Minimally invasive, open hemilaminectomy equivalent

Minimally invasive, open hemilaminectomy equivalent
Minimally invasive and open multilevel hemilaminectomy are similar with respect to cost and improved quality of life measures for the treatment of degenerative lumbar spinal stenosis, according to a study published in the February issue of the Journal of Spinal Disorders & Techniques.

(HealthDay)—Minimally invasive (MIS) and open multilevel hemilaminectomy are similar with respect to cost and improved quality of life measures for the treatment of degenerative lumbar spinal stenosis, according to a study published in the February issue of the Journal of Spinal Disorders & Techniques.

Scott L. Parker, M.D., from the Vanderbilt University Medical Center in Nashville, Tenn., and colleagues conducted a two-year cost-utility study for 54 consecutive patients with lumbar stenosis undergoing multilevel hemilaminectomy through an MIS paramedian tubular approach or midline open approach (27 patients in each group). After two years, total back-related medical resource utilization, missed work, and health state values (quality-adjusted life-years [QALYs]) were assessed. The direct costs (resource use multiplied by unit costs based on Medicare national allowable payment amounts) and indirect costs (work-day losses multiplied by the self-reported gross-of-tax wage rate) were assessed.

The researchers found that, two years after surgery, MIS and open hemilaminectomy were associated with an equivalent cumulative gain of 0.72 QALYs. MIS and open hemilaminectomy were similar with respect to mean direct medical costs, indirect societal costs, and total two-year cost ($23,109 and $25,420, respectively; P = 0.21). Total costs and utility were similar for the MIS versus open approach.

"MIS versus open multilevel hemilaminectomy was associated with similar cost over two years while providing equivalent improvement in QALYs," the authors write. "In our experience, MIS versus open multilevel hemilaminectomy techniques are equally effective at long-term pain relief and provide equivalent benefit in long-term functional capacity and ."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Study investigates the cost effectiveness of spinal surgery

Dec 29, 2008

Back pain affects more than 80 percent of people and costs more than $100 billion annually in the U.S. But is the surgery cost effective? A study by researchers at Rush University Medical Center suggests that for patients ...

Minimally invasive esophagectomy offers benefits

May 01, 2012

(HealthDay) -- Compared with open transthoracic esophagectomy, minimally invasive transthoracic esophagectomy is associated with significantly fewer pulmonary infections and with other short-term benefits ...

Robotic-assisted prostate cancer surgery drives up costs

May 23, 2012

In one of the most comprehensive analyses to date of the cost of robotic-assisted, laparoscopic surgery for prostate cancer, researchers at UPMC found that this now-dominant surgical approach is significantly more costly ...

Recommended for you

In US, Ebola fears rise but most confident in response

2 hours ago

After two health care workers in Texas were infected with Ebola while caring for a Liberian patient, a poll Tuesday showed a rattled US public that nevertheless stayed confident in the government's response.

'Humbled' NBC cameraman recovers from Ebola

2 hours ago

A US photojournalist said Tuesday he was grateful to be alive after the hospital treating him declared him now free of Ebola, in a minor victory over the virus that has killed more than 4,500 people.

User comments