Benjamin Hopkins1, Aditya Mazmudar2, Kartik Kesavabhotla1, Alpesh A Patel3. 1. Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. 2. Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. aditya.mazmudar@northwestern.edu. 3. Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Abstract
PURPOSE OF REVIEW: The field of spine surgery remains a unique target in the transition to value-based care. While spine surgery has benefited from new medical technologies, including minimally invasive surgery (MIS), these technologies may be a key driver in rising US healthcare costs. As such, MIS needs to clear an economic value threshold through a rigorous evaluation of the outcomes they provide and costs they incur. In this article, we review recent MIS surgery literature from the perspective of economic value. RECENT FINDINGS: Many studies report modest all-in cost savings and direct procedural cost equivalence for minimally invasive approaches relative to open surgeries. In terms of quality, studies found lower blood loss, length of stay, and infectious complications with MIS surgery but evidence on QALYs was mixed. In the past 5 years, there has been increasing research interest in defining economic value in MIS surgery. However, a significant amount of heterogeneity in research quality and methodology persists. Therefore, MIS surgery has the potential to be of high economic value, though this is not yet definitive. Future research should continue to focus on high-quality cost-effectiveness studies with clear methodologies to further elucidate economic value in MIS surgery.
PURPOSE OF REVIEW: The field of spine surgery remains a unique target in the transition to value-based care. While spine surgery has benefited from new medical technologies, including minimally invasive surgery (MIS), these technologies may be a key driver in rising US healthcare costs. As such, MIS needs to clear an economic value threshold through a rigorous evaluation of the outcomes they provide and costs they incur. In this article, we review recent MIS surgery literature from the perspective of economic value. RECENT FINDINGS: Many studies report modest all-in cost savings and direct procedural cost equivalence for minimally invasive approaches relative to open surgeries. In terms of quality, studies found lower blood loss, length of stay, and infectious complications with MIS surgery but evidence on QALYs was mixed. In the past 5 years, there has been increasing research interest in defining economic value in MIS surgery. However, a significant amount of heterogeneity in research quality and methodology persists. Therefore, MIS surgery has the potential to be of high economic value, though this is not yet definitive. Future research should continue to focus on high-quality cost-effectiveness studies with clear methodologies to further elucidate economic value in MIS surgery.
Entities:
Keywords:
Cost-effectiveness; Health economics; PROMIS; Procedure cost; QALYs; Quality
Authors: Andrew S Chung; Alexander Ballatori; Brandon Ortega; Elliot Min; Blake Formanek; John Liu; Patrick Hsieh; Raymond Hah; Jeffrey C Wang; Zorica Buser Journal: Global Spine J Date: 2020-09-25
Authors: Ruud Droeghaag; Valérie N E Schuermans; Sem M M Hermans; Anouk Y J M Smeets; Inge J M H Caelers; Mickaël Hiligsmann; Wouter L W van Hemert; Silvia Evers; Henk van Santbrink Journal: BMJ Open Date: 2021-12-23 Impact factor: 2.692