当前位置： SCI文献检索 > World Neurosurgery期刊下所有文献 > Cost-Utility Analysis of Surgery and Radiotherapy for Symptomatic Spinal Metastases in a Belgian Specialist Center.

Cost-Utility Analysis of Surgery and Radiotherapy for Symptomatic Spinal Metastases in a Belgian Specialist Center.

Abstract：

OBJECTIVE:Spinal metastases represent the most common site of bony metastases and frequently reduce quality of life. A beneficial effect of surgery and radiotherapy versus radiotherapy alone has been demonstrated in symptomatic patients. The goal of our study was to perform a cost-utility analysis of surgery for spinal metastases based on patient-level costs and health status data in a specialist spine center in Belgium. METHODS:A cost-utility analysis was performed in a prospective cohort of patients undergoing surgery for symptomatic spinal metastases in 2011-2015. EQ-5D-3L measure of health-related quality of life data were collected preoperatively and at 3, 6, 12, and 24 months. Hospital costs relating to surgical management including postoperative radiotherapy were analyzed. A retrospective cohort of patients treated with radiotherapy alone between 2011 and 2015, which matched the surgical patients for disease load and presentation, also was assessed. Quality-adjusted life years (QALYs) for nonsurgical patients were modelled against the surgical group. RESULTS:In total, 38 consecutive surgical patients had information for cost-utility analysis and 8 nonsurgical patients were matched. Mean total cost in the surgical group was €16,989 (SD €8148), largely comprising nonmedical staffing cost (mean €7721, 45.9%), followed by daily operational costs (€2963, 17.6%) and medical staffing costs (€2621, 15.6%). Median initial health status was 0.33 (interquartile range 0.15-0.55), and median postoperative QALYs were 0.70 (interquartile range 0.18-1.70). Mean total cost in the nonsurgical cohort was €9354. The incremental cost-effectiveness ratio for surgical management was €13,635 (range €12,726-€14,407) per QALY. CONCLUSIONS:Surgery for symptomatic spinal metastases in a specialist hospital in Belgium is cost-effective.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Depreitere B,Turner I,Vandoren C,Choi D

doi

10.1016/j.wneu.2019.01.130

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

e537-e543

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(19)30230-X

journal_volume

125

pub_type

杂志文章

相关文献

World Neurosurgery文献大全
  • Treatment of Typical Enneking Stage 3 Thoracic Aggressive Vertebral Hemangiomas with Pain and Neurologic Deficits: Results After at Least 36 Months of Follow-Up.

    abstract：OBJECTIVE:To evaluate the efficiency of a comprehensive treatment strategy for patients with Enneking stage 3 thoracic aggressive vertebral hemangioma (AVH). METHODS:A retrospective analysis of radiographic and clinical outcomes was performed for 17 patients who received treatment for Enneking stage 3 thoracic AVH acc...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.10.158

    authors： Huang Y,Xu W,Chen Q,Lan Z

    更新日期：2020-02-01 00:00:00

  • Superficial Femoral Artery Interposition Graft for Repair of a Ruptured Mycotic Common Carotid Artery Pseudoaneurysm: Case Report and Review of the Literature.

    abstract：BACKGROUND:Indications for reconstruction of the common carotid artery (CCA) include trauma, iatrogenic injury, neoplastic growth (such as invasive neck carcinomas), postoperative infection, and cervical carotid aneurysm. Although various techniques and conduits have been described, the clinical scenario may preclude t...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2019.05.215

    authors： Baranoski JF,Wanebo JE,Heiland KE,Zabramski JM

    更新日期：2019-09-01 00:00:00

  • Social Media Metrics and Bibliometric Profiles of Neurosurgical Departments and Journals: Is There a Relationship?

    abstract：BACKGROUND:Social media plays an increasingly important role in dissemination of knowledge and raising awareness of selected topics among the general public and the academic community. OBJECTIVE:To investigate the relationship between social media metrics and academic indices of neurosurgical programs and journals. M...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.01.087

    authors： Alotaibi NM,Guha D,Fallah A,Aldakkan A,Nassiri F,Badhiwala JH,Ibrahim GM,Shamji MF,Macdonald RL,Lozano AM

    更新日期：2016-06-01 00:00:00

  • Application of Improved LANDMARC Indoor Positioning Algorithm in Neurology Medical Care Monitoring and Positioning System.

    abstract：:The paper proposes an improved LANDMARC positioning algorithm to improve the location accuracy of environmental obstacles for medicine care monitoring in neurology. The paper proposes a log path loss correction model and uses the model to compensate the positioning signal to improve the positioning accuracy of the alg...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.01.172

    authors： Huang Y,Li L,Hu L,Huang H,Liao Z,Wang J

    更新日期：2020-06-01 00:00:00

  • Retraction of Neurosurgical Publications: A Systematic Review.

    abstract：OBJECTIVES:Despite the increasing awareness of scientific fraud, no attempt has been made to assess its prevalence in neurosurgery. The aim of our review was to assess the chronologic trend, reasons, research type/design, and country of origin of retracted neurosurgical publications. METHODS:Three independent reviewer...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2017.04.014

    authors： Wang J,Ku JC,Alotaibi NM,Rutka JT

    更新日期：2017-07-01 00:00:00

  • Efficacy of the Endoscopic Triportal Transmaxillary Approach for Treating Lateral Middle Skull Base Tumors: A Technical Note and Retrospective Case Series.

    abstract：BACKGROUND:The endoscopic approach, chiefly via the maxillary sinus, has growing applications for the lateral skull base, and can be classified into the use of "endonasal" or "sublabial" entry. Although the endonasal transmaxillary approach has been well accepted, it has a limitation with respect to the lateral exposur...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.06.157

    authors： Umehara T,Kinoshita M,Hayama M,Shikina T,Fujimoto Y,Yohei M,Inohara H,Kishima H

    更新日期：2020-10-01 00:00:00

  • Endoscopic Anterior Approach for Cervical Disc Disease (Disc Preserving Surgery).

    abstract：OBJECTIVE:To report our experience of endoscopic disc removal by anterior approach for management of cervical myelopathy in 210 patients. METHODS:A retrospective study of 187 cases of single- and 23 cases of double-level disc disease was performed. Cases of myelopathy with or without unilateral or bilateral radiculopa...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.04.107

    authors： Parihar VS,Yadav N,Ratre S,Dubey A,Yadav YR

    更新日期：2018-07-01 00:00:00

  • Factors for Achieving Safe and Complete Treatment for Unruptured Saccular Aneurysm Smaller Than 10 mm by Simple Clipping or Simple Coil Embolization.

    abstract：OBJECTIVE:Reducing complications from unruptured aneurysms (UAs) treatment is important. We clarify the criteria for achieving safe and complete treatment for UAs ≤10 mm by clipping or coil embolization. METHODS:This study included 59 newly treated UAs in the past 2 years. We prospectively decided on criteria to recom...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.04.005

    authors： Tenjin H,Yamamoto H,Goto Y,Tanigawa S,Takeuchi H,Nakahara Y

    更新日期：2016-07-01 00:00:00

  • Novel Software-Derived Workflow in Extracranial-Intracranial Bypass Surgery Validated by Transdural Indocyanine Green Videoangiography.

    abstract：BACKGROUND:The introduction of image-guided methods to bypass surgery has resulted in optimized preoperative identification of the recipients and excellent patency rates. However, the recently presented methods have also been resource-consuming. In the present study, we have reported a cost-efficient planning workflow ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.11.038

    authors： Dodier P,Auzinger T,Mistelbauer G,Wang WT,Ferraz-Leite H,Gruber A,Marik W,Winter F,Fischer G,Frischer JM,Bavinzski G

    更新日期：2020-02-01 00:00:00

  • Use of 3-Dimensional Printing Technology in Complex Spine Surgeries.

    abstract：BACKGROUND:Medical implications of 3-dimensional (3D) printing technology have evolved and are increasingly used. Surgical spine oncology involves at times complex resection using various surgical approaches and unique spinal reconstruction. As high general complication rates, including hardware failure, are reported, ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.09.002

    authors： Lador R,Regev G,Salame K,Khashan M,Lidar Z

    更新日期：2020-01-01 00:00:00

  • Comparative Assessment of Extracranial-to-Intracranial and Intracranial-to-Intracranial In Situ Bypass for Complex Intracranial Aneurysm Treatment Based on Rupture Status: A Case Series.

    abstract：BACKGROUND:Comparative outcomes of extracranial-to-intracranial (EC-IC) and intracranial-to-intracranial (IC-IC) bypass for complex aneurysm treatment based on rupture status are not well described in the literature. In this study, we compare outcomes of EC-IC and IC-IC bypass for complex intracranial aneurysm treatmen...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.10.056

    authors： Ravina K,Rennert RC,Brandel MG,Strickland BA,Chun A,Lee Y,Carey JN,Russin JJ

    更新日期：2020-10-17 00:00:00

  • Genetic Variations of the COL4A1 Gene and Intracerebral Hemorrhage Risk: A Case-Control Study in a Chinese Han Population.

    abstract：OBJECTIVE:To investigate the association between single nucleotide polymorphisms or haplotypes of the COL4A1 gene and the risk of intracerebral hemorrhage (ICH). METHODS:We conducted a case-control study that included 181 patients from the Chinese Han population with hypertensive ICH and 197 hypertension patients with...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.01.072

    authors： Lin S,Xia C,He S,Yang J,Li H,Zheng J,Liu M,You C

    更新日期：2018-04-01 00:00:00

  • Short Report on a Rare Presentation of Temporal Arachnoid Cyst and Lessons Learned.

    abstract：BACKGROUND:Stiff neck or nuchal rigidity is a significant clinical sign of neurologic disease. It is commonly associated with meningitis, subarachnoid hemorrhage, and posterior fossa tumors. It may also occur as a result of tonsillar impaction following pressure in the infratentorial compartment from an expanding poste...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.02.230

    authors： Onyia CU,Akinniranye O,Olaitan A,Agoha C

    更新日期：2019-06-01 00:00:00

  • Percutaneous Full Endoscopic Bilateral Lumbar Decompression of Spinal Stenosis Through Uniportal-Contralateral Approach: Techniques and Preliminary Results.

    abstract：BACKGROUND:When considering various risk factors such as age, comorbidities, and complications related to the surgical procedure itself, open surgery in degenerative spinal stenosis is likely to cause more complications. Here, we report the surgical procedure and preliminary clinical results of percutaneous endoscopic ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.03.130

    authors： Kim HS,Paudel B,Jang JS,Oh SH,Lee S,Park JE,Jang IT

    更新日期：2017-07-01 00:00:00

  • Utility of the 5-Item Modified Frailty Index for Predicting Adverse Outcomes Following Elective Anterior Cervical Discectomy and Fusion.

    abstract：BACKGROUND:Frailty is an increasingly studied tool for preoperative risk stratification, but its prognostic value for anterior cervical discectomy and fusion (ACDF) patients is unclear. We sought to evaluate the association of the 5-item modified Frailty Index (5i-mFI) with 30-day adverse outcomes following ACDF and it...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.10.154

    authors： Zreik J,Alvi MA,Yolcu YU,Sebastian AS,Freedman BA,Bydon M

    更新日期：2020-11-03 00:00:00

  • Effect of Tranexamic Acid on Prevention of Hemorrhagic Mass Growth in Patients with Traumatic Brain Injury.

    abstract：BACKGROUND:Intracranial hemorrhage is a common complication of traumatic brain injury (TBI). The purpose of this study is evaluation of the effect of tranexamic acid (TXA) on hemorrhagic mass growth in TBI patients. PATIENTS AND METHODS:In this randomized, double-blind clinical trial, 149 patients with TBI and any kin...

    journal_title：World neurosurgery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.wneu.2017.10.075

    authors： Fakharian E,Abedzadeh-Kalahroudi M,Atoof F

    更新日期：2018-01-01 00:00:00

  • Intracranial Low-Grade Fibromyxoid Sarcoma with Atypical Radiology.

    abstract：BACKGROUND:Low-grade fibromyxoid sarcoma (LGFMS), an uncommon soft tissue tumor, generally occurs in extremities and is characterized by an aggressive clinical course with frequent recurrences. Primary intracranial occurrence of LGFMS is rare. The few existing descriptions present the clinicopathologic aspects of LGFMS...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.11.082

    authors： Karthigeyan M,Malik P,Garg S,Radotra BD,Salunke P,Sunil N,Kumar N

    更新日期：2019-02-01 00:00:00

  • The Assassination of Abraham Lincoln and the Evolution of Neuro-Trauma Care: Would the 16th President Have Survived in the Modern Era?

    abstract：:Abraham Lincoln was the 16(th) President of the United States of America. On April 14, 1865, shortly after his re-election and the conclusion of the Civil War, Lincoln was shot and killed by John Wilkes Booth. Although numerous physicians tended to the President shortly after his injury, he passed away the next mornin...

    journal_title：World neurosurgery

    pub_type： 传,历史文章,杂志文章,评审

    doi：10.1016/j.wneu.2015.06.011

    authors： Yan SC,Smith TR,Bi WL,Brewster R,Gormley WB,Dunn IF,Laws ER Jr

    更新日期：2015-11-01 00:00:00

  • A Systematic Review of the Semi-Sitting Position in Neurosurgical Patients with Patent Foramen Ovale: How Frequent Is Paradoxical Embolism?

    abstract：BACKGROUND:The semi-sitting position is preferred in some surgeries of the posterior fossa and the cervical spine. At the same time, it is associated with a risk of air embolism. In the presence of a patent foramen ovale (PFO) with an intracardial right-to-left shunt, an air embolism can result in a paradoxical embolis...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2018.04.114

    authors： Klein J,Juratli TA,Weise M,Schackert G

    更新日期：2018-07-01 00:00:00

  • Dorsal Cervical Spinal Cord Herniation Precipitated by Kyphosis Deformity Correction for Spinal Cord Tethering.

    abstract：INTRODUCTION:Cervical spinal cord herniation is a rare clinical entity. Reported after previous intradural surgery or surgery complicated by durotomy, patients return several months to years later with symptoms of worsening myelopathy. Herein is presented a case of a 51-year-old female patient with spinal cord herniati...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.02.020

    authors： Heller RS,Hwang SW,Riesenburger RI

    更新日期：2017-04-01 00:00:00

  • Increasing Frailty Predicts Worse Outcomes and Increased Complications After Angiogram-Negative Subarachnoid Hemorrhages.

    abstract：BACKGROUND:The effect of frailty on outcomes after angiogram-negative subarachnoid hemorrhages (ANSAH) is currently unknown. We investigated frailty's effects on ANSAH outcomes, including mortality and in-hospital complications. METHODS:Patients from 2014 to 2018 with non-traumatic subarachnoid hemorrhage and cerebral...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.10.003

    authors： McIntyre M,Gandhi C,Dragonette J,Schmidt M,Cole C,Santarelli J,Lehrer R,Al-Mufti F,Bowers CA

    更新日期：2020-02-01 00:00:00

  • Minimally Invasive Surgical Management of Thoracic Ossification of the Ligamentum Flavum Associated with X-linked Hypophosphatemia.

    abstract：BACKGROUND:X-linked hypophosphatemia (XLH) is the most common inherited form of renal phosphate wasting and inherited rickets. Patients have hyperplasia of fibrochondrocytes in tendons and ligaments, causing the structures to thicken and calcify. Thickening of the lamina, hypertrophy of facet joints, and calcification ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.07.076

    authors： Riccio AR,Entezami P,Giuffrida A,Dowling J,Forrest G,German JW

    更新日期：2016-10-01 00:00:00

  • Surgical Management of Idiopathic Thoracic Spinal Cord Herniation.

    abstract：BACKGROUND:Idiopathic spinal cord herniation is a rare condition that involves spinal cord herniation through a defect in the ventral dura. CASE DESCRIPTION:We present a case of a 61-year-old woman who initially presented in 2016 with an approximately 1-year history of burning right lower extremity pain and gait insta...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.05.219

    authors： Neale N,Ramayya A,Welch W

    更新日期：2019-09-01 00:00:00

  • Trigeminal Neuralgia Attributable to Intraneural Trigeminocerebellar Artery: Case Report and Review of the Literature.

    abstract：BACKGROUND:The trigeminocerebellar artery (TCA) is a branch of the basilar artery supplying both the trigeminal nerve root and the cerebellar hemisphere. Despite its proximity to the trigeminal nerve, only a few cases of trigeminal neuralgia (TN) caused by TCA compression of the trigeminal nerve have been reported. Mor...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2015.11.059

    authors： Jito J,Nozaki K

    更新日期：2016-04-01 00:00:00

  • Role of Visuohaptic Surgical Training Simulator in Resident Education of Orthopedic Surgery.

    abstract：OBJECTIVE:We sought to assess the validity of a virtual surgical training system on lumbar pedicle screw placement for residents. METHODS:Ten inexperienced residents were randomly assigned to the simulation training (ST) group (n = 5) and control group (n = 5). The ST group performed the lumbar pedicle screw placement...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.12.015

    authors： Shi J,Hou Y,Lin Y,Chen H,Yuan W

    更新日期：2018-03-01 00:00:00

  • Zero-Profile Spacer Versus Cage-Plate Construct in Anterior Cervical Diskectomy and Fusion for Multilevel Cervical Spondylotic Myelopathy: Systematic Review and Meta-Analysis.

    abstract：BACKGROUND:Anterior cervical diskectomy and fusion with plate-screw construct has been gradually applied for multilevel cervical spondylotic myelopathy in recent years. However, long cervical plate was associated with complications including breakage or loosening of plate and screws, trachea-esophageal injury, neurovas...

    journal_title：World neurosurgery

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.wneu.2017.05.045

    authors： Tong MJ,Xiang GH,He ZL,Chen DH,Tang Q,Xu HZ,Tian NF

    更新日期：2017-08-01 00:00:00

  • De novo aneurysms in long-term follow-up computed tomographic angiography of patients with clipped intracranial aneurysms.

    abstract：OBJECTIVE:This study was undertaken to evaluate de novo aneurysm formation in the long-term follow-up of patients with clipped aneurysms. METHODS:Of 459 patients who underwent clipping of ruptured cerebral aneurysms at our institution between 1997 and 2008, 119 patients were available in good condition and agreed to u...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2013.06.008

    authors： Zali A,Khoshnood RJ,Zarghi A

    更新日期：2014-11-01 00:00:00

  • Comparison of Consecutive, Interval, and Skipped Pedicle Screw Techniques in Moderate Lenke Type 1 Adolescent Idiopathic Scoliosis.

    abstract：OBJECTIVE:To compare perioperative, radiographic, and Scoliosis Research Society-22 (SRS-22) outcomes of consecutive, interval, and skipped pedicle screw techniques in patients with moderate Lenke type 1 adolescent idiopathic scoliosis (AIS). METHODS:We retrospectively reviewed 65 consecutive moderate Lenke type 1 AIS...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.11.064

    authors： Luo M,Shen M,Wang W,Xia L

    更新日期：2017-02-01 00:00:00

  • Endovascular Treatment for Peripheral Superior Cerebellar Artery Aneurysms: Current State and Future Considerations.

    abstract：BACKGROUND:Superior cerebellar artery (SCA) aneurysms can be divided into 2 types: basilar artery (BA)-SCA junction aneurysms and peripheral SCA aneurysms. The peripheral SCA aneurysm is a distinct entity from its BA-SCA counterpart. No comprehensive literature review for endovascular management of peripheral SCA aneur...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2019.04.145

    authors： Hou K,Li G,Wang X,Xu K,Yu J

    更新日期：2019-07-01 00:00:00

  • Very Low Rate of New Brain Lesions After Vulnerable Carotid Artery Stenting Cases Using Only FilterWire EZ as Distal Embolic Protection.

    abstract：BACKGROUND:Although carotid artery stenting (CAS) has been widely acknowledged as an effective alternative option for patients at high risk of carotid endarterectomy, embolic stroke is a major complication of CAS. Several reports have emphasized that distal protection filter alone is associated with a high risk of embo...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.05.028

    authors： Ishida A,Asakuno K,Shiramizu H,Yoshimoto H,Nakase K,Kato M,Matsuo S

    更新日期：2020-09-01 00:00:00