ArticleGlobal spine journal2022
Costs Associated With Timely and Delayed Surgical Treatment of Spinal Metastases.
Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 14 citations in OpenAlex.
- Regional variability and economic impact on surgical practices for metastatic spinal disease in Europe - a survey on spine surgeons.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
- MRI-based habitat analysis for differentiating benign and malignant vertebral compression fractures.BMC medical imaging · 2025Article
- Surgical management of spinal metastases: A cross-continental study in the United States and the Netherlands.Journal of bone oncology · 2025Article
- Patterns of Treatment Delay in Patients with Symptomatic Metastatic Epidural Spinal Cord Compression.Cancers · 2025Article
- Patients with progression of spinal metastases who present to the clinic have better outcomes compared to those who present to the emergency department.Cancer medicine · 2023Article
- The use of red flags during the referral chain of patients surgically treated for symptomatic spinal metastases.Neuro-oncology practice · 2023Article
- Deep Learning Model for Classifying Metastatic Epidural Spinal Cord Compression on MRI.Frontiers in oncology · 2022Article
- Answer to the Letter to the Editor of K. Huang concerning "The importance of timely treatment for quality of life and survival in patients with symptomatic spinal metastases" by van Tol FR, et al. [Eur Spine J (2020): DOI 10.1007/s00586-020-06599-x].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
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective cohort study.
objectivesSymptoms caused by spinal metastases are often difficult to distinguish from symptoms caused by non-malignant spinal disease, complicating timely diagnosis, referral and treatment. The ensuing delays may promote the risk of neurological deficits or severe mechanical instability and consequent emergency surgery, leading to poorer prognosis. Presumably, treatment delay may subsequently lead to more health-care consumption and therefore increased average costs of treatment.
methodsAll patients surgically treated for spinal metastases were included in the current study. Based on the presence of alarming symptoms and urgency of the required intervention, patients were categorized as having received timely or delayed treatment. Pre-surgical, in-hospital, aftercare and total costs were analyzed and compared between the 2 groups.
resultsIn total, 299 patients were included, of which 205 underwent timely and 94 delayed treatment. There was no significant difference in pre-surigcal costs (€3.229,13 in the timely treated group
conclusionsThe total costs for timely treated patients with spinal metastases are significantly lower compared with patients receiving delayed treatment. Investing in the optimization of referral patterns may therefore reduce the overall pretreatment delay and subsequently increase patient outcome, leading to better clinical outcomes at lower costs.
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