STUDY DESIGN: Literature review and case example. OBJECTIVE: Describe methodological considerations of spine surgery registries. Review existing spine surgery registries. Describe the Vanderbilt Prospective Spine Registry (VPSR) as a case example and demonstrate its impact on comparative effectiveness research, value analysis, quality improvement, and practice-based learning. SUMMARY OF BACKGROUND DATA: To bend the cost curve and ultimately achieve sustainability in health care, medical providers and surgical treatments of the highest quality and effectiveness must be preferentially used and purchased. As the current US health care environment continues to evolve, it will be essential for all spine clinicians to understand and be facile with the principles of evidence-based health care reform. METHODS: We describe the methodological considerations of spine surgery registries, review the literature to describe existing spine surgery registries, and discuss the VPSR as a case example. RESULTS: We were able to obtain detailed information on 13 existing spine surgery registries through various internet-based resources. Of the 13, 2 registries had start dates before 2000, 3 between 2001 and 2005, 5 starting in 2006, and 3 were indeterminate. Follow-up rates were in the range from 22% to 79%, with longer follow-up times consistently producing lower follow-up rates. CONCLUSION: Prospective, longitudinal, patient-reported outcomes registries are powerful tools that allow measurement of cost, safety, effectiveness, and health care value across clinically meaningful episodes of care. Registries entirely based on claims or billing data, safety measures alone, process measures, or other proxies of outcome offer valuable insights, but do not provide comprehensive data to drive patient-centered value-based reform. As more spine-focused registries emerge and their integration into the US health care delivery evolve, the evidence to power value-based reform will be enabled.
STUDY DESIGN: Literature review and case example. OBJECTIVE: Describe methodological considerations of spine surgery registries. Review existing spine surgery registries. Describe the Vanderbilt Prospective Spine Registry (VPSR) as a case example and demonstrate its impact on comparative effectiveness research, value analysis, quality improvement, and practice-based learning. SUMMARY OF BACKGROUND DATA: To bend the cost curve and ultimately achieve sustainability in health care, medical providers and surgical treatments of the highest quality and effectiveness must be preferentially used and purchased. As the current US health care environment continues to evolve, it will be essential for all spine clinicians to understand and be facile with the principles of evidence-based health care reform. METHODS: We describe the methodological considerations of spine surgery registries, review the literature to describe existing spine surgery registries, and discuss the VPSR as a case example. RESULTS: We were able to obtain detailed information on 13 existing spine surgery registries through various internet-based resources. Of the 13, 2 registries had start dates before 2000, 3 between 2001 and 2005, 5 starting in 2006, and 3 were indeterminate. Follow-up rates were in the range from 22% to 79%, with longer follow-up times consistently producing lower follow-up rates. CONCLUSION: Prospective, longitudinal, patient-reported outcomes registries are powerful tools that allow measurement of cost, safety, effectiveness, and health care value across clinically meaningful episodes of care. Registries entirely based on claims or billing data, safety measures alone, process measures, or other proxies of outcome offer valuable insights, but do not provide comprehensive data to drive patient-centered value-based reform. As more spine-focused registries emerge and their integration into the US health care delivery evolve, the evidence to power value-based reform will be enabled.
Authors: David A T Werner; Margreth Grotle; Sasha Gulati; Ivar M Austevoll; Greger Lønne; Øystein P Nygaard; Tore K Solberg Journal: Eur Spine J Date: 2017-06-14 Impact factor: 3.134
Authors: Leah Y Carreon; Erica F Bisson; Eric A Potts; Morgan E Brown; Stacie Gren; Rebecca Ruegg Cowan; Steven D Glassman Journal: Global Spine J Date: 2019-09-25
Authors: R Carter Clement; Adina Welander; Caleb Stowell; Thomas D Cha; John L Chen; Michelle Davies; Jeremy C Fairbank; Kevin T Foley; Martin Gehrchen; Olle Hagg; Wilco C Jacobs; Richard Kahler; Safdar N Khan; Isador H Lieberman; Beth Morisson; Donna D Ohnmeiss; Wilco C Peul; Neal H Shonnard; Matthew W Smuck; Tore K Solberg; Bjorn H Stromqvist; Miranda L Van Hooff; Ajay D Wasan; Paul C Willems; William Yeo; Peter Fritzell Journal: Acta Orthop Date: 2015 Impact factor: 3.717
Authors: Marcel F Dvorak; Christiana L Cheng; Nader Fallah; Argelio Santos; Derek Atkins; Suzanne Humphreys; Carly S Rivers; Barry A B White; Chester Ho; Henry Ahn; Brian K Kwon; Sean Christie; Vanessa K Noonan Journal: J Neurotrauma Date: 2017-07-26 Impact factor: 5.269
Authors: Fan Jiang; Jamie R F Wilson; Jetan H Badhiwala; Carlo Santaguida; Michael H Weber; Jefferson R Wilson; Michael G Fehlings Journal: Global Spine J Date: 2020-01-06
Authors: Martin N Stienen; Paymon G Rezaii; Allen L Ho; Anand Veeravagu; Corinna C Zygourakis; Christy Tomkins-Lane; Jon Park; John K Ratliff; Atman M Desai Journal: Sci Rep Date: 2020-03-18 Impact factor: 4.379