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.
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.