SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023
Economic comparisons of endoscopic spine surgery: a systematic review.
Synthesis in 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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Who cites it
19 citing papers in PubMed, 22 citations in OpenAlex.
- A Systematic Review of Clinical Outcomes and Technical Considerations: Endoscopic Spine Surgery for Primary Spinal Tumors.Journal of clinical medicine · 2026Review
- Introducing Endoscopic Spine Surgery in Tanzania: Implementation Strategy and Early Clinical Outcomes.Global spine journal · 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
- Lumbar Disc Herniation: What's New in Surgical Treatment.Revista brasileira de ortopedia · 2026Article
- Comparison of biportal versus uniportal endoscopic decompression for the treatment of lumbar degenerative disease: a systematic review and meta‑analysis.Asian spine journal · 2026Review
- Early complication rates of uniportal Full-Endoscopic lumbar discectomy in 539 patients: a retrospective multicentre 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 · 2026Observational
- Endoscopic Spine Surgery: A Scoping Review of the Literature.Global spine journal · 2026Review
- Biportal Endoscopic Spine Surgery: Evolution of Techniques, Indications, and Influential Literature.Journal of clinical medicine · 2026Review
- Classification of endoscopic spine procedures.North American Spine Society journal · 2025Article
- Advancements in Spinal Endoscopic Surgery: Comprehensive Techniques and Pathologies Addressed by Full Endoscopy Beyond Lumbar Disc Herniation.Journal of clinical medicine · 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
- Transforaminal Endoscopic Thoracic Discectomy Is More Cost-Effective Than Microdiscectomy for Symptomatic Disc Herniations.Neurospine · 2025Article
- Impact of postoperative cauda equina clumping on recovery after biportal endoscopic decompression for severe lumbar stenosis.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 · 2025Article
- The evolution and promise of endoscopic spine surgery.Journal of spine surgery (Hong Kong) · 2024Article
- Extremely Rare Complications in Uniportal Spinal Endoscopy: A Systematic Review with Unique Case Analyses.Journal of clinical medicine · 2024Review
- Advances and Challenges of Endoscopic Spine Surgery.Journal of clinical medicine · 2024Review
- Efficient-gastro: optimized EfficientNet model for the detection of gastrointestinal disorders using transfer learning and wireless capsule endoscopy images.PeerJ. Computer science · 2024Article
- Feasibility of Endoscopic Lumbar Discectomy in a Remote Government Hospital in Thailand: A Cost-Utility Analysis.Cureus · 2024Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFull-endoscopic techniques are minimally invasive surgery alternatives to traditional spinal surgery. We performed a systematic review of the literature to assess the costs of these techniques compared to traditional approaches.
methodsA systematic review of the literature was performed for economic evaluations that compare endoscopic decompressions of the lumbar spine for stenosis or disc herniation to open or microsurgical decompressions. The search was performed in the following databases: Medline, Embase Classic, Embase, and Central Cochrane library, from January 1, 2005, to October 22, 2022. The included studies were each evaluated according to a formal assessment checklist to evaluate the quality of economic evaluations based on 35 criteria.
resultA total of 1153 studies were identified, with 9 articles included in the final analysis. In evaluating the quality of economic evaluations, the study with the fewest met criteria scored 9/35 and the study with the most met criteria scored 28/35. Only 3 studies completed cost-effectiveness analyses. Surgical procedure duration varied between studies, but hospital length of stays were consistently shorter with endoscopy. While endoscopy was more frequently associated with higher operating costs, studies that measured healthcare and societal costs found endoscopy to be advantageous.
conclusionEndoscopic spine surgery was found to be cost-effective in treating patients with lumbar stenosis and disc herniation when compared to standard microscopic approaches from a societal perspective. More well-designed economic evaluations investigating the cost-effectiveness of endoscopic spine procedures are needed to further support these findings.
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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.