Evidence map›Paper›PMID 32875850›Full record

ArticleGlobal spine journal2021

Health Care Resource Utilization in Commercially Insured Patients Undergoing Anterior Cervical Discectomy and Fusion for Degenerative Cervical Pathology.

Majd Marrache, Andrew B Harris, Varun Puvanesarajah, Micheal Raad, Hamid Hassanzadeh, Lee H Riley, Richard L Skolasky, Mark Bicket, Amit Jain

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In one paragraph

Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Majd Marrache1466The Johns Hopkins University, Baltimore, MD, USA.ORCID https://orcid.org/0000-0001-5768-3541
Andrew B Harris1466The Johns Hopkins University, Baltimore, MD, USA.
Varun Puvanesarajah1466The Johns Hopkins University, Baltimore, MD, USA.
Micheal Raad1466The Johns Hopkins University, Baltimore, MD, USA.
Hamid Hassanzadeh2358University of Virginia, Charlottesville, VA, USA.ORCID https://orcid.org/0000-0002-8224-9517
Lee H Riley1466The Johns Hopkins University, Baltimore, MD, USA.
Richard L Skolasky1466The Johns Hopkins University, Baltimore, MD, USA.
Mark Bicket1466The Johns Hopkins University, Baltimore, MD, USA.
Amit Jain1466The Johns Hopkins University, Baltimore, MD, USA.ORCID https://orcid.org/0000-0002-9983-3365

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective review of an administrative database.

objectivesThe aim of our study was to investigate the distribution of spending for the entire episode of care among nonelderly, commercially insured patients undergoing elective, inpatient anterior cervical discectomy and fusion (ACDF) surgeries for degenerative cervical pathology.

methodsUsing a private insurance claims database, we identified patients who underwent single-level, inpatient ACDF for degenerative spinal disease. Patients were selected using a combination of Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) codes. Entire episode of care was defined as 6-months before (preoperative) to 6 months after (postoperative) the surgical admission.

resultsIn our cohort containing 33 209 patients, perioperative median spending per patient (MSPP) within the year encompassing surgery totaled $37 020 (interquartile range [IQR] $28 363-$49 206), with preoperative, surgical admission, and postoperative spending accounting for 9.8%, 80.7%, and 9.5% of total spending, respectively. Preoperatively, MSPP was $3109 (IQR $1806-$5215), 48% of patients underwent physical therapy, and 31% underwent injections in the 6 months period prior to surgery. Postoperatively, MSPP was $1416 (IQR $398-$3962), and unplanned hospital readmission (6% incidence) accounted for 33% of the overall postoperative spending. Discharge to a nonhome discharge disposition was associated with higher postoperative spending ($14 216) compared with patients discharged home ($1468) and home with home care ($2903),

conclusionUnderstanding the elements and distribution of perioperative spending for the episode of care in patients undergoing ACDF surgery for degenerative conditions is important for health care planning and resource allocation.

Indexed as

anterior cervical discectomy and fusioncervical radiculopathydiscectomyhealth care costshealth economicshospital costs

Identifiers

PMID32875850
PMCPMC7734273

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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.