Health Care Costs After Lumbar Fusion and Disk Replacement for Diskogenic Pain.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Orthopedics Pub Date : 2025-03-01 Epub Date: 2025-01-29 DOI:10.3928/01477447-20250123-01

Darren Z Nin, Ya-Wen Chen, David H Kim, Ruijia Niu, Hannah Travers, David C Chang, Raymond W Hwang

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引用次数: 0

Abstract

Background: Lumbar fusion is the most common surgical intervention for chronic or severe low back pain. However, lumbar disk replacement (LDR) may be appropriate for certain patients. The objective of this study was to describe the postoperative management costs associated with both lumbar fusion and LDR in the 2-year period after surgery.

Materials and methods: An observational cohort study was conducted using the Merative MarketScan databases. Patients who underwent lumbar fusion or LDR between January 1, 2017, and December 31, 2017, were identified and included in the study. The primary outcome was the cost of payments for physical therapy, pain medication, injections, and bladder management in the 2-year period after surgery.

Results: A total of 1660 patients (mean age, 50.1±10.6 years; lumbar fusion, 99%; LDR, 1%) were included in the study. The mean total cost of postoperative interventions identified was $2832±$5461 per patient, with no differences found between patients for identified interventions. The mean 30-day episode-of-care cost was $65,777±$40,869 and was similar (P=.894) between the two groups of patients. The main driver of cost was physical therapy for both groups of patients (lumbar fusion, 53.7%; LDR, 64.9%).

Conclusion: Patients who underwent lumbar fusion and LDR had similar postoperative management costs. The shorter recovery periods associated with LDR may not necessarily translate into reduced long-term health care expenditure. [Orthopedics. 2025;48(2):117-120.].

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腰椎间盘融合术和椎间盘置换术治疗椎间盘源性疼痛后的医疗费用。

背景：腰椎融合术是治疗慢性或重度腰痛最常见的手术干预。然而，腰椎间盘置换术（LDR）可能适用于某些患者。本研究的目的是描述术后2年期间腰椎融合和LDR相关的术后管理成本。材料和方法：使用Merative MarketScan数据库进行了一项观察性队列研究。在2017年1月1日至2017年12月31日期间接受腰椎融合或LDR的患者被确定并纳入研究。主要结果是术后2年内物理治疗、止痛药、注射和膀胱管理的费用。结果：共1660例患者(平均年龄50.1±10.6岁；腰椎融合术，99%；LDR, 1%)被纳入研究。确定的术后干预措施的平均总成本为每位患者2832±5461美元，确定干预措施的患者之间没有差异。平均30天护理费用为65,777±40,869美元，两组患者相似（P=.894）。费用的主要驱动因素是两组患者的物理治疗(腰椎融合术，53.7%；异地恋,64.9%)。结论：行腰椎融合术和LDR的患者术后管理费用相似。与低死亡率相关的较短恢复期不一定转化为长期医疗保健支出的减少。[矫形手术。202 x; 4 x (x): xx-xx。]。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopedics 医学-整形外科

CiteScore

2.20

自引率

0.00%

发文量

160

审稿时长

3 months

期刊介绍： For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.