Cost-effectiveness of 2-level cervical disc replacement and spinal fusion — 6 points

Researchers from New York City-based Icahn School of Medicine at Mount Sinai and St. Louis-based Washington University Orthopedics assessed the cost effectiveness of two-level anterior cervical discectomy and fusion versus cervical disc replacement after five years.

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The analysis involved patients in the investigational device exemption study assessing Medtronic’s Prestige cervical disc.

 

The Spine Journal published the study.

 

Here are six notes:

 

1. In the base-case analysis, the researchers found a 40-year-old experienced a five-year cost of:
• $116,717 for ACDF
• $130,417 for CDR

 

2. CDR yielded 3.45 quality-adjusted life years and ACDF saw 3.23 QALYS.

 

3. The study revealed CDR’s incremental cost-effectiveness ratio was $62,337 per QALY.

 

4. Researchers found the Monte Carlo simulation validated the base-case scenario.

 

5. Based on a $100,000 per QALY willingness to pay, CDR proved to be more cost-effective.

 

6. The researchers concluded both two-level CDR and ACDF are cost-effective at five years.

 

More articles on spine:
Texas Medical Board suspends neurosurgeon’s license following child sexual assault arrest: 5 key notes
Jeopardy! host undergoes surgery to remove subdural hematoma: 4 things to know
Top 10 Spine Review articles: Jan. 1-5

 

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