Effect of Complications within 90 Days on Cost Per Quality-Adjusted Life Year Gained Following Elective Surgery for Degenerative Lumbar Spine Disease

摘要

Copyright © 2017 by the Congress of Neurological SurgeonsLow back pain associated with lumbar degenerative pathologies is highly prevalent and one of the costliest entity in the United States.1-5 In the financial year 2012, for 178 789 spine surgeries the Medicare paid about $3.9 billion.6 The frequency of lumbar spine surgery increased by about 220% over the last 2 decades and is expected to rise further with the growing population.1 The risk of complications following lumbar spine surgery is reported as high as 10% to 20%.7-12 Complications within 90-d postoperative global period have been utilized by several administrative databases to track safety and quality of spine care.8,13-19...In the current era of scarce health-care resources, efforts are focused to evaluate high-cost interventions, determine clinical- and cost-effectiveness, and to maximize patients’ quality of life. Providers and...