Abstract：
BACKGROUND:Neurosurgical spine specialists receive considerable amounts of industry support that may impact the cost of care. The aim of this study was to evaluate the association between industry payments received by spine surgeons and the total hospital and operating room (OR) costs of an anterior cervical discectomy and fusion (ACDF) procedure among Medicare beneficiaries. METHODS:All ACDF cases were identified among the Medicare carrier files from January 1, 2013, to December 31, 2014, and matched to the Medicare inpatient baseline file. The total hospital and OR charges were obtained for these cases. Charges were converted to cost using year-specific cost-to-charge ratios. Surgeons were identified among the Open Payments database, which is used to quantify industry support. Analyses were performed to examine the association between industry payments received and ACDF costs. RESULTS:Matching resulting in the inclusion of 2209 ACDF claims from 2013-2014. In 2013 and 2014, the mean total cost for an ACDF was $21,798 and $21,008, respectively; mean OR cost was $5878 and $6064, respectively. Mann-Whitney U test demonstrated no significant differences in the mean total or OR cost for an ACDF based on quartile of general industry payment received (P = 0.21 and P = 0.54), and linear regression found no association between industry general payments, research support, or investments on the total hospital cost (P = 0.41, P = 0.13, and P = 0.25, respectively), or OR cost for an ACDF (P = 0.35, P = 0.24, and P = 0.40, respectively). CONCLUSIONS:This study suggests that spine surgeons performing ACDF surgeries may receive industry support without impacting the cost of care.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Liu C,Ahmed K,Chen CL,Dudley RA,Gonzales R,Orrico K,Yerneni K,Stienen MN,Veeravagu A,Desai A,Park J,Ratliff JK,Zygourakis CCdoi
10.1016/j.wneu.2020.08.023subject
Has Abstractpub_date
2020-11-01 00:00:00pages
e574-e580eissn
1878-8750issn
1878-8769pii
S1878-8750(20)31787-3journal_volume
143pub_type
杂志文章abstract：BACKGROUND:Hemispherectomy is a successful and well-described treatment option for pediatric patients with hemispheric ictal onset, but adult outcomes have been far less studied. We describe the outcomes in adult patients with medically refractory epilepsy and hemispheric disease and the relationship to cerebral pedunc...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.03.034
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:Brain tumors are rare in infants who are younger than six months of age. These tumors can be challenging to treat surgically. We analyzed a modern series of patients treated by a multidisciplinary team at a tertiary care center and performed a literature review of this unique population. METHODS:Retrospectiv...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2011.09.012
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2020.08.011
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.08.015
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journal_title：World neurosurgery
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2019.04.105
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abstract：:Stereotactic radiosurgery is a safe and effective technology that can address a variety of neurosurgical conditions, but in many parts of the world, access remains an issue. Although the technology is increasingly available in the United States, Canada, Europe, and parts of Asia, poor access to central nervous system ...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.04.031
更新日期：2019-10-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2020.07.174
更新日期：2020-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.01.072
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.11.140
更新日期：2019-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.08.013
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.10.155
更新日期：2019-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.01.118
更新日期：2018-04-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1016/j.wneu.2019.04.060
更新日期：2019-08-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.10.050
更新日期：2021-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.09.079
更新日期：2017-12-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.06.019
更新日期：2018-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2012.09.006
更新日期：2013-05-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.04.105
更新日期：2020-07-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2014-07-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.03.065
更新日期：2020-06-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2020-02-01 00:00:00
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journal_title：World neurosurgery
pub_type：
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更新日期：2020-11-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2018-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2018-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.02.178
更新日期：2019-06-01 00:00:00
