design: Review article. Objective: A review of the literature evaluating the cost-effectiveness of undergoing adult spinal deformity surgery and potential avenues for reducing costs. Methods: A review of the current literature and synthesis of data to provide an update on the cost effectiveness of undergoing adult spinal deformity surgery. Results: Compared with nonoperative management, operative management for adult spinal deformity is associated with improved patient-reported outcomes and quality of life; however, it is associated with significant financial and resource use. Conclusion: Operative management for adult spinal deformity has been shown to be effective but is associated with significant cost and resource utilization. The optimal operative treatment is highly dependent on the patients' symptomatology and is surgeon dependent. Maximizing preoperative surgical health and minimizing postoperative complications are key measures in reducing the cost and resource utilization of adult spinal deformity surgery. Future studies are needed to evaluate how to optimize the cost-effectiveness.
引用
收藏
页码:73S / 78S
页数:6
相关论文
共 50 条
[21]   Incidence, Risk Factors, and Mortality of Reintubation in Adult Spinal Deformity Surgery [J].
Ramos, Rafael De la Garza ;
Passias, Peter G. ;
Schwab, Frank ;
Bydon, Ali ;
Lafage, Virginie ;
Sciubba, Daniel M. .
CLINICAL SPINE SURGERY, 2017, 30 (07) :E896-E900
[22]   Pulmonary embolism after adult spinal deformity surgery [J].
Pateder, Dhruv B. ;
Gonzales, Ricardo A. ;
Kebaish, Khaled M. ;
Antezana, David F. ;
Cohen, David B. ;
Chang, Jen-Yi ;
Kostuik, John P. .
SPINE, 2008, 33 (03) :301-305
[23]   Cost-effectiveness of Corrective Fusion Surgeries for Adult Spinal Deformities A Comparison by Operative Method [J].
Arima, Hideyuki ;
Hasegawa, Tomohiko ;
Yamato, Yu ;
Kato, Masashi ;
Yoshida, Go ;
Banno, Tomohiro ;
Oe, Shin ;
Mihara, Yuki ;
Ushirozako, Hiroki ;
Yamada, Tomohiro ;
Watanabe, Yuh ;
Ide, Koichiro ;
Nakai, Keiichi ;
Kurosu, Kenta ;
Matsuyama, Yukihiro .
SPINE, 2021, 46 (18) :1249-1257
[24]   Trends in spinal deformity surgery in Marfan syndrome [J].
Kurucan, Etka ;
Bernstein, David N. ;
Ying, Meiling ;
Li, Yue ;
Menga, Emmanuel N. ;
Sponseller, Paul D. ;
Mesfin, Addisu .
SPINE JOURNAL, 2019, 19 (12) :1934-1940
[25]   Analysis of the direct cost of surgery for four diagnostic categories of adult spinal deformity [J].
McCarthy, Ian M. ;
Hostin, Richard A. ;
O'Brien, Michael F. ;
Fleming, Neil S. ;
Ogola, Gerald ;
Kudyakov, Rustam ;
Richter, Kathleen M. ;
Saigal, Rajiv ;
Berven, Sigurd H. ;
Ames, Christopher P. .
SPINE JOURNAL, 2013, 13 (12) :1843-1848
[26]   Cost Benefit of Implementation of Risk Stratification Models for Adult Spinal Deformity Surgery [J].
Passias, Peter G. ;
Williamson, Tyler K. ;
Kummer, Nicholas A. ;
Pellise, Ferran ;
Lafage, Virginie ;
Lafage, Renaud ;
Serra-Burriel, Miguel ;
Smith, Justin S. ;
Line, Breton ;
Vira, Shaleen ;
Gum, Jeffrey L. ;
Haddad, Sleiman ;
Perez-Grueso, Francisco Javier Sanchez ;
Schoenfeld, Andrew J. ;
Daniels, Alan H. ;
Chou, Dean ;
Klineberg, Eric O. ;
Gupta, Munish C. ;
Kebaish, Khaled M. ;
Kelly, Michael P. ;
Hart, Robert A. ;
Burton, Douglas C. ;
Kleinstuck, Frank ;
Obeid, Ibrahim ;
Shaffrey, Christopher I. ;
Alanay, Ahmet ;
Ames, Christopher P. ;
Schwab, Frank J. ;
Hostin Jr, Richard A. ;
Bess, Shay ;
Int Spine Study Grp .
GLOBAL SPINE JOURNAL, 2025, 15 (02) :818-830
[27]   Minimally Invasive Spinal Surgery for Adult Spinal Deformity [J].
Bae, Junseok ;
Lee, Sang-Ho .
NEUROSPINE, 2018, 15 (01) :18-24
[28]   Cost-effectiveness of surgical treatment for adult spinal deformity: A comparison of dollars per quality of life improvement across health domains [J].
McCarthy I. ;
Hostin R. ;
O'Brien M. ;
Fleming N. ;
Ogola G. ;
Kudyakov R. ;
Richter K. ;
Saigal R. ;
Berven S. ;
Deviren V. ;
Ames C. .
Spine Deformity, 2013, 1 (4) :293-298
[29]   Comparison of two minimally invasive surgery strategies to treat adult spinal deformity [J].
Park, Paul ;
Wang, Michael Y. ;
Lafage, Virginie ;
Stacie Nguyen ;
Ziewacz, John ;
Okonkwo, David O. ;
Uribe, Juan S. ;
Eastlack, Robert K. ;
Anand, Neel ;
Hague, Racieeb ;
Fessler, Richard G. ;
Kanter, Adam S. ;
Deviren, Vedat ;
La Marca, Frank ;
Smith, Justin S. ;
Shaffrey, Christopher I. ;
Mundis, Gregory M., Jr. ;
Mummaneni, Praveen V. .
JOURNAL OF NEUROSURGERY-SPINE, 2015, 22 (04) :374-380
[30]   Analysis of National Rates, Cost, and Sources of Cost Variation in Adult Spinal Deformity [J].
Zygourakis, Corinna C. ;
Liu, Caterina Y. ;
Keefe, Malla ;
Moriates, Christopher ;
Ratliff, John ;
Dudley, R. Adams ;
Gonzales, Ralph ;
Mummaneni, Praveen V. ;
Ames, Christopher P. .
NEUROSURGERY, 2018, 82 (03) :378-387