Cervical discectomy, fusion is durable and cost-effective

Cervical discectomy, fusion is durable and cost-effective
Single-level instrumented anterior cervical discectomy and fusion is durable and cost-effective after five years of follow-up, according to a study published in the March 15 issue of Spine.

(HealthDay)—Single-level instrumented anterior cervical discectomy and fusion (ACDF) is durable and cost-effective after five years of follow-up, according to a study published in the March 15 issue of Spine.

Leah Y. Carreon, M.D., from the Norton Leatherman Spine Center in Louisville, Ky., and colleagues analyzed data from 352 control patients (182 women and 170 men; mean age, 44.6 years) who had undergone ACDF with complete five-year follow-up data and were part of a trial for arthroplasty. Using the 2012 Fee schedule, direct costs of the interventions were determined. Short Form-6D was used to determine health utility.

The researchers found that cost per patient for the index ACDF was $15,714. During five years of follow-up, 41 repeat ACDFs, 15 posterior fusions, six foraminotomies, two implant removals, two , and one esophageal fistula repair were performed. In each year of follow-up, mean quality-adjusted life year (QALY) gained was 0.16, 0.18, 0.17, 0.18, and 0.18, with a cumulative 0.88 QALY gain over five years. At one year, the cost/QALY gain was $104,831; $53,074 at year two; $37,717 at year three; $28,383 at year four; and $23,460 at year five. Subanalysis included upper extremity procedures performed (11 nerve releases and 26 rotator cuff repairs were done within five years after the index ACDF). Including upper extremity procedures, the cost/QALY gain at one year was $106,256; $54,622 at year two; $38,836 at year three; $29,454 at year four; and $24,479 at year five.

"This study indicates that at five-year follow-up, single-level instrumented ACDF is both effective and durable resulting in a favorable cost/QALY gained as compared to other widely accepted ," the authors write.

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

add to favorites email to friend print save as pdf

Related Stories

Dysphagia not tied to post-anterior cervical op swelling

Oct 07, 2012

(HealthDay)—Although significant soft-tissue swelling can occur after anterior cervical discectomy and fusion (ACDF) procedures, the width of the prevertebral soft-tissue swelling on radiographic analysis ...

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 ...

Recommended for you

Sri Lanka celebrates two years without malaria

52 minutes ago

Sri Lanka has not reported a local case of malaria since October 2012, according to the Sri Lankan Anti-Malarial Campaign. If it can remain malaria-free for one more year, the country will be eligible to apply to the World ...

Poll: Many doubt hospitals can handle Ebola

4 hours ago

A new poll finds most Americans have some confidence that the U.S. health care system will prevent Ebola from spreading in this country, but they're not so sure their local hospital can safely handle a patient.

Number of Ebola cases nears 10,000

4 hours ago

The number of people with Ebola is set to hit 10,000 in West Africa, the World Health Organization said, as the scramble to find a cure gathered pace.

'Breath test' shows promise for diagnosing fungal pneumonia

5 hours ago

Many different microbes can cause pneumonia, and treatment may be delayed or off target if doctors cannot tell which bug is the culprit. A novel approach—analyzing a patient's breath for key chemical compounds made by the ...

User comments