Abstract：
BACKGROUND:Spinal arteriovenous malformations (AVM) are an abnormal interconnection of vasculature in the spine than can lead to significant neurologic deficit if left untreated. OBJECTIVE:The objective of this study was to characterize how patients with spinal AVM initially presented, what treatment options were used, and their overall outcomes on a national scale. METHODS:The MarketScan database was queried to identify adult patients diagnosed with a spinal AVM from 2007 to 2015. Trends in management, postoperative complication rates, and costs were determined. RESULTS:In total, 976 patients were identified with having a diagnosis of a spinal AVM. Patients were more commonly treated with an open incision than an embolization (40.1% vs. 15.4%). The overall complication rate was 33.61%. Spinal AVM admissions have been stable over the past decade, and mean cost of hospitalization has risen from of $48,700 in 2007 to $71,292 in 2015. Patients who underwent open surgery had a greater complication rate than those treated with embolization (31.15% vs. 18.25%, P < 0.005); however, this may be strongly influenced by complexity of spinal AVM pathology and not treatment modality. CONCLUSIONS:Costs of spinal AVM management continue to rise, even when treatment modalities have reduced length of stay significantly. Open surgery may lead to more postoperative complications and a greater length of stay than endovascular approaches. Further studies should look to identify the efficacy of endovascular approaches for spinal cord AVMs, particularly in complex spinal AVM traditionally treated with open surgery and to isolate factors leading to the elevated hospitalization costs.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Varshneya K,Pendharkar AV,Azad TD,Ratliff JK,Veeravagu Adoi
10.1016/j.wneu.2019.08.010subject
Has Abstractpub_date
2019-11-01 00:00:00pages
e579-e585eissn
1878-8750issn
1878-8769pii
S1878-8750(19)32162-Xjournal_volume
131pub_type
杂志文章abstract：BACKGROUND:When resident physicians fail to demonstrate appropriate milestone competencies early in their neurologic surgery residency, a plan of remediation is necessary. METHODS:Once any psychologic, physical, or behavioral causes of identified knowledge or psychomotor deficiencies have been identified and addressed...
journal_title：World neurosurgery
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更新日期：2020-11-27 00:00:00
abstract：BACKGROUND:Limited historical data suggest that concomitant placement of both a ventriculoperitoneal (VP) shunt and percutaneous endoscopic gastrostomy (PEG) tube is associated with an increased risk of complications, including VP shunt infections. Here we compare the outcomes and cost difference between 2 groups of pa...
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
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journal_title：World neurosurgery
pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1016/j.wneu.2017.06.191
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doi：10.1016/j.wneu.2018.07.223
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pub_type： 杂志文章
doi：10.1016/j.wneu.2017.09.124
更新日期：2018-01-01 00:00:00
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pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2018.05.245
更新日期：2018-09-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2017.06.105
更新日期：2017-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2016.01.075
更新日期：2016-05-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.05.031
更新日期：2017-09-01 00:00:00
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更新日期：2019-02-01 00:00:00
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更新日期：2020-03-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-06-01 00:00:00
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更新日期：2019-12-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2017-08-01 00:00:00
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更新日期：2018-08-01 00:00:00
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journal_title：World neurosurgery
pub_type： 历史文章,杂志文章
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更新日期：2013-11-01 00:00:00
