Physician collections are 71% less for early onset scoliosis casting than for growing rod instrumentation: A retrospective cohort study.
Autor: | Nielsen E; Children's Orthopedic Center, Children's Hospital Los Angeles, CA., Andras LM; Children's Orthopedic Center, Children's Hospital Los Angeles, CA., Sanders JO; University of North Carolina Orthopaedics, Chapel Hill, NC., Brown M; Keck School of Medicine of USC, Los Angeles, CA., Noble K; University of Rochester Medical Center, Rochester, NY., Skaggs DL; Children's Orthopedic Center, Children's Hospital Los Angeles, CA. |
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Jazyk: | angličtina |
Zdroj: | Medicine [Medicine (Baltimore)] 2023 Mar 31; Vol. 102 (13), pp. e33312. |
DOI: | 10.1097/MD.0000000000033312 |
Abstrakt: | Growing rod (GR) instrumentation and the elongation, derotation, and flexion (EDF) casting technique are 2 alternatives for the treatment of early-onset scoliosis. Our purpose was to investigate the cost of these treatment options. This was a retrospective cohort study of patients with early-onset scoliosis treated at 2 institutions from 2007 to 2014 with either GR instrumentation or EDF casting. Patients with <2 years of follow-up were excluded. Physician and hospital charges and collections, total procedures, and procedure times until final follow-up or time of fusion were compared. Nineteen patients met the inclusion criteria; 8 in the GR group and 11 in the EDF casting group. There were no significant differences between the groups in age (P = .23), public versus private insurance (P = 1.0), or major curve (P = .21) at the initiation of treatment. Excluding final fusion, the EDF casting patients had an average of 2.1 (range: 0.7-6.6) procedures/year while the GR patients had an average of 1.5 (range: 0.8-2.7) procedures/year. The average procedure time for the EDF group was 104.2 minutes; the average procedure time for the GR group, excluding the index procedure, was 62.40 minutes (P = .001). Physician charges were 85% less for the EDF group (EDF= $1892.75, GR= $12,354.53, P < .001). Physician collections were 71% less for the EDF group (EDF= $731.10, GR= $2554.88, P = .001). Hospital charges and collections were similar between the groups (P = .82, P = .42). Physician charges for casting were approximately 18% of that of GRs. Compared to GRs, physician collections were 71% less for EDF casting patients per year. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.) |
Databáze: | MEDLINE |
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