Muhammad B Tariq, Trevor Simcox, Jacob Becker, Anthony Petrizzo, Shuriz Hishmeh
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引用次数: 0
摘要
设计：回顾性数据库分析。目的：本研究旨在评估最常见脊柱手术的RVU补偿模型。背景：医生的工作通常通过使用相对价值单位（RVU）模型来进行补偿。我们在这项研究中的目的是评估最常见脊柱手术的RVU和每分钟RVU值，比较颈椎与腰椎以及融合与非融合病例。方法：利用ACS-NSQIP数据库识别最常进行的脊柱手术。计算各组RVU和每分钟RVU值并进行比较。结果：总共鉴定了18,779个条目，包括28个CPT代码/代码组合。颈椎组的平均rvu高于腰椎组（分别为29和20 rvu）。此外，与腰椎病例相比，颈椎病例的每分钟代偿RVUs明显更高(0.26 vs 0.18 RVUs/min；P = 0.01)。与未融合病例相比，融合病例的平均rvu也更高（分别为28 vs19）。然而，当校正手术时间后，融合病例的每分钟rvu没有显著差异（P=0.13）。结论：颈椎手术为外科医生提供了每分钟rvu的最佳价值。我们强调脊柱外科补偿模式的关键方面。证据等级：iii级——经济研究。
What Provides the Best Value for Your Time in Spine Surgery? An Analysis of Relative Value Units.
Design: Retrospective database analysis.
Objective: This study aims to assess the RVU compensation model for the most common spine surgeries.
Background: Physician work is commonly valued by utilizing the relative value unit (RVU) model for compensation. Our aim in this study was to assess RVU and RVU per minute valuations of the most common spine procedures comparing cervical versus lumbar and fusion versus non-fusion cases.
Methods: The ACS-NSQIP database was utilized to identify the most commonly performed spine procedures. RVU and RVU per minute values were calculated and compared in each group.
Results: In all, 18,779 entries encompassing 28 CPT codes/code combinations were identified. Average RVUs were higher in cervical spine cases compared with lumbar cases (29 vs. 20 RVUs, respectively). Furthermore, cervical cases had significantly higher RVUs per minute compensation compared with lumbar cases (0.26 vs. 0.18 RVUs/min; P=0.01). Fusion cases also fared higher average RVUs compared with nonfusion cases (28 vs. 19 RVUs, respectively). However, when corrected for operative time, fusion cases did not differ significantly in RVUs per minute (P=0.13).
Conclusions: Cervical spine surgery provides the best value for the surgeon in terms of RVUs per minute. We highlight key aspects of the compensation model in spine surgery.
期刊介绍：
Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure.
Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.
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