U.S. flag An official website of the United States government.
Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

i

Is Surgery for Cervical Spondylotic Myelopathy Cost-Effective? A Cost-Utility Analysis Based on Data from the AOSpine North America Prospective CSM Study



Details

  • Personal Author:
  • Description:
    Object: Surgical intervention for appropriately selected patients with cervical spondylotic myelopathy (CSM) has demonstrated favorable outcomes. This study evaluates the cost-effectiveness of this type of surgery in terms of cost per quality-adjusted life year (QALY) gained. Methods: As part of a larger prospective multicenter study, the direct costs of medical treatment for 70 patients undergoing surgery for CSM at a single institution in Canada were retrospectively obtained from the hospital expenses database and physician reimbursement data. Utilities were estimated on the entire sample of 278 subjects enrolled in the multicenter study using SF-6D-derived utilities from 12- and 24-month SF-36v2 follow-up information. Costs were analyzed from the payer perspective. A 10-year horizon with 3% discounting was applied to health-utilities estimates. Sensitivity analysis was performed by varying utility gain by 20%. Results: The SF-6D utility gain was 0.0734 (95% CI 0.0557-0.0912, p < 0.01) at 12 months and remained unchanged at 24 months. The 10-year discounted QALY gain was 0.64. Direct costs of medical treatment were estimated at an average of CaD $21,066. The estimated cost-utility ratio was CaD $32,916 per QALY gained. The sensitivity analysis showed a range of CaD $27,326-$40,988 per QALY gained. These estimates are within the limits for medical procedures that have an acceptable cost-utility ratio. Conclusions: Surgical treatment for CSM is associated with significant improvement in health utilities as measured by the SF-6D. The direct cost of medical treatment per QALY gained places this form of treatment within the category deemed by payers to be cost-effective. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    1547-5654
  • Document Type:
    Text
  • Funding:
    Grant
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Pages in Document:
    89-93
  • Volume:
    17
  • NIOSHTIC Number:
    nn:20056413
  • Citation:
    J Neurosurg Spine 2012 Sep; 17(Suppl 1):89-93
  • Contact Point Address:
    Michael G. Fehlings, M.D., Ph.D., F.R.C.S.C., Toronto Western Hospital, University Health Network, Room 4W-449, 399 Bathurst Street, Toronto, Ontario MST 258
  • Email:
    michael.fehlings@uhn.on.ca
  • Federal Fiscal Year:
    2012
  • Performing Organization:
    University of Washington
  • Peer Reviewed:
    False
  • Start Date:
    20050701
  • Source Full Name:
    Journal of Neurosurgery: Spine
  • Supplement:
    1
  • End Date:
    20250630
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:07d07edd22567e933f7001ad525652b80eb541a366867fd14ca7a3490eb33151df72761fffdb3ec787728ff0843a0c2e6a3789d76f58fd29255efab6815a61d2
  • Download URL:
  • File Type:
    Filetype[PDF - 1.63 MB ]
PREVIOUS
ON THIS PAGE
Details
CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners.

As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.
BACK TO TOP