Abstract:
:The changing landscape from volume to value represents a natural transformation in the health care industry. Increasingly provider groups are finding themselves responding to unfamiliar market forces. Whether explicit or implicit, competition is playing a larger role for the sustainability of providers. For spine care providers who are attempting to navigate the transition from volume to value, understanding the forces that shape competition in health care can help achieve success.
journal_name
Clin Spine Surgjournal_title
Clinical spine surgeryauthors
Sharan AD,Schroeder GD,West ME,Vaccaro ARdoi
10.1097/BSD.0000000000000370subject
Has Abstractpub_date
2016-04-01 00:00:00pages
121-3issue
3eissn
2380-0186issn
2380-0194journal_volume
29pub_type
杂志文章abstract:STUDY DESIGN:A retrospective study. SUMMARY OF BACKGROUND DATA:Percutaneous vertebroplasty (PV) changes mechanical stress of vertebral column and can cause recurrent pain at the treated level. However, there were a few reports on the therapeutic effects of the repeat PV for patients with recurrent pain at the treated ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e318288a900
更新日期:2016-11-01 00:00:00
abstract:STUDY DESIGN:This is a retrospective single-center and single-surgeon study. OBJECTIVE:We investigated the correlation between lower instrumented vertebra (LIV) and spinal mobility 2 years after posterior spinal fusion with pedicle screws for adolescent idiopathic scoliosis (AIS) for optimal LIV selection. SUMMARY OF...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000794
更新日期:2019-08-01 00:00:00
abstract:STUDY DESIGN:This is a cross-sectional study. OBJECTIVE:To investigate spine surgeons' attitudes regarding preoperative anxiety measurement, management, and responsibility. SUMMARY OF BACKGROUND DATA:The vast majority of patients scheduled for spine surgery experience preoperative anxiety. However, there are currentl...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000705
更新日期:2019-02-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort. OBJECTIVE:The objective of this study was to determine patients' perception of iliac crest bone graft (ICBG) harvesting and donor site pain following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA:The incidence of donor site pain has...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000781
更新日期:2019-12-01 00:00:00
abstract:STUDY DESIGN:This was a retrospective analysis of prospectively collected data. OBJECTIVE:To investigate the incidence of thromboembolism in patients who received tranexamic acid (TXA) after lumbar spine fusion and determine the diagnostic value of lower limb duplex sonography as a screening test. SUMMARY OF BACKGROU...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000860
更新日期:2020-03-01 00:00:00
abstract:STUDY DESIGN:This was a national database study. OBJECTIVE:The objective of this study was to assess the impact of prior bariatric surgery (BS) on altering 90-day postoperative outcomes following elective anterior cervical discectomy and fusions (ACDFs). SUMMARY OF BACKGROUND DATA:Though obesity has previously been s...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001120
更新日期:2020-12-07 00:00:00
abstract:PURPOSE:The aim of this publication is to present a case of idiopathic spinal cord herniation (ISCH) associated with a transdural disk herniation, demonstrate an operative technique used to treat this condition and provide an updated review the literature. BACKGROUND CONTEXT:ISCH is an infrequent condition that can ca...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000896
更新日期:2020-07-01 00:00:00
abstract::Before conducting a scientific study, a power analysis is performed to determine the sample size required to test an effect within allowable probabilities of Type I error (α) or Type II error (β). The power of a study is related to Type II error by 1-β. Most scientific studies set α=0.05 and power=0.80 as minimums. Mo...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001079
更新日期:2020-09-22 00:00:00
abstract:STUDY DESIGN:A retrospective study of preoperative and postoperative magnetic resonance imaging (MRI) findings in spinal ependymoma. OBJECTIVE:The goal of the study was to examine MRI features, including the syrinx component volume, after surgical resection of spinal ependymoma, and to relate these features to extent ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001061
更新日期:2020-08-28 00:00:00
abstract:STUDY DESIGN:Retrospective cohort. OBJECTIVE:To determine whether a genetic test is associated with successful Providence bracing for adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Genetic factors have been defined that predict the risk of progression of AIS in a polygenic fashion. From these data,...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e3182aa4ce1
更新日期:2016-04-01 00:00:00
abstract:STUDY DESIGN:A retrospective case series describing teardrop fracture of the axis. OBJECT:The purpose of the study was to clarify the clinical features, the mechanism of injury, and the potential instability of extension teardrop fractures of the axis, so as to emphasize the importance of recognizing this injury as a ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e31828984f9
更新日期:2016-02-01 00:00:00
abstract:STUDY DESIGN:Description of a navigated, single-step, minimally invasive technique for the placement of pedicle screws. OBJECTIVE:To describe a new technique for minimally invasive placement of pedicle screws in the lumbar spine using O-arm and StealthStation navigation in combination. SUMMARY OF BACKGROUND DATA:Mini...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000616
更新日期:2018-06-01 00:00:00
abstract:STUDY DESIGN:This is a retrospective study. OBJECTIVES:(1) To analyze the incidence of second surgery after initial laminoplasty for ossification of the posterior longitudinal ligament (OPLL) due to disease progression, (2) to examine factors associated with poor surgical outcome. SUMMARY OF BACKGROUND DATA:Neurologi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000747
更新日期:2019-04-01 00:00:00
abstract:STUDY DESIGN:An observational prospective cohort study. OBJECTIVE:To investigate the influence of natural history on the recovery of patients with cervical spondylotic myelopathy (CSM) after anterior cervical decompression. SUMMARY OF BACKGROUND DATA:The natural history of CSM has not been clearly elucidated, it rema...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000873
更新日期:2019-10-01 00:00:00
abstract:STUDY DESIGN:Large multicenter retrospective cohort study. OBJECTIVE:The objective of this study was to analyze the effect of fusion timing on inpatient outcomes in a nationally representative population with thoracolumbar fracture and concurrent neurological injury. SUMMARY OF BACKGROUND DATA:Among thoracolumbar tra...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001078
更新日期:2020-10-06 00:00:00
abstract:STUDY DESIGN:This was a cross-sectional cohort study. OBJECTIVE:The objective of this study was to identify the prevalence of sleep disturbance in patients with symptomatic lumbar spinal stenosis (LSS) and to establish the relationship between sleep disturbance and both functional disability and health-related quality...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000944
更新日期:2020-05-01 00:00:00
abstract:STUDY DESIGN:Open-label laboratory investigational study; non-animal surgical simulation. OBJECTIVE:The authors perform a comparison of dural closure strength in a durotomy simulator across 2 different suture materials. SUMMARY OF BACKGROUND DATA:Incidental durotomy leading to persistent cerebrospinal fluid leak adds...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000169
更新日期:2017-07-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort of prospective data. OBJECTIVE:Determine the frequency of various symptoms in a surgical cohort of cervical myelopathy (CM). SUMMARY OF BACKGROUND DATA:CM can be difficult to diagnose as there is no sine qua non "myelopathic symptom." Despite extensive literature, the likelihood or...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000968
更新日期:2020-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective study using the MarketScan longitudinal database (2006-2010). OBJECTIVE:Compare complication rates between groups of patients undergoing anterior cervical discectomy and fusion (ACDF) procedures performed by surgeons with high versus low mean annual ACDF volume. SUMMARY OF BACKGROUND DATA:O...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000238
更新日期:2017-06-01 00:00:00
abstract:PURPOSE:A retro-odontoid pseudotumor that is not associated with rheumatoid arthritis or hemodialysis is clinically rare. The majority of surgeons select transoral resection as the surgical treatment, often followed by posterior fusion or posterior decompression and fusion. In contrast, some authors have reported succe...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e31829eb7e6
更新日期:2016-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of North American and Japanese adult spinal deformity (ASD) database. OBJECTIVE:To investigate the ethnical differences in radiographic parameters and Scoliosis Research Society (SRS)-22 between North American and Japanese ASD. SUMMARY OF BACKGROUND DATA:Previous comparison study bet...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000610
更新日期:2018-06-01 00:00:00
abstract:STUDY DESIGN:This study was an ambispective long-term cost-utility analysis with retrospective chart review and included the prospective completion of health questionnaires by patients. OBJECTIVE:This was a cost-utility analysis, comparing conservative treatment, discectomy, and discectomy with spinal fusion for patie...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000797
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:All doctors know that P-value<0.05 is "the Graal," but publications require further parameters [odds ratios, confidence interval (CI), etc.] to better analyze scientific data. AIM:The aim of this study was to present P-values, CI, and common effect-sizes (Cohen d, odds ratio, and various coefficients) in a ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000695
更新日期:2018-11-01 00:00:00
abstract:STUDY DESIGN:This was a systematic literature review. OBJECTIVE:The purpose of this systematic literature review was to aggregate all evidence characterizing the learning curve of instrumented minimally invasive surgery (MIS) techniques in spinal surgery and summarize what, if any, consideration has been given to surg...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001052
更新日期:2021-02-01 00:00:00
abstract::The pressures on spine surgery to adopt value-based reimbursement models are being seen in the increased implementation of bundled payment strategies. Given that bundled payment models typically link payments to the initiation of the surgical episode in question, despite their potential cost-saving attributes, financi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000568
更新日期:2018-07-01 00:00:00
abstract:STUDY DESIGN:Intervention comparison study. OBJECTIVE:To assess postoperative cervical lordosis, clinical outcome, and progression of ossification of the posterior longitudinal ligament (OPLL) in patient of cervical spondylotic myelopathy (CSM) by the OPLL. SUMMARY OF BACKGROUND DATA:The posterior approach is usually...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000058
更新日期:2016-02-01 00:00:00
abstract:STUDY DESIGN:A case series study. OBJECTIVE:To investigate the electrophysiological location of nerve root entrapment in patients with isthmic spondylolisthesis. SUMMARY OF BACKGROUND DATA:Although the lesion of the nerve root in patients with isthmic spondylolisthesis has been thought to be located at the pars inter...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000047
更新日期:2017-04-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:The objective of this study was to determine if patient satisfaction is predicted by improvement in health-related quality of life (HRQOL) metrics. SUMMARY OF BACKGROUND DATA:Patient satisfaction is becoming an increasingly common proxy for treatment quality; howev...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000887
更新日期:2020-03-01 00:00:00
abstract::The Spine Patient Outcomes Related Trial (SPORT) is arguably one of the most impactful and insightful studies conducted in spine surgery. Designed as a prospective, multicenter study with a randomized and observational cohort, SPORT has provided vast data on the pathogenesis, treatment effects, clinical outcomes, cost...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000696
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to determine the safety and efficacy of posterior unilateral vertebral column resection (PUVCR) as revision surgery for severe thoracolumbar angular kyphosis. PATIENTS AND METHODS:This is a retrospective cohort study. Adult patients undergoing revision surgery for severe thora...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001123
更新日期:2020-12-14 00:00:00