scholarly journals Long-Term Cost-Effectiveness of Adult Spinal Deformity Surgery

2015 ◽  
Vol 5 (1_suppl) ◽  
pp. s-0035-1554556-s-0035-1554556
Author(s):  
Ian McCarthy ◽  
Chessie Robinson ◽  
Richard Hostin ◽  
Michael O'Brien ◽  
Christopher Ames ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Spinal Deformity Surgery

Long-Term Cost-Effectiveness of Adult Spinal Deformity Surgery (ASD)

2014 ◽  
Vol 14 (11) ◽  
pp. S128-S129
Author(s):  
Ian McCarthy ◽  
Chessie Robinson ◽  
Michael F. O'Brien ◽  
Munish C. Gupta ◽  
Christopher P. Ames ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Spinal Deformity Surgery

Association of Patient-Reported Narcotic Use With Short- and Long-Term Outcomes After Adult Spinal Deformity Surgery

Spine ◽  
2018 ◽  
Vol 43 (19) ◽  
pp. 1340-1346 ◽  
Author(s):  
Micheal Raad ◽  
Amit Jain ◽  
Brian J. Neuman ◽  
Hamid Hassanzadeh ◽  
Munish C. Gupta ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Long Term Outcomes ◽  
Patient Reported ◽  
Spinal Deformity Surgery ◽  
Short And Long Term

scholarly journals Cost-Effectiveness of Adult Spinal Deformity Surgery

2020 ◽  
pp. 219256822096409
Author(s):  
Anthony M. Alvarado ◽  
Bryan A. Schatmeyer ◽  
Paul M. Arnold
Keyword(s):  
Cost Effectiveness ◽  
Resource Utilization ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Operative Management ◽  
Patient Reported ◽  
Spinal Deformity Surgery ◽  
Reducing Costs ◽  
The Cost

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.

Opioid use after adult spinal deformity surgery: patterns of cessation and associations with preoperative use

2020 ◽  
Vol 33 (4) ◽  
pp. 490-495
Author(s):  
Mark Ren ◽  
Barry R. Bryant ◽  
Andrew B. Harris ◽  
Khaled M. Kebaish ◽  
Lee H. Riley ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
High Dose ◽  
Opioid Use ◽  
Postoperative Time ◽  
Spinal Deformity Surgery ◽  
Preoperative Factors ◽  
Time Point

OBJECTIVEThe objectives of the study were to determine, among patients with adult spinal deformity (ASD), the following: 1) how preoperative opioid use, dose, and duration of use are associated with long-term opioid use and dose; 2) how preoperative opioid use is associated with rates of postoperative use from 6 weeks to 2 years; and 3) how postoperative opioid use at 6 months and 1 year is associated with use at 2 years.METHODSUsing a single-center, longitudinally maintained registry, the authors identified 87 patients who underwent ASD surgery from 2013 to 2017. Fifty-nine patients reported preoperative opioid use (37 high-dose [≥ 90 morphine milligram equivalents daily] and 22 low-dose use). The duration of preoperative use was long-term (≥ 6 months) for 44 patients and short-term for 15. The authors evaluated postoperative opioid use at 6 weeks, 3 months, 6 months, 1 year, and 2 years after surgery. Multivariate logistic regression was used to determine associations of preoperative opioid use, dose, and duration with use at each time point (alpha = 0.05).RESULTSThe following preoperative factors were associated with opioid use 2 years postoperatively: any opioid use (adjusted odds ratio [aOR] 14, 95% CI 2.5–82), high-dose use (aOR 7.3, 95% CI 1.1–48), and long-term use (aOR 17, 95% CI 2.2–123). All patients who reported high-dose opioid use at the 2-year follow-up examination had also reported preoperative opioid use. Preoperative high-dose use (aOR 247, 95% CI 5.8–10,546) but not long-term use (aOR 4.0, 95% CI 0.18–91) was associated with high-dose use at the 2-year follow-up visit. Compared with patients who reported no preoperative use, those who reported preoperative opioid use had higher rates of use at each postoperative time point (from 94% vs 62% at 6 weeks to 54% vs 7.1% at 2 years) (all p < 0.001). Opioid use at 2 years was independently associated with use at 1 year (aOR 33, 95% CI 6.8–261) but not at 6 months (aOR 4.3, 95% CI 0.95–24).CONCLUSIONSPatients’ preoperative opioid use, dose, and duration of use are associated with long-term use after ASD surgery, and a high preoperative dose is also associated with high-dose opioid use at the 2-year follow-up visit. Patients using opioids 1 year after ASD surgery may be at risk for long-term use.

Cost-Effectiveness of a Radio Frequency Hemostatic Sealer (RFHS) in Adult Spinal Deformity Surgery

2019 ◽  
Vol 122 ◽  
pp. 171-175
Author(s):  
Gurpreet S. Gandhoke ◽  
Kenneth J. Smith ◽  
Yash K. Pandya ◽  
Nima Alan ◽  
Adam S. Kanter ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Radio Frequency ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Spinal Deformity Surgery

scholarly journals Incremental Cost-Effectiveness of Adult Spinal Deformity Surgery by Classification of Deformity

2015 ◽  
Vol 5 (1_suppl) ◽  
pp. s-0035-1554557-s-0035-1554557
Author(s):  
Chessie Robinson ◽  
Richard Hostin ◽  
Ian McCarthy ◽  
Michael O'Brien ◽  
Munish Gupta ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Incremental Cost ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Spinal Deformity Surgery

255. Preoperative opioid dosage and duration are associated with increased long-term opioid use after adult spinal deformity surgery

2019 ◽  
Vol 19 (9) ◽  
pp. S125
Author(s):  
Mark Ren ◽  
Barry R. Bryant ◽  
Andrew B. Harris ◽  
Richard L. Skolasky ◽  
Khaled M. Kebaish ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Opioid Use ◽  
Spinal Deformity Surgery

Incremental Cost-Effectiveness of Adult Spinal Deformity Surgery: Observed QALYs with Surgery Compared to Predicted QALYs without Surgery

2013 ◽  
Vol 13 (9) ◽  
pp. S96-S97
Author(s):  
Ian McCarthy ◽  
Michael O’Brien ◽  
Christopher P. Ames ◽  
Thomas J. Errico ◽  
Han Jo Kim ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Incremental Cost ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Spinal Deformity Surgery

Role of Implant Costs in the Long-Term Cost Effectiveness of Surgical Treatment of Adult Spinal Deformity (ASD)

2014 ◽  
Vol 14 (11) ◽  
pp. S129
Author(s):  
Chessie Robinson ◽  
Ian McCarthy ◽  
Michael F. O'Brien ◽  
Munish C. Gupta ◽  
Christopher P. Ames ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Surgical Treatment ◽  
Spinal Deformity ◽  
Adult Spinal Deformity
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