Evidence map›Paper›PMID 25299258›Full record

ReviewSpine2014

Setting the equation: establishing value in spine care.

Daniel K Resnick, Anna N A Tosteson, Rachel F Groman, Zoher Ghogawala

Abstract readReview
In one paragraph

Review in Spine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
18.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. CORR InsightsClinical orthopaedics and related research · 2017
    Article
  8. Criteria for failure and worsening after surgery for lumbar disc herniation: a multicenter observational study based on data from the Norwegian Registry for Spine Surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017
    Observational
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Daniel K Resnick*Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, K4/834 Clinical Science Center, Madison, WI †Multidisciplinary Clinical Research Center in Musculoskeletal Diseases, The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH ‡Clinical Affairs and Quality Improvement, Hart Health Strategies, Washington, DC §Department of Neurosurgery, Tufts University School of Medicine, Boston, MA; and ¶Lahey Comparative Effectiveness Research Institute, Lahey Hospital and Medical Center, Burlington, MA.
Anna N A Tosteson
Rachel F Groman
Zoher Ghogawala
Dartmouth Institute for Health Policy and Clinical Practice · USTufts University · USUniversity of Wisconsin–Madison · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Outcomes Calculators for Informed Decision Making in Back SurgeryP60AR062799 · NIAMS · DARTMOUTH COLLEGE · PI TOSTESON, TOR D · 2012 to 2016
$6.1M
NCI NIH HHS P30 CA023108NIAMS NIH HHS P60 AR062799NIAMS NIH HHS P60AR062799
6 · The paper itself

Abstract

STUDY

designTopic review.

objectiveDescribe value measurement in spine care and discuss the motivation for, methods for, and limitations of such measurement. SUMMARY OF BACKGROUND DATA: Spinal disorders are common and are an important cause of pain and disability. Numerous complementary and competing treatment strategies are used to treat spinal disorders, and the costs of these treatments is substantial and continue to rise despite clear evidence of improved health status as a result of these expenditures.

methodsThe authors present the economic and legislative imperatives forcing the assessment of value in spine care. The definition of value in health care and methods to measure value specifically in spine care are presented. Limitations to the utility of value judgments and caveats to their use are presented.

resultsExamples of value calculations in spine care are presented and critiqued. Methods to improve and broaden the measurement of value across spine care are suggested, and the role of prospective registries in measuring value is discussed.

conclusionValue can be measured in spine care through the use of appropriate economic measures and patient-reported outcomes measures. Value must be interpreted in light of the perspective of the assessor, the duration of the assessment period, the degree of appropriate risk stratification, and the relative value of treatment alternatives.

Indexed as

Health Care CostsCost-Benefit AnalysisDecision MakingHealth Care ReformHumansPatient PreferencePatient Protection and Affordable Care ActQuality-Adjusted Life YearsQuality of Health CareSpinal Cord DiseasesSpinal DiseasesUnited States

Identifiers

PMID25299258
PMCPMC4487880
OpenAlexW2333956514

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.