ArticleGlobal spine journal2019
Utilization and Economic Impact of Posterolateral Fusion and Posterior/Transforaminal Lumbar Interbody Fusion Surgeries in the United States.
Article in Global spine journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04877470 (Baseline-characteristics of Patients Referred to a Secondary Spine Centre), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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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
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.
Baseline-characteristics of Patients Referred to a Secondary Spine Centre
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methodology of economic evaluations in spine surgery: a systematic review and qualitative assessment.BMJ open · 2023Pooled it
- Decreasing medicare reimbursement for transforaminal lumbar interbody fusions.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 · 2026Article
- CT Evaluation of Lumbar Interbody Fusion: A Comprehensive Review with an Integrated Framework for Principle-Based Interpretation.Diagnostics (Basel, Switzerland) · 2026Review
- Predictors of hospitalization for longer than one day following elective single-level anterior cervical discectomy and fusion: a retrospective case-control database study.Asian spine journal · 2025Article
- Nuances of the Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Technical Review.International journal of spine surgery · 2025Article
- Discharge within 1 day following elective single-level transforaminal lumbar interbody fusion: a propensityscore-matched analysis of predictors, complications, and readmission.Asian spine journal · 2024Article
- Adhesive surface electrodes versus needle-based neuromonitoring in lumbar spinal surgery.Surgical neurology international · 2024Article
- The quality of care index for low back pain: a systematic analysis of the global burden of disease study 1990-2017.Archives of public health = Archives belges de sante publique · 2023Article
- MRI-based vertebral bone quality score for predicting cage subsidence by assessing bone mineral density following transforaminal lumbar interbody fusion: a retrospective analysis.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 · 2023Article
- Advocating uniformity in spine surgery: a practical disease-specific guideline for trial-based economic evaluations.BMJ open · 2023Article
- Referrals, Symptoms and Treatment of Patients Referred to a Secondary Spine Centre-How Can We Help?Journal of clinical medicine · 2023Article
- TLIF Online Videos for Patient Education-Evaluation of Comprehensiveness, Quality, and Reliability.International journal of environmental research and public health · 2023Article
- Process Evaluation of Lumbar Interbody Fusion Surgeries in Five Dutch Hospitals: A Qualitative Analysis.Medicina (Kaunas, Lithuania) · 2022Article
- Evidence-based recommendations for economic evaluations in spine surgery: study protocol for a Delphi consensus.BMJ open · 2021Article
- The association of transversus abdominis plane block with length of stay, pain and opioid consumption after anterior or lateral lumbar fusion: a retrospective study.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 · 2021Article
- Lumbar spine fusion outcomes using a cellular bone allograft with lineage-committed bone-forming cells in 96 patients.BMC musculoskeletal disorders · 2021Article
- National utilization and inpatient safety measures of lumbar spinal fusion methods by race/ethnicity.The spine journal : official journal of the North American Spine Society · 2021Article
- A Cost-Effectiveness Analysis of Smoking-Cessation Interventions Prior to Posterolateral Lumbar Fusion.The Journal of bone and joint surgery. American volume · 2020Article
- Evidence-based medicine and clinical decision-making in spine surgery.North American Spine Society journal · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective database study.
objectiveTo analyze the economic and age data concerning primary and revision posterolateral fusion (PLF) and posterior/transforaminal lumbar interbody fusion (PLIF/TLIF) throughout the United States to improve value-based care and health care utilization.
methodsThe National Inpatient Sample (NIS) database was queried by the International Classification of Diseases, Ninth Revision, Clinical Modification codes for patients who underwent primary or revision PLF and PLIF/TLIF between 2011 and 2014. Age and economic data included number of procedures, costs, and revision burden. The National Inpatient Sample database represents a 20% sample of discharges from US hospitals weighted to provide national estimates.
resultsFrom 2011 to 2014, the annual number of PLF and PLIF/TLIF procedures decreased 18% and increased 23%, respectively, in the Unites States. During the same period, the number of revision PLF decreased 19%, while revision PLIF/TLIF remained relatively unchanged. The average cost of PLF was lower than the average cost of PLIF/TLIF. The aggregate national cost for PLF was more than $3 billion, while PLIF/TLIF totaled less than $2 billion. Revision burden (ratio of revision surgeries to the sum of both revision and primary surgeries) remained constant at 8.0% for PLF while it declined from 3.2% to 2.9% for PLIF/TLIF.
conclusionThis study demonstrated a steady increase in PLIF/TLIF, while PLF alone decreased. The increasing number of PLIF/TLIF procedures may account for the apparent decline of PLF procedures. There was a higher average cost for PLIF/TLIF as compared with PLF. Revision burden remained unchanged for PLF but declined for PLIF/TLIF, implying a decreased need for revision procedures following the initial PLIF/TLIF surgery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.