Cost-effectiveness Applications of Patient-reported Outcome Measures (PROMs) in Spine Surgery

被引:16
作者
Lee, Thomas J. [1 ]
Thomas, Alexander A. [1 ]
Grandhi, Nikhil R. [1 ]
Galetta, Matthew S. [2 ]
Goyal, Dhruv K. C. [2 ]
Fang Taolin [2 ]
Schroeder, Gregory D. [2 ]
Kepler, Christopher K. [2 ]
Vaccaro, Alexander R. [2 ]
机构
[1] Sidney Kimmel Med Coll, Philadelphia, PA USA
[2] Thomas Jefferson Univ, Rothman Inst, Dept Orthopaed Surg, Philadelphia, PA USA
来源
CLINICAL SPINE SURGERY | 2020年 / 33卷 / 04期
关键词
patient-reported outcome measures; cost-effectiveness; spine; spine surgery; qaulity-adjusted life years; NICE; incremental cost-effective ratio; ANTERIOR CERVICAL DISKECTOMY; LUMBAR DISC HERNIATION; LENGTH-OF-STAY; UTILITY ANALYSIS; HEALTH; FUSION; CARE; NICE;
D O I
10.1097/BSD.0000000000000982
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Because of the rising health care costs in the United States, there has been a focus on value-based care and improving the cost-effectiveness of surgical procedures. Patient-reported outcome measures (PROMs) can not only give physicians and health care providers immediate feedback on the well-being of the patients but also be used to assess health and determine outcomes for surgical research purposes. Recently, PROMs have become a prominent tool to assess the cost-effectiveness of spine surgery by calculating the improvement in quality-adjusted life years (QALY). The cost of a procedure per QALY gained is an essential metric to determine cost-effectiveness in universal health care systems. Common patient-reported outcome questionnaires to calculate QALY include the EuroQol-5 dimensions, the SF-36, and the SF-12. On the basis of the health-related quality of life outcomes, the cost-effectiveness of various spine surgeries can be determined, such as cervical fusions, lumbar fusions, microdiscectomies. As the United States attempts to reduce costs and emphasize value-based care, PROMs may serve a critical role in spine surgery moving forward. In addition, PROM-driven QALYs may be used to analyze novel spine surgical techniques for value-based improvements.
引用
收藏
页码:140 / 145
页数:6
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