Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 3

Assessment of economic outcome

Zoher Ghogawala, Robert G. Whitmore, William C. Watters, Alok Sharan, Praveen V. Mummaneni, Andrew T. Dailey, Tanvir F. Choudhri, Jason C. Eck, Michael W. Groff, Jeffrey C. Wang, Daniel K. Resnick, Sanjay S. Dhall, Michael G. Kaiser

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

A comprehensive economic analysis generally involves the calculation of indirect and direct health costs from a societal perspective as opposed to simply reporting costs from a hospital or payer perspective. Hospital charges for a surgical procedure must be converted to cost data when performing a cost-effectiveness analysis. Once cost data has been calculated, quality-adjusted life year data from a surgical treatment are calculated by using a preference-based health-related quality-of-life instrument such as the EQ-5D. A recent cost-utility analysis from a single study has demonstrated the long-term (over an 8-year time period) benefits of circumferential fusions over stand-alone posterolateral fusions. In addition, economic analysis from a single study has found that lumbar fusion for selected patients with low-back pain can be recommended from an economic perspective. Recent economic analysis, from a single study, finds that femoral ring allograft might be more cost-effective compared with a specific titanium cage when performing an anterior lumbar interbody fusion plus posterolateral fusion.

Original languageEnglish (US)
Pages (from-to)14-22
Number of pages9
JournalJournal of Neurosurgery: Spine
Volume21
Issue number1
DOIs
StatePublished - 2014

Fingerprint

Spine
Economics
Outcome Assessment (Health Care)
Guidelines
Costs and Cost Analysis
Cost-Benefit Analysis
Hospital Charges
Quality-Adjusted Life Years
Hospital Costs
Low Back Pain
Thigh
Titanium
Health Care Costs
Allografts
Quality of Life
Therapeutics

Keywords

  • Cost-effectiveness
  • Fusion
  • Lumbar spine
  • Outcomes
  • Practice guidelines

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Neurology

Cite this

Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 3 : Assessment of economic outcome. / Ghogawala, Zoher; Whitmore, Robert G.; Watters, William C.; Sharan, Alok; Mummaneni, Praveen V.; Dailey, Andrew T.; Choudhri, Tanvir F.; Eck, Jason C.; Groff, Michael W.; Wang, Jeffrey C.; Resnick, Daniel K.; Dhall, Sanjay S.; Kaiser, Michael G.

In: Journal of Neurosurgery: Spine, Vol. 21, No. 1, 2014, p. 14-22.

Research output: Contribution to journalArticle

Ghogawala, Z, Whitmore, RG, Watters, WC, Sharan, A, Mummaneni, PV, Dailey, AT, Choudhri, TF, Eck, JC, Groff, MW, Wang, JC, Resnick, DK, Dhall, SS & Kaiser, MG 2014, 'Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 3: Assessment of economic outcome', Journal of Neurosurgery: Spine, vol. 21, no. 1, pp. 14-22. https://doi.org/10.3171/2014.4.SPINE14259
Ghogawala, Zoher ; Whitmore, Robert G. ; Watters, William C. ; Sharan, Alok ; Mummaneni, Praveen V. ; Dailey, Andrew T. ; Choudhri, Tanvir F. ; Eck, Jason C. ; Groff, Michael W. ; Wang, Jeffrey C. ; Resnick, Daniel K. ; Dhall, Sanjay S. ; Kaiser, Michael G. / Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 3 : Assessment of economic outcome. In: Journal of Neurosurgery: Spine. 2014 ; Vol. 21, No. 1. pp. 14-22.
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