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Physician collections are 71% less for early onset scoliosis casting than for growing rod instrumentation: A retrospective cohort study

Growing rod (GR) instrumentation and the elongation, derotation, and flexion (EDF) casting technique are 2 alternatives for the treatment of early-onset scoliosis. Our purpose was to investigate the cost of these treatment options. This was a retrospective cohort study of patients with early-onset s...

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Autores principales: Nielsen, Ena, Andras, Lindsay M., Sanders, James O., Brown, Meghan, Noble, Krista, Skaggs, David L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10063290/
https://www.ncbi.nlm.nih.gov/pubmed/37000094
http://dx.doi.org/10.1097/MD.0000000000033312
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author Nielsen, Ena
Andras, Lindsay M.
Sanders, James O.
Brown, Meghan
Noble, Krista
Skaggs, David L.
author_facet Nielsen, Ena
Andras, Lindsay M.
Sanders, James O.
Brown, Meghan
Noble, Krista
Skaggs, David L.
author_sort Nielsen, Ena
collection PubMed
description Growing rod (GR) instrumentation and the elongation, derotation, and flexion (EDF) casting technique are 2 alternatives for the treatment of early-onset scoliosis. Our purpose was to investigate the cost of these treatment options. This was a retrospective cohort study of patients with early-onset scoliosis treated at 2 institutions from 2007 to 2014 with either GR instrumentation or EDF casting. Patients with <2 years of follow-up were excluded. Physician and hospital charges and collections, total procedures, and procedure times until final follow-up or time of fusion were compared. Nineteen patients met the inclusion criteria; 8 in the GR group and 11 in the EDF casting group. There were no significant differences between the groups in age (P = .23), public versus private insurance (P = 1.0), or major curve (P = .21) at the initiation of treatment. Excluding final fusion, the EDF casting patients had an average of 2.1 (range: 0.7–6.6) procedures/year while the GR patients had an average of 1.5 (range: 0.8–2.7) procedures/year. The average procedure time for the EDF group was 104.2 minutes; the average procedure time for the GR group, excluding the index procedure, was 62.40 minutes (P = .001). Physician charges were 85% less for the EDF group (EDF= $1892.75, GR= $12,354.53, P < .001). Physician collections were 71% less for the EDF group (EDF= $731.10, GR= $2554.88, P = .001). Hospital charges and collections were similar between the groups (P = .82, P = .42). Physician charges for casting were approximately 18% of that of GRs. Compared to GRs, physician collections were 71% less for EDF casting patients per year.
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spelling pubmed-100632902023-03-31 Physician collections are 71% less for early onset scoliosis casting than for growing rod instrumentation: A retrospective cohort study Nielsen, Ena Andras, Lindsay M. Sanders, James O. Brown, Meghan Noble, Krista Skaggs, David L. Medicine (Baltimore) 7100 Growing rod (GR) instrumentation and the elongation, derotation, and flexion (EDF) casting technique are 2 alternatives for the treatment of early-onset scoliosis. Our purpose was to investigate the cost of these treatment options. This was a retrospective cohort study of patients with early-onset scoliosis treated at 2 institutions from 2007 to 2014 with either GR instrumentation or EDF casting. Patients with <2 years of follow-up were excluded. Physician and hospital charges and collections, total procedures, and procedure times until final follow-up or time of fusion were compared. Nineteen patients met the inclusion criteria; 8 in the GR group and 11 in the EDF casting group. There were no significant differences between the groups in age (P = .23), public versus private insurance (P = 1.0), or major curve (P = .21) at the initiation of treatment. Excluding final fusion, the EDF casting patients had an average of 2.1 (range: 0.7–6.6) procedures/year while the GR patients had an average of 1.5 (range: 0.8–2.7) procedures/year. The average procedure time for the EDF group was 104.2 minutes; the average procedure time for the GR group, excluding the index procedure, was 62.40 minutes (P = .001). Physician charges were 85% less for the EDF group (EDF= $1892.75, GR= $12,354.53, P < .001). Physician collections were 71% less for the EDF group (EDF= $731.10, GR= $2554.88, P = .001). Hospital charges and collections were similar between the groups (P = .82, P = .42). Physician charges for casting were approximately 18% of that of GRs. Compared to GRs, physician collections were 71% less for EDF casting patients per year. Lippincott Williams & Wilkins 2023-03-31 /pmc/articles/PMC10063290/ /pubmed/37000094 http://dx.doi.org/10.1097/MD.0000000000033312 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 7100
Nielsen, Ena
Andras, Lindsay M.
Sanders, James O.
Brown, Meghan
Noble, Krista
Skaggs, David L.
Physician collections are 71% less for early onset scoliosis casting than for growing rod instrumentation: A retrospective cohort study
title Physician collections are 71% less for early onset scoliosis casting than for growing rod instrumentation: A retrospective cohort study
title_full Physician collections are 71% less for early onset scoliosis casting than for growing rod instrumentation: A retrospective cohort study
title_fullStr Physician collections are 71% less for early onset scoliosis casting than for growing rod instrumentation: A retrospective cohort study
title_full_unstemmed Physician collections are 71% less for early onset scoliosis casting than for growing rod instrumentation: A retrospective cohort study
title_short Physician collections are 71% less for early onset scoliosis casting than for growing rod instrumentation: A retrospective cohort study
title_sort physician collections are 71% less for early onset scoliosis casting than for growing rod instrumentation: a retrospective cohort study
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10063290/
https://www.ncbi.nlm.nih.gov/pubmed/37000094
http://dx.doi.org/10.1097/MD.0000000000033312
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