Discectomy for Disc Herniation Could Save $2.1 Billion Over Non-Surgical Treatment

Spine

Treatment for orthopedic and spine injuries and conditions can have a huge economic impact on individuals as well as society. However, untreated orthopedic injuries and conditions often leave people unable to work, placing additional economic strain on patients and families. At the American Academy of Orthopaedic Surgeons Annual Meeting 2013, Past President John R. Tongue, MD, moderated the Presidential Symposium titled "The Economic Value of Orthopaedic Surgery."

KNG Health Consulting was commissioned to conduct a study on the societal and economic value of musculoskeletal care with its partner, IHS Global Insight, by AAOS. One of the treatments they discussed was disc herniation.

Patients who underwent discectomy for disc herniation had an increased QALY, but also increased direct medical cost of $14,202 on average, according to the report. However, these costs were offset by societal benefits of $24,024, including $23,121 from higher rate of employment and income. Around $606 came from fewer missed work days.

The net societal savings per person who underwent discectomy was $9,822 during a four-year period, and the authors of the report estimated discectomy for disc herniation could "generate a total net societal savings of $2.1 billion" when compared with non-surgical treatment.

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