Surgeon-specific ACDF cost variation & patient-reported outcomes not correlated, study shows: 5 notes

Written by Shayna Korol | August 20, 2018 | Print  |

Intersurgeon cost variation in anterior cervical discectomy and fusion persists even when adjusting for patient comorbidities, according to findings published in Spine.

Here are five things to know:

1. Researchers conducted a retrospective review to assess the contribution of surgeon-specific cost variability and patient-reported outcomes to overall ACDF variability.

2. The study included 431 patients from a prospective registry database undergoing elective primary ACDF by five different surgeons.

3. Direct and indirect 90-day costs were compared across each surgeon as well as PROs. Predicted costs were calculated based on patient comorbidities.

4. Despite surgeon-specific cost variations, there were no differences in PROs across the surgeons.

5. The study authors found no apparent correlation between increased surgeon-specific costs and 90-day PROs. The researchers conclude intersurgeon cost variation can be improved without compromising PROs.

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