دورية أكاديمية
Geographic variations in health care resource utilization following elective ACDF for cervical spondylotic myelopathy: A national trend analysis
| العنوان: | Geographic variations in health care resource utilization following elective ACDF for cervical spondylotic myelopathy: A national trend analysis |
|---|---|
| المؤلفون: | Andrew B. Koo, Aladine A. Elsamadicy, Margot Sarkozy, Neil Pathak, Wyatt B. David, Isaac G. Freedman, Benjamin C. Reeves, Daniel M. Sciubba, Maxwell Laurans, Luis Kolb |
| المصدر: | North American Spine Society Journal, Vol 9, Iss , Pp 100099- (2022) |
| بيانات النشر: | Elsevier, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Orthopedic surgery LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | Geographic variations, Complications, Anterior cervical discectomy and fusion, Cervical spondylotic myelopathy, Healthcare expenditures, Standardized healthcare delivery, Orthopedic surgery, RD701-811, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Background: As health care expenditures continue to increase, standardizing health care delivery across geographic regions has been identified as a method to reduce costs. However, few studies have demonstrated how the practice of elective spine surgery varies by geographic location. The aim of this study was to assess the geographic variations in management, complications, and total cost of elective anterior cervical discectomy and fusion (ACDF) for cervical spondylotic myelopathy (CSM). Methods: The National Inpatient Sample database (2016-2017) was queried using the ICD-10-CM procedural and diagnostic coding systems to identify all adult (≥18 years) patients with a primary diagnosis of CSM undergoing an elective ACDF. Patients were divided into regional cohorts as defined by the U.S. Census Bureau: Northeast, Midwest, South, and West. Weighted patient demographics, Elixhauser comorbidities, perioperative complications, length of stay (LOS), discharge disposition, and total cost of admission were assessed. Results: A total of 17,385 adult patients were identified. While the age (p=0.116) and proportion of female patients (p=0.447) were similar among the cohorts, race (p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2666-5484 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2666548422000026; https://doaj.org/toc/2666-5484 |
| DOI: | 10.1016/j.xnsj.2022.100099 |
| URL الوصول: | https://doaj.org/article/f5031a548b3349b38f55e5134a289fae |
| رقم الأكسشن: | edsdoj.f5031a548b3349b38f55e5134a289fae |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 26665484 |
|---|---|
| DOI: | 10.1016/j.xnsj.2022.100099 |