ArticleEinstein (Sao Paulo, Brazil)
Spine surgery cost reduction at a specialized treatment center.
Article in Einstein (Sao Paulo, Brazil). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03082248 (Second Opinion in Spinal Surgery Indications), which is not on this map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Second Opinion in Spinal Surgery Indications: Cost-Effectiveness Evaluation
Who cites it
3 citing papers in PubMed.
- Second opinions for spinal surgery: a scoping review.BMC health services research · 2022Article
- The need for transparency in the treatment of spinal diseases.Einstein (Sao Paulo, Brazil)Article
- Second opinion programs in spine surgeries: an attempt to reduce unnecessary care for low back pain patients.Brazilian journal of physical therapyArticle
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the estimated cost of treatment of spinal disorders to those of this treatment in a specialized center.
methodsAn evaluation of average treatment costs of 399 patients referred by a Health Insurance Company for evaluation and treatment at the Spine Treatment Reference Center of Hospital Israelita Albert Einstein. All patients presented with an indication for surgical treatment before being referred for assessment. Of the total number of patients referred, only 54 underwent surgical treatment and 112 received a conservative treatment with motor physical therapy and acupuncture. The costs of both treatments were calculated based on a previously agreed table of values for reimbursement for each phase of treatment.
resultsPatients treated non-surgically had an average treatment cost of US$ 1,650.00, while patients treated surgically had an average cost of US$ 18,520.00. The total estimated cost of the cohort of patients treated was US$ 1,184,810.00, which represents a 158.5% decrease relative to the total cost projected for these same patients if the initial type of treatment indicated were performed.
conclusionTreatment carried out within a center specialized in treating spine pathologies has global costs lower than those regularly observed.
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