BACKGROUND: The Spine Patient Outcomes Research Trial aimed to determine the comparative effectiveness of surgical care versus nonoperative care by measuring longitudinal values: outcomes, satisfaction, and costs. METHODS: This paper aims to summarize available evidence from the Spine Patient Outcomes Research Trial by addressing 2 important questions about outcomes and costs for 3 types of spine problem: (1) how do outcomes and costs of spine patients differ depending on whether they are treated surgically compared with nonoperative care? (2) What is the incremental cost per quality adjusted life year for surgical care over nonoperative care? RESULTS: After 4 years of follow-up, patients with 3 spine conditions that may be treated surgically or nonoperatively have systematic differences in value endpoints. The average surgical patient enjoys better health outcomes and higher treatment satisfaction but incurs higher costs. CONCLUSIONS: Spine care is preference sensitive and because outcomes, satisfaction, and costs vary over time and between patients, data on value can help patients make better-informed decisions and help payers know what their dollars are buying.
BACKGROUND: The Spine Patient Outcomes Research Trial aimed to determine the comparative effectiveness of surgical care versus nonoperative care by measuring longitudinal values: outcomes, satisfaction, and costs. METHODS: This paper aims to summarize available evidence from the Spine Patient Outcomes Research Trial by addressing 2 important questions about outcomes and costs for 3 types of spine problem: (1) how do outcomes and costs of spine patients differ depending on whether they are treated surgically compared with nonoperative care? (2) What is the incremental cost per quality adjusted life year for surgical care over nonoperative care? RESULTS: After 4 years of follow-up, patients with 3 spine conditions that may be treated surgically or nonoperatively have systematic differences in value endpoints. The average surgical patient enjoys better health outcomes and higher treatment satisfaction but incurs higher costs. CONCLUSIONS: Spine care is preference sensitive and because outcomes, satisfaction, and costs vary over time and between patients, data on value can help patients make better-informed decisions and help payers know what their dollars are buying.
Authors: James N Weinstein; Tor D Tosteson; Jon D Lurie; Anna Tosteson; Emily Blood; Harry Herkowitz; Frank Cammisa; Todd Albert; Scott D Boden; Alan Hilibrand; Harley Goldberg; Sigurd Berven; Howard An Journal: Spine (Phila Pa 1976) Date: 2010-06-15 Impact factor: 3.468
Authors: James N Weinstein; Jon D Lurie; Tor D Tosteson; Jonathan S Skinner; Brett Hanscom; Anna N A Tosteson; Harry Herkowitz; Jeffrey Fischgrund; Frank P Cammisa; Todd Albert; Richard A Deyo Journal: JAMA Date: 2006-11-22 Impact factor: 56.272
Authors: James N Weinstein; Tor D Tosteson; Jon D Lurie; Anna N A Tosteson; Brett Hanscom; Jonathan S Skinner; William A Abdu; Alan S Hilibrand; Scott D Boden; Richard A Deyo Journal: JAMA Date: 2006-11-22 Impact factor: 56.272
Authors: James N Weinstein; Jon D Lurie; Tor D Tosteson; Brett Hanscom; Anna N A Tosteson; Emily A Blood; Nancy J O Birkmeyer; Alan S Hilibrand; Harry Herkowitz; Frank P Cammisa; Todd J Albert; Sanford E Emery; Lawrence G Lenke; William A Abdu; Michael Longley; Thomas J Errico; Serena S Hu Journal: N Engl J Med Date: 2007-05-31 Impact factor: 91.245
Authors: James N Weinstein; Tor D Tosteson; Jon D Lurie; Anna N A Tosteson; Emily Blood; Brett Hanscom; Harry Herkowitz; Frank Cammisa; Todd Albert; Scott D Boden; Alan Hilibrand; Harley Goldberg; Sigurd Berven; Howard An Journal: N Engl J Med Date: 2008-02-21 Impact factor: 91.245
Authors: James N Weinstein; Jon D Lurie; Tor D Tosteson; Wenyan Zhao; Emily A Blood; Anna N A Tosteson; Nancy Birkmeyer; Harry Herkowitz; Michael Longley; Lawrence Lenke; Sanford Emery; Serena S Hu Journal: J Bone Joint Surg Am Date: 2009-06 Impact factor: 5.284
Authors: James N Weinstein; Jon D Lurie; Tor D Tosteson; Anna N A Tosteson; Emily A Blood; William A Abdu; Harry Herkowitz; Alan Hilibrand; Todd Albert; Jeffrey Fischgrund Journal: Spine (Phila Pa 1976) Date: 2008-12-01 Impact factor: 3.468
Authors: Anna N A Tosteson; Jonathan S Skinner; Tor D Tosteson; Jon D Lurie; Gunnar B Andersson; Sigurd Berven; Margaret R Grove; Brett Hanscom; Emily A Blood; James N Weinstein Journal: Spine (Phila Pa 1976) Date: 2008-09-01 Impact factor: 3.468
Authors: Kai-Uwe Lewandrowski; Ivo Abraham; Jorge Felipe Ramírez León; Albert E Telfeian; Morgan P Lorio; Stefan Hellinger; Martin Knight; Paulo Sérgio Teixeira De Carvalho; Max Rogério Freitas Ramos; Álvaro Dowling; Manuel Rodriguez Garcia; Fauziyya Muhammad; Namath Hussain; Vicky Yamamoto; Babak Kateb; Anthony Yeung Journal: J Pers Med Date: 2022-06-29