ArticleBritish journal of sports medicine2022
Cost-effectiveness of full endoscopic versus open discectomy for sciatica.
Article in British journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02602093 (), which is not on this map. Cited by 42 papers, 2 of them syntheses 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.
(Cost) Effectiveness of Percutaneous Transforaminal Endoscopic Discectomy vs. Open Microdiscectomy for Patients With Symptomatic Lumbar Disc Herniation
Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Surgical interventions for degenerative lumbar spinal stenosis: a systematic review with network meta-analysis.BMC medicine · 2024Pooled it
- Methodology of economic evaluations in spine surgery: a systematic review and qualitative assessment.BMJ open · 2023Pooled it
- Full endoscopic versus open discectomy for sciatica: randomised controlled non-inferiority trial.BMJ (Clinical research ed.) · 2022Trial
- Evolution of Endoscopic Spine Surgery: Contemporary Advances and Future Directions.Current reviews in musculoskeletal medicine · 2026Review
- Introducing Endoscopic Spine Surgery in Tanzania: Implementation Strategy and Early Clinical Outcomes.Global spine journal · 2026Article
- Lumbar Disc Herniation: What's New in Surgical Treatment.Revista brasileira de ortopedia · 2026Article
- Endoscopic spine surgery.Bulletin of the Hospital for Joint Disease (2013) · 2026Review
- [Lumbar Disc Herniation: What's New in Surgical Treatment].Revista brasileira de ortopedia · 2026Article
- Full-Endoscopic Surgery for Lumbar Disc Herniation: Comparative Outcomes and Risk Factors Between Lumbar Levels-The EndoLEVEL Study.International journal of spine surgery · 2026Article
- Feasibility and accuracy of AI-assisted 3D MRI/CT fusion imaging for preoperative simulation of full-endoscopic transforaminal discectomy.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
- Operative time, recurrence, and complications throughout the initial learning curve in transforaminal endoscopic lumbar discectomy.Acta neurochirurgica · 2026Article
- The first week matters: App-based PROM trajectories and follow-up retention after endoscopic lumbar surgery.Brain & spine · 2026Article
- Beyond the Microscope: Is Endoscopic Discectomy the Next Gold Standard for Lumbar Disc Herniation?Neurospine · 2026Article
- Full-Endoscopic Lumbar Discectomy: A Review of the Surgical Techniques, Indications and Anatomical Considerations.Journal of clinical medicine · 2025Review
- Transforaminal Endoscopic Lumbar Discectomy for Migrated Disc Prolapse: A Retrospective Study of 169 Patients.Cureus · 2025Article
- Comparative effectiveness of minimally invasive endoscopic discectomy versus conventional surgical techniques for lumbar disc herniation: a systematic review and meta-analysis.Annals of medicine and surgery (2012) · 2025Article
- Research advances in unilateral endoscopic spinal surgery for the treatment of lumbar disc herniation: a review.Journal of orthopaedic surgery and research · 2025Review
- Comparison of outcomes in open and full endoscopic lumbar discectomies for treating lumbar radiculopathy in an Australian cohort.Journal of spine surgery (Hong Kong) · 2025Article
- Redefining Surgical Boundaries for Obese Patients? Full Endoscopic Lumbar Discectomy Proves Equally Effective With Shorter Hospital Stay in Obese Patients.International journal of spine surgery · 2025Article
- Transforaminal Endoscopic Thoracic Discectomy Is More Cost-Effective Than Microdiscectomy for Symptomatic Disc Herniations.Neurospine · 2025Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the costs and cost-effectiveness of percutaneous transforaminal endoscopic discectomy (PTED) compared with open microdiscectomy among patients with sciatica.
methodsThis economic evaluation was conducted alongside a 12-month multicentre randomised controlled trial with a non-inferiority design, in which patients were randomised to PTED or open microdiscectomy. Patients were aged from 18 to 70 years and had at least 6 weeks of radiating leg pain caused by lumbar disc herniation. Effect measures included leg pain and quality-adjusted life years (QALYs), as derived using the EQ-5D-5L. Costs were measured from a societal perspective. Missing data were multiply imputed, bootstrapping was used to estimate statistical uncertainty, and various sensitivity analyses were conducted to determine the robustness.
resultsOf the 613 patients enrolled, 304 were randomised to PTED and 309 to open microdiscectomy. Statistically significant differences in leg pain and QALYs were found in favour of PTED at 12 months follow-up (leg pain: 6.9; 95% CI 1.3 to 12.6; QALYs: 0.040; 95% CI 0.007 to 0.074). Surgery costs were higher for PTED than for open microdiscectomy (ie, €4500/patient vs €4095/patient). All other disaggregate costs as well as total societal costs were lower for PTED than for open microdiscectomy. Cost-effectiveness acceptability curves indicated that the probability of PTED being less costly and more effective (ie, dominant) compared with open microdiscectomy was 99.4% for leg pain and 99.2% for QALYs.
conclusionsOur results suggest that PTED is more cost-effective from the societal perspective compared with open microdiscectomy for patients with sciatica. TRIAL REGISTRATION NUMBER: NCT02602093.
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