Abstract
This chapter is an overview of cost-effectiveness research. A description of the process of cost-effectiveness analysis is presented along with several examples of these types of analyses that have been applied to different types of spinal surgery. The goal of this chapter is to provide a working knowledge of the elements of a cost-effectiveness analysis and to help you understand the benefits and pitfalls of this type of research. This should aid in determining the quality of cost-effectiveness studies.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Angevine PD, Zivin JG, McCormick PC. Cost-effectiveness of single-level anterior cervical discectomy and fusion for cervical spondylosis. Spine (Phila Pa 1976). 2005;30:1989–97.
Abelson R. An operation to ease back pain bolsters the bottom line, too. Arthur Ochs Sulzberger, Jr. New York Times. 2003.
Physician Payments Sunshine Act of 2009. 111th Congress ed. 2009.
Weinstein MC, Stason WB. Hypertension: a policy perspective. Cambridge, MA: Harvard University Press; 1976.
Fryback DG, Dasbach EJ, Klein R, et al. The Beaver Dam Health Outcomes Study: initial catalog of health-state quality factors. Med Dec Making: Int J Soc Med Dec Making. 1993;13:89–102.
Edwards P, Arango M, Balica L, et al. Final results of MRC CRASH, a randomised placebo-controlled trial of intravenous corticosteroid in adults with head injury-outcomes at 6 months. Lancet. 2005;365:1957–9.
Gawande A. The cost conundrum. The New Yorker: Conde Nast Digital; 2009.
Virk S, Sandhu HS, Khan SN. Cost effectiveness analysis of graft options in spinal fusion surgery using a Markov model. J Spinal Disord Tech. 2012;25:E204–10.
Hirth RA, Chernew ME, Miller E, Fendrick AM, Weissert WG. Willingness to pay for a quality-adjusted life year: in search of a standard. Med Dec Making: Int J Soc Med Dec Making. 2000;20:332–42.
Ubel PA, Hirth RA, Chernew ME, Fendrick AM. What is the price of life and why doesn’t it increase at the rate of inflation? Arch Intern Med. 2003;163:1637–41.
Braithwaite RS, Meltzer DO, King Jr JT, Leslie D, Roberts MS. What does the value of modern medicine say about the $50,000 per quality-adjusted life-year decision rule? Med Care. 2008;46:349–56.
McLaughlin MR, Purighalla V, Pizzi FJ. Cost advantages of two-level anterior cervical fusion with rigid internal fixation for radiculopathy and degenerative disease. Surg Neurol. 1997;48:560–5.
Hansson E, Hansson T. The cost-utility of lumbar disc herniation surgery. Eur Spine J. 2007;16:329–37.
Soegaard R, Bunger C, Christensen T, Hoy K, Eiskjaer S, Christensen FB. Circumferential fusion is dominant over posterolateral fusion: cost-utility evaluation of a randomized controlled trial in severe, chronic low back pain. Spine. 2007;32:2405–14.
Polly D, Branch Jr C, Burkus K, Shaffrey CI, Glassman SD, Gornet MF, Matthews H, Peloza J, Sandhu H, Schuler T, Schwender J. SF36 PCS benefit/cost ratio of lumbar fusion: comparison to other surgical interventions. Spine J. 2005;5S:S53–4.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Madura, C., Resnick, D.K., Brooks, N. (2016). Cost-Effective Spinal Surgery: Reality or Oxymoron?. In: Pinheiro-Franco, J., Vaccaro, A., Benzel, E., Mayer, H. (eds) Advanced Concepts in Lumbar Degenerative Disk Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47756-4_13
Download citation
DOI: https://doi.org/10.1007/978-3-662-47756-4_13
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-47755-7
Online ISBN: 978-3-662-47756-4
eBook Packages: MedicineMedicine (R0)