Spine
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Review
Cost-effectiveness of surgical treatment for degenerative spondylolisthesis and spinal stenosis.
Systematic review. ⋯ 3.
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Review
The role of decision analytic modeling in the health economic assessment of spinal intervention.
Narrative review. ⋯ 4.
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Literature review and case example. ⋯ Prospective, longitudinal, patient-reported outcomes registries are powerful tools that allow measurement of cost, safety, effectiveness, and health care value across clinically meaningful episodes of care. Registries entirely based on claims or billing data, safety measures alone, process measures, or other proxies of outcome offer valuable insights, but do not provide comprehensive data to drive patient-centered value-based reform. As more spine-focused registries emerge and their integration into the US health care delivery evolve, the evidence to power value-based reform will be enabled.
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Multicenter Study
The effect of serial growing rod lengthening on the sagittal profile and pelvic parameters in early-onset scoliosis.
Retrospective case series. ⋯ 4.
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Systematic review. ⋯ There is evidence from 2 high-quality studies that surgery plus radiotherapy is costlier but clinically more effective than radiotherapy alone for the management of MESCC. Of note, cost-effectiveness data for the role of spinal stabilization in the management of oncological spinal instability are lacking. This is a key knowledge gap that represents an opportunity for future research.