Cost-effectiveness Applications of Patient-reported Outcome Measures (PROMs) in Spine Surgery.

Abstract:

:Because of the rising health care costs in the United States, there has been a focus on value-based care and improving the cost-effectiveness of surgical procedures. Patient-reported outcome measures (PROMs) can not only give physicians and health care providers immediate feedback on the well-being of the patients but also be used to assess health and determine outcomes for surgical research purposes. Recently, PROMs have become a prominent tool to assess the cost-effectiveness of spine surgery by calculating the improvement in quality-adjusted life years (QALY). The cost of a procedure per QALY gained is an essential metric to determine cost-effectiveness in universal health care systems. Common patient-reported outcome questionnaires to calculate QALY include the EuroQol-5 dimensions, the SF-36, and the SF-12. On the basis of the health-related quality of life outcomes, the cost-effectiveness of various spine surgeries can be determined, such as cervical fusions, lumbar fusions, microdiscectomies. As the United States attempts to reduce costs and emphasize value-based care, PROMs may serve a critical role in spine surgery moving forward. In addition, PROM-driven QALYs may be used to analyze novel spine surgical techniques for value-based improvements.

journal_name

Clin Spine Surg

journal_title

Clinical spine surgery

authors

Lee TJ,Thomas AA,Grandhi NR,Galetta MS,Goyal DKC,Fang T,Schroeder GD,Kepler CK,Vaccaro AR

doi

10.1097/BSD.0000000000000982

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

140-145

issue

4

eissn

2380-0186

issn

2380-0194

pii

01933606-202005000-00005

journal_volume

33

pub_type

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