지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 216 - 224 (9page)
이용수
초록· 키워드
오류제보하기
Objective: We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice. Methods: The time of operative procedures, infection rates, revision rates, length of stay, and possible conversion of open to minimally invasive spine surgery (MIS) secondary to robotic image guidance technology were calculated using a combination of institution-specific and national data points. This cost matrix was subsequently applied to 1 year of elective clinical case volume at an academic practice with regard to payor mix, procedural mix, and procedural revenue. Results: A total of 1,985 elective cases were analyzed over a 1-year period; of these, 557 thoracolumbar cases (28%) were analyzed. Fifty-eight (10.4%) were MIS fusions. Independent review determined an additional ~10% cases (50) to be candidates for MIS fusion. Furthermore, 41.4% patients had governmental insurance, while 58.6% had commercial insurance. The weighted average diagnosis-related group reimbursement for thoracolumbar procedures for the hospital system was calculated to be $25,057 for Medicare and $42,096 for commercial insurance. Time savings averaged 3.4 minutes per 1-level MIS procedure with robotic technology, resulting in annual savings of $5,713. Improved pedicle screw accuracy secondary to robotic technology would have resulted in 9.47 revisions being avoided, with cost savings of $314,661. Under appropriate payor mix components, robotic technology would have converted 31 Medicare and 18 commercial patients from open to MIS. This would have resulted in 140 fewer total hospital admission days ($251,860) and avoided 2.3 infections ($36,312). Robotic surgery resulted in immediate conservative savings estimate of $608,546 during a 1-year period at an academic center performing 557 elective thoracolumbar instrumentation cases. Conclusion: Application of robotic spine surgery is cost-effective, resulting in lesser revision surgery, lower infection rates, reduced length of stay, and shorter operative time. Further research is warranted, evaluating the financial impact of robotic spine surgery.
목차
등록된 정보가 없습니다.
참고문헌 (42)
참고문헌 신청
Joseph JR / 2017 / Current applications of robotics in spine surgery: a systematic review of the literature / Neurosurg Focus 42:E2
Goz V / 2015 / Geographic variations in the cost of spine surgery / Spine (Phila Pa 1976) 40:1380~1389
Kaplan RS / 2014 / Using time-driven activity-based costing to identify value improvement opportunities in healthcare / J Healthc Manag 59:399~412
Lee R / 2011 / The economics of robotic cystectomy: cost comparison of open versus robotic cystectomy / BJU Int 108:1886~1892
Yu HY / 2012 / Use, costs and comparative effectiveness of robotic assisted, laparoscopic and open urological surgery / J Urol 187:1392~1398
Goz V / 2015 / Geographic variations in the cost of spine surgery / Spine (Phila Pa 1976) 40:1380~1389
Kaplan RS / 2014 / Using time-driven activity-based costing to identify value improvement opportunities in healthcare / J Healthc Manag 59:399~412
Lee R / 2011 / The economics of robotic cystectomy: cost comparison of open versus robotic cystectomy / BJU Int 108:1886~1892
Yu HY / 2012 / Use, costs and comparative effectiveness of robotic assisted, laparoscopic and open urological surgery / J Urol 187:1392~1398
이 논문의 저자 정보
최근 본 자료
댓글(0)
0