A cost-benefit analysis using contingent valuation techniques: a feasibility study in spinal surgery

Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Mathias HaefeliNorbert Boos

Abstract

To carry out a pilot study to demonstrate the feasibility of the contingent valuation (CV) approach to identify net benefits gained from spinal interventions; and to conduct a formal cost-benefit analysis (CBA) using a retrospective study design. The study design is a CBA feasibility study using a CV survey with ex post willingness-to-pay/willingness-to-accept (WTP/WTA) questions. The CBA study was carried out in the specialty of spinal surgery. Although increasing data are gathered on the societal costs of low back pain, little information is available on how patients "value" the benefits of surgery or whether interventions in this area are indeed cost-beneficial. CV surveys are used in CBA to elicit the consumer's monetary valuations for program benefits. A total of 115 patients after lumbar fusion, discectomy, or decompression were asked to respond to an ex post questionnaire on their WTP/WTA for their respective intervention. Additional questions addressed socio-demographics, household income, and clinical outcome. WTP/WTA was related to the actual intervention costs and clinical outcome. The WTP and cost data were then combined within a formal CBA framework with associated 95% confidence intervals generated using bootstrap...Continue Reading

References

Aug 1, 1978·Annals of the Rheumatic Diseases·W W DownieJ A Anderson
Jan 1, 1984·Medical Decision Making : an International Journal of the Society for Medical Decision Making·M S ThompsonM Liang
Jul 1, 1994·Medical Decision Making : an International Journal of the Society for Medical Decision Making·B O'Brien, J L Viramontes
Nov 1, 1995·Health Economics·C DonaldsonZ Miedzybrodzka
Jul 1, 1996·Medical Decision Making : an International Journal of the Society for Medical Decision Making·B O'Brien, A Gafni
Feb 1, 1997·Social Science & Medicine·M RyanJ Tucker
Mar 1, 1997·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·A Gafni
Jan 15, 1998·Social Science & Medicine·P F KrabbeG J Bonsel
Dec 10, 1990·Journal of Health Economics·M JohannessonL Borgquist
Jun 6, 1996·Health Policy·R Brooks
Feb 6, 1997·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·C DonaldsonS Macphee
May 20, 1999·Spine·F Postacchini
Oct 28, 1999·Health Policy·T Klose
Mar 18, 2000·Health Economics·M V Bala, G A Zarkin
Apr 20, 2000·Medical Decision Making : an International Journal of the Society for Medical Decision Making·R D Smith
May 18, 2000·International Journal of Technology Assessment in Health Care·U SlothuusP Junker
Jul 19, 2000·Health Policy·B Liljas, K Blumenschein
Jul 26, 2000·Rheumatology·U Slothuus, R G Brooks
Jul 27, 2000·British Journal of Neurosurgery·P J HutchinsonW Hollingworth
Jun 1, 2001·PharmacoEconomics·B Liljas, B Lindgren
Mar 1, 2003·Psychiatric Services : a Journal of the American Psychiatric Association·Jürgen UnützerTerry Bush
Jun 18, 2003·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Joseph T KingMark S Roberts
Jun 28, 2003·The British Journal of Dermatology·R SchiffnerW Stolz
Feb 13, 2004·The New England Journal of Medicine·Stephen J Lipson
Feb 13, 2004·The New England Journal of Medicine·Richard A DeyoSohail K Mirza
Sep 15, 2004·Health Policy·Jan Abel OlsenPhil Shackley
Jan 18, 2005·The Spine Journal : Official Journal of the North American Spine Society·Per EkmanRune Hedlund
Jun 7, 2005·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·Anne F MannionNorbert Boos

❮ Previous
Next ❯

Citations

Apr 2, 2009·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·Norbert Boos
Jun 8, 2011·BMC Research Notes·Takayoshi TerashitaMasaji Maezawa
Aug 26, 2015·Expert Review of Medical Devices·Grahame Wilkinson, Michael Drummond
Nov 21, 2012·Disability and Rehabilitation·Liisa PekkanenArja Häkkinen
Jun 12, 2012·Journal of Communication Disorders·Duska M FranicRobin E Bramlett
Apr 26, 2015·PharmacoEconomics·Sabina SangheraTracy Elizabeth Roberts
Dec 18, 2013·Social Science & Medicine·Sabina SangheraTracy Elizabeth Roberts
Oct 8, 2016·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Bik-Wai Bilvick TaiQuang A Le
Jul 29, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Matthew R NaunheimMark G Shrime
Jan 27, 2017·Clinical Spine Surgery : a Spine Publication·Benjamin P RosenbaumAjit A Krishnaney
Aug 23, 2017·Applied Health Economics and Health Policy·Christopher G FawsittRichard A Greene
Sep 28, 2018·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Benedict U NwachukwuTodd J Albert

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)
E FrewDavid K Whynes
Medical Decision Making : an International Journal of the Society for Medical Decision Making
B O'Brien, Amiram Gafni
Environmental Health Perspectives
Charles W Schmidt
© 2021 Meta ULC. All rights reserved