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Cervical Disc Replacement: Trends, Costs, and Complications

STUDY DESIGN: Retrospective review of insurance database. PURPOSE: To investigate national trends, complications, and costs after cervical disc replacement (CDR) using an administrative insurance database representative of the United States population. OVERVIEW OF LITERATURE: As CDR continues to be...

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Autores principales: Jain, Nickul Saral, Nguyen, Ailene, Formanek, Blake, Alluri, Ram, Buser, Zorica, Hah, Ray, Wang, Jeffrey Chun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595820/
https://www.ncbi.nlm.nih.gov/pubmed/32213792
http://dx.doi.org/10.31616/asj.2019.0246
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author Jain, Nickul Saral
Nguyen, Ailene
Formanek, Blake
Alluri, Ram
Buser, Zorica
Hah, Ray
Wang, Jeffrey Chun
author_facet Jain, Nickul Saral
Nguyen, Ailene
Formanek, Blake
Alluri, Ram
Buser, Zorica
Hah, Ray
Wang, Jeffrey Chun
author_sort Jain, Nickul Saral
collection PubMed
description STUDY DESIGN: Retrospective review of insurance database. PURPOSE: To investigate national trends, complications, and costs after cervical disc replacement (CDR) using an administrative insurance database representative of the United States population. OVERVIEW OF LITERATURE: As CDR continues to be used to treat patients with cervical stenosis, it is important to gain a better understanding of its use on a national level, potential complications, and cost. This information will allow for optimal patient counseling, risk stratification, and healthcare cost assessments. Several prior studies have investigated complications associated with CDR, but they have been limited by small sample size, single institution experiences, limited follow-up, and potential conflicts of interest. METHODS: Patients who underwent single or multilevel CDR between 2007 and 2015 were identified using an insurance database. We collected data on annual trends, reimbursement costs, patient demographic information, hospital information, and information on complications from the time of operation to 1 year postoperative. RESULTS: Total of 293 patients underwent either single or multilevel CDR. The number of procedures increased nonlinearly over time at an average of 17% per year, with a greater increase seen in the outpatient setting. Less than 3.7% of patients had new onset pain within 1 year after CDR. Within 1 year, 12.3% of patients reported a mechanical and/or bone-related complication. There were no patients who indicated a new nerve injury within 6 months of follow-up. Less than 3.7% of patients presented with dysphagia or dysphonia within 6 months, infection within 3 months, or a revision or reoperation within 1 year. Average reimbursement for single-level inpatient versus outpatient CDR was US $33,696.28 and US $34,675.12, respectively (p=0.29). CONCLUSIONS: This study demonstrated that the use of CDR continued to increase. The most common complication was mechanical and/or bone-related, and cost analysis demonstrated no significant difference between inpatient and outpatient CDR.
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spelling pubmed-75958202020-11-03 Cervical Disc Replacement: Trends, Costs, and Complications Jain, Nickul Saral Nguyen, Ailene Formanek, Blake Alluri, Ram Buser, Zorica Hah, Ray Wang, Jeffrey Chun Asian Spine J Clinical Study STUDY DESIGN: Retrospective review of insurance database. PURPOSE: To investigate national trends, complications, and costs after cervical disc replacement (CDR) using an administrative insurance database representative of the United States population. OVERVIEW OF LITERATURE: As CDR continues to be used to treat patients with cervical stenosis, it is important to gain a better understanding of its use on a national level, potential complications, and cost. This information will allow for optimal patient counseling, risk stratification, and healthcare cost assessments. Several prior studies have investigated complications associated with CDR, but they have been limited by small sample size, single institution experiences, limited follow-up, and potential conflicts of interest. METHODS: Patients who underwent single or multilevel CDR between 2007 and 2015 were identified using an insurance database. We collected data on annual trends, reimbursement costs, patient demographic information, hospital information, and information on complications from the time of operation to 1 year postoperative. RESULTS: Total of 293 patients underwent either single or multilevel CDR. The number of procedures increased nonlinearly over time at an average of 17% per year, with a greater increase seen in the outpatient setting. Less than 3.7% of patients had new onset pain within 1 year after CDR. Within 1 year, 12.3% of patients reported a mechanical and/or bone-related complication. There were no patients who indicated a new nerve injury within 6 months of follow-up. Less than 3.7% of patients presented with dysphagia or dysphonia within 6 months, infection within 3 months, or a revision or reoperation within 1 year. Average reimbursement for single-level inpatient versus outpatient CDR was US $33,696.28 and US $34,675.12, respectively (p=0.29). CONCLUSIONS: This study demonstrated that the use of CDR continued to increase. The most common complication was mechanical and/or bone-related, and cost analysis demonstrated no significant difference between inpatient and outpatient CDR. Korean Society of Spine Surgery 2020-10 2020-03-30 /pmc/articles/PMC7595820/ /pubmed/32213792 http://dx.doi.org/10.31616/asj.2019.0246 Text en Copyright © 2020 by Korean Society of Spine Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Jain, Nickul Saral
Nguyen, Ailene
Formanek, Blake
Alluri, Ram
Buser, Zorica
Hah, Ray
Wang, Jeffrey Chun
Cervical Disc Replacement: Trends, Costs, and Complications
title Cervical Disc Replacement: Trends, Costs, and Complications
title_full Cervical Disc Replacement: Trends, Costs, and Complications
title_fullStr Cervical Disc Replacement: Trends, Costs, and Complications
title_full_unstemmed Cervical Disc Replacement: Trends, Costs, and Complications
title_short Cervical Disc Replacement: Trends, Costs, and Complications
title_sort cervical disc replacement: trends, costs, and complications
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595820/
https://www.ncbi.nlm.nih.gov/pubmed/32213792
http://dx.doi.org/10.31616/asj.2019.0246
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