Health service cost associated with percutaneous vertebroplasty in patients with spinal metastases
| Autor: | Patrick J. O’Dwyer, Richard D. Edwards, Cindy Chew |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Time Factors Cost-Benefit Analysis medicine.medical_treatment Conscious Sedation Radiography Interventional Percutaneous vertebroplasty Health services Surveys and Questionnaires Ambulatory Care medicine Humans Radiology Nuclear Medicine and imaging In patient Prospective Studies health care economics and organizations Vertebroplasty Spinal Neoplasms business.industry Health Care Costs General Medicine Length of Stay United Kingdom Surgery Quality-Adjusted Life Years business Spinal metastases hormones hormone substitutes and hormone antagonists Anesthesia Local |
| Zdroj: | Clinical Radiology. 68:776-779 |
| ISSN: | 0009-9260 |
| DOI: | 10.1016/j.crad.2013.02.009 |
| Popis: | To ascertain prospectively the health service cost of vertebroplasty in a cohort of consecutive patients with spinal metastases.Percutaneous vertebroplasty was performed under conscious sedation and local anaesthetic in the Interventional Suite with fluoroscopic guidance. Data were collected prospectively on standard forms. Quality of life questionnaires (EQ-5D) were filled out pre-, 6 weeks, and at 6 months post-vertebroplasty.The majority of the procedures were performed on an outpatient basis (8/11). The median duration of the procedure was 60 min (range 40-80 min) with a further 60 min spent in the recovery room (range 10-230 min). Personnel involved included a consultant radiologist, a radiology registrar, four nurses, and two radiographers. The average cost of vertebroplasty per patient, including consumables, capital equipment, hotel/clinic costs, and staffing, was £2213.25 (95% CI £729.95). The mean EQ-5D utility scores increased from 0.421 pre-treatment to 0.5979 post-treatment (p = 0.047). The visual analogue scale (VAS) of perceived health improved from a mean of 41.88 to 63.75 (p = 0.00537).Health service costs for percutaneous vertebroplasty in patients with spinal metastases is significantly lower than previously estimated and is in keeping with that of other palliative radiological procedures. |
| Databáze: | OpenAIRE |
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