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Value of Cervical Disk Arthroplasty.
Tarazona, Daniel A; Schroeder, Gregory D; Vaccaro, Alexander R; Radcliff, Kris E.
Afiliação
  • Tarazona DA; The Rothman Institute at Thomas Jefferson University, Philadelphia, PA.
Clin Spine Surg ; 32(1): 4-9, 2019 02.
Article em En | MEDLINE | ID: mdl-30601154
Over the last decade, several of the Food and Drug Administration-regulated investigational device exemption (IDE) trials have compared multiple cervical disk arthroplasty (CDA) devices to anterior cervical decompression and fusion (ACDF) showing comparable and even superior patient-reported outcomes. CDA has been an increasingly attractive option because of the positive outcomes and the motion-preserving technology. However, with the large burden that health care expenditures place on the economy, the focus is now on the value of treatment options. Cost-effectiveness studies assess value by evaluating both outcomes and cost, and recently several have been conducted comparing CDA and ACDF. The results have consistently shown that CDA is a cost-effective alternative, however, in comparison to ACDF the results remain inconclusive. The lack of incorporation of disease specific measures into health state utility values, the inconsistent methods of calculating cost, and the fact that a vast majority of the results have come from industry-sponsored studies makes it difficult to form a definitive conclusion. Despite these limitations, both procedures have proven to be safe, effective, and cost-efficient alternatives.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroplastia / Vértebras Cervicais / Substituição Total de Disco Tipo de estudo: Clinical_trials Aspecto: Patient_preference Limite: Humans Idioma: En Revista: Clin Spine Surg Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroplastia / Vértebras Cervicais / Substituição Total de Disco Tipo de estudo: Clinical_trials Aspecto: Patient_preference Limite: Humans Idioma: En Revista: Clin Spine Surg Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos