Healthcare Resource Utilization and Patient-Reported Outcomes Following Elective Surgery for Intradural Extramedullary Spinal Tumors

Neurosurgery
Silky ChotaiClinton J Devin

Abstract

Healthcare resource utilization and patient-reported outcomes (PROs) for intradural extramedullary (IDEM) spine tumors are not well reported. To analyze the PROs, costs, and resource utilization 1 year following surgical resection of IDEM tumors. Patients undergoing elective spine surgery for IDEM tumors and enrolled in a single-center, prospective, longitudinal registry were analyzed. Baseline and postoperative 1-year PROs were recorded. One-year spine-related direct and indirect healthcare resource utilization was assessed. One-year resource use was multiplied by unit costs based on Medicare national payment amounts (direct cost). Patient and caregiver workday losses were multiplied by the self-reported gross-of-tax wage rate (indirect cost). A total of 38 IDEM tumor patients were included in this analysis. There was significant improvement in quality of life (EuroQol-5D), disability (Oswestry and Neck Disability Indices), pain (Numeric rating scale pain scores for back/neck pain and leg/arm pain), and general physical and mental health (Short-form-12 health survey, physical and mental component scores) in both groups 1 year after surgery (P < .0001). Eighty-seven percent (n = 33) of patients were satisfied with surgery. The ...Continue Reading

References

Jan 1, 1985·Rheumatology International·G B Langley, H Sheppeard
Dec 1, 1982·Journal of Neurosurgery·W J LevyD Dohn
Nov 4, 1993·PharmacoEconomics·M A Koopmanschap, F F Rutten
Mar 15, 2000·British Journal of Neurosurgery·W el-MahdyH A Crockard
Nov 14, 2000·Spine·J C Fairbank, P B Pynsent
Dec 18, 2007·Neuroradiology·Kasim Abul-KasimPia C Sundgren
Jan 1, 2008·The Spine Journal : Official Journal of the North American Spine Society·Simon DagenaisScott Haldeman
Sep 2, 2008·Journal of Neurology·D M HermannC L Bassetti
Apr 8, 2010·JAMA : the Journal of the American Medical Association·Richard A DeyoJeffrey G Jarvik
Mar 15, 2011·Journal of Neurosurgery. Spine·Daniel C LuPraveen V Mummaneni
Jun 7, 2011·The Spine Journal : Official Journal of the North American Spine Society·Scott L ParkerMatthew J McGirt
Oct 8, 2011·The Spine Journal : Official Journal of the North American Spine Society·Brian R WatermanAndrew J Schoenfeld
Oct 18, 2011·The Spine Journal : Official Journal of the North American Spine Society·Chi Heon KimHyun Jib Kim
Nov 30, 2011·The Spine Journal : Official Journal of the North American Spine Society·Frank J Tomecek
Mar 20, 2012·Acta neurologica Belgica·Hiroshi OzawaEiji Itoi
Jan 1, 2014·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·David BellutFrançois Porchet
Jul 8, 2014·Journal of Spinal Disorders & Techniques·Owoicho AdogwaMatthew J McGirt
Jul 23, 2014·Neurosurgery·Roberto TarantinoRoberto Delfini
Sep 23, 2014·Journal of the Chinese Medical Association : JCMA·Yu-Lun WuChih-Hao Chen
Nov 5, 2014·Journal of Evaluation in Clinical Practice·D Justin LarkinDenis A Cortese
Jun 17, 2015·World Neurosurgery·Isobel TurnerDavid Choi
Aug 4, 2015·Neurosurgical Focus·Albert P WongRichard G Fessler
Jul 11, 2016·The Spine Journal : Official Journal of the North American Spine Society·Silky ChotaiClinton J Devin

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