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A retrospective review comparing two-year patient-reported outcomes, costs, and healthcare resource utilization for TLIF vs. PLF for single-level degenerative spondylolisthesis
- Source :
- European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 27(3)
- Publication Year :
- 2016
-
Abstract
- The purpose of this study was to compare patient-reported outcomes (PROs), morbidity, and costs of TLIF vs PLF to determine whether one treatment was superior in the setting of single-level degenerative spondylolisthesis. Patients undergoing TLIF or PLF for single-level spondylolisthesis were included for retrospective analysis. EQ-5D, ODI, SF-12 MCS/PCS, NRS-BP/LP scores were collected at baseline and 24 months after surgery. 90-day post-operative complications, revision surgery rates, and satisfaction scores were also collected. Two-year resource use was multiplied by unit costs based on Medicare payment amounts (direct cost). Patient and caregiver workday losses were multiplied by the self-reported gross-of-tax wage rate (indirect cost). Total cost was used to assess mean total 2-year cost per QALYs gained after surgery. 62 and 37 patients underwent TLIF and PLF, respectively. Patients in the PLF group were older (p
- Subjects :
- Adult
Male
Reoperation
medicine.medical_specialty
Total cost
Medicare
03 medical and health sciences
Indirect costs
0302 clinical medicine
Postoperative Complications
Quality of life
Health care
medicine
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
Patient Reported Outcome Measures
health care economics and organizations
Aged
Retrospective Studies
Aged, 80 and over
Retrospective review
Lumbar Vertebrae
business.industry
Middle Aged
medicine.disease
Degenerative spondylolisthesis
Spondylolisthesis
United States
Spinal Fusion
Patient Satisfaction
Physical therapy
Surgery
Female
Neurosurgery
Quality-Adjusted Life Years
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 14320932
- Volume :
- 27
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
- Accession number :
- edsair.doi.dedup.....f51b0d7ec666ac6f4f6cdda944fb07d0