Cell Saver Not Cost Effective With Posterior Lumbar Decompression Fusion

Research published in the October issue of Spine shows use of intraoperative blood salvage, or cell saver, is not cost effective to use with single-level posterior lumbar decompression and fusion surgery.

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The researchers reviewed medical records from 180 adult patients who underwent single-level PLDFs and calculated costs for allogeneic blood transfusion, setting up the cell saver recovery system and infusing autologous blood from cell saver. Averted blood transfusions and quality-adjusted life years marked effectiveness.

Transfusion rate decreased from 40 to 38.7 percent with the cell saver approach, with a cost effectiveness ratio of $55,538 per allogeneic transfusion averted. The cell saver approach was not cost effective with a ratio of $5.6 million per quality-adjusted life years, above the cost-effective threshold of $100,000 per life year.

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