Presurgical Biopsychosocial Variables Predict Medical and Compensation Costs of Lumbar Fusion in Utah Workers’ Compensation Patients

Details

• Personal Author:
  Colledge AL ; DeBerard MS ; Holmes, Edward B. ; Masters KS ; Colledge AL ; DeBerard MS ; Holmes, Edward B. ; Masters KS
• Description:
  BACKGROUND CONTEXT: Elective lumbar fusion surgery is a prevalent and costly procedure that requires a lengthy rehabilitation. It is important to identify presurgical biopsychosocial predictors of medical and compensation costs in such patients. PURPOSE: To determine if presurgical biopsychosocial variables are predictive of compensation and medical costs in a cohort of Utah lumbar fusion patients receiving workers' compensation. STUDY DESIGN/SETTING: A retrospective-cohort study consisting of a review of presurgical medical records and accrued medical and compensations costs. PATIENT SAMPLE: A consecutive sample of 203 compensated workers from Utah who underwent lumbar fusion from 1990 to 1995. Patients were at least 2 years postsurgery. OUTCOME MEASURES: Total accrued medical and compensations costs. METHODS: A retrospective review of presurgical biopsychosocial variables and total accrued medical and compensation costs was conducted. RESULTS: Presurgical variables from each of the biopsychosocial domains were statistically significantly correlated with medical and compensation costs. Social and biological variables were the best predictors of total compensation costs, whereas psychological variables were better predictors of total medical costs. CONCLUSIONS: Compensation and medical costs associated with posterolateral lumbar fusion can be predicted by preintervention biopsychosocial variables. Cost reduction programs might benefit from identifying biopsychosocial factors related to increased costs. [Description provided by NIOSH]
• Subjects:
  Biological Factors Mental Health Musculoskeletal Diseases Musculoskeletal System Occupational Health Safety
• Keywords:
  Author Keywords: Lumbar Fusion Biological-factors Biopsychosocial Compensation Costs Medical-screening Medical-treatment Medical Costs Musculoskeletal-system Musculoskeletal-system-disorders Prediction Psychological-factors Sociological-factors Surgery Worker-health

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• ISSN:
  1529-9430
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  OSHA Region 8 ; Utah
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  420-429
• Volume:
  3
• Issue:
  6
• NIOSHTIC Number:
  nn:20037429
• Citation:
  Spine J 2003 Nov-Dec; 3(6):420-429
• Contact Point Address:
  M. Scott DeBerard, PhD, Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT84322-2810
• Email:
  sdeberard@coe.usu.edu
• Federal Fiscal Year:
  2004
• Performing Organization:
  University of Utah
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  The Spine Journal
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ccb1093ffc1379ba116230e0e96b10e91d23a49ffa8e2d081090b4623793f0c880ace102320d793b82cb897045a3eee3856951abf4c6a64d33911d723099a352
• Download URL:
  https://stacks.cdc.gov/view/cdc/188526/cdc_188526_DS1.pdf
• File Type:
  [PDF - 124.40 KB ]