Impact of Cost Valuation on Cost-Effectiveness in Adult Spine Deformity Surgery

Jeffrey L Gum,Richard Hostin,Chessie Robinson,Michael P Kelly,Leah Y Carreon,David W Polly,Shay Bess,Douglas C Burton,Christopher I Shaffrey,Justin S Smith,Virginie Lafage,Frank Schwab,Christopher P Ames,Steven D Glassman

The spine journal : official journal of the North American Spine Society（2017）

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摘要

There is a significant difference in direct hospital costs versus Medicare allowable rates in ASD surgery and in turn, there is a similar difference in the cost per QALY calculation. Utilizing Medicare allowable rates not only underestimates (17%) the cost of ASD surgery, but it also creates inaccurate and unrealistic expectations for researchers and policymakers.

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关键词

Adult spine deformity surgery,Cost per QALY calculations,Cost-effectiveness,Hospital costs,Medicare allowable rates,Quality-adjusted life years

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