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- Title
Burden of disease of reoperations in instrumental spinal surgeries in Germany.
- Authors
Jacob, Christian; Annoni, Elena; Haas, Jennifer; Braun, Sebastian; Winking, Michael; Franke, Jörg; Haas, Jennifer Scarlet; Franke, Jörg
- Abstract
<bold>Purpose: </bold>To estimate the incidence of instrumental spinal surgeries (ISS) and consecutive reoperations and to calculate the related resource utilization and costs.<bold>Methods: </bold>ISS and subsequent reoperations were identified retrospectively using surgery codes in claims data. The study period included January 01, 2009 to December 31, 2011. The reoperation rate was calculated for 1 year after the primary ISS. Resource utilization and costs were analyzed by group comparison.<bold>Results: </bold>A total of 3316 incident ISS patients were identified in 2010 with an annual reoperation rate of 9.98% (95% CI 8.98-11.02%). Mean costs per patient were €11,331 per ISS and €11,370 per reoperation, with €8432 directly attributed to the reoperation and €2938 to additional resources.<bold>Conclusions: </bold>Costs of ISS and subsequent reoperations have a significant impact on health insurances budgets. The annual cost of reoperations exceeds the direct cost of the primary surgery driven by the need for further inpatient and outpatient care.
- Subjects
GERMANY; SPINAL surgery; REOPERATION; HEALTH insurance; OUTPATIENT medical care; INPATIENT care; MEDICAL care cost statistics; SPINE diseases; MEDICAL care research; MEDICAL care use; NEUROSURGERY; DISEASE incidence; RETROSPECTIVE studies
- Publication
European Spine Journal, 2016, Vol 25, Issue 3, p807
- ISSN
0940-6719
- Publication type
journal article
- DOI
10.1007/s00586-015-4073-0