A cost-effectiveness analysis of the integration of robotic spine technology in spine surgery
We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice. The time of operative procedures, infection rates, revision rates, length of stay, and possible conversion of open to minimally invasive spine surgery (MIS) secondary to robotic i...
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| Published in: | Neurospine Vol. 15; no. 3; pp. 216 - 224 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Korea (South)
Korean Spinal Neurosurgery Society
01.09.2018
대한척추신경외과학회 |
| Subjects: | |
| ISSN: | 2586-6583, 2586-6591 |
| Online Access: | Get full text |
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| Abstract | We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice.
The time of operative procedures, infection rates, revision rates, length of stay, and possible conversion of open to minimally invasive spine surgery (MIS) secondary to robotic image guidance technology were calculated using a combination of institution-specific and national data points. This cost matrix was subsequently applied to 1 year of elective clinical case volume at an academic practice with regard to payor mix, procedural mix, and procedural revenue.
A total of 1,985 elective cases were analyzed over a 1-year period; of these, 557 thoracolumbar cases (28%) were analyzed. Fifty-eight (10.4%) were MIS fusions. Independent review determined an additional ~10% cases (50) to be candidates for MIS fusion. Furthermore, 41.4% patients had governmental insurance, while 58.6% had commercial insurance. The weighted average diagnosis-related group reimbursement for thoracolumbar procedures for the hospital system was calculated to be $25,057 for Medicare and $42,096 for commercial insurance. Time savings averaged 3.4 minutes per 1-level MIS procedure with robotic technology, resulting in annual savings of $5,713. Improved pedicle screw accuracy secondary to robotic technology would have resulted in 9.47 revisions being avoided, with cost savings of $314,661. Under appropriate payor mix components, robotic technology would have converted 31 Medicare and 18 commercial patients from open to MIS. This would have resulted in 140 fewer total hospital admission days ($251,860) and avoided 2.3 infections ($36,312). Robotic surgery resulted in immediate conservative savings estimate of $608,546 during a 1-year period at an academic center performing 557 elective thoracolumbar instrumentation cases.
Application of robotic spine surgery is cost-effective, resulting in lesser revision surgery, lower infection rates, reduced length of stay, and shorter operative time. Further research is warranted, evaluating the financial impact of robotic spine surgery. |
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| AbstractList | We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice.
The time of operative procedures, infection rates, revision rates, length of stay, and possible conversion of open to minimally invasive spine surgery (MIS) secondary to robotic image guidance technology were calculated using a combination of institution-specific and national data points. This cost matrix was subsequently applied to 1 year of elective clinical case volume at an academic practice with regard to payor mix, procedural mix, and procedural revenue.
A total of 1,985 elective cases were analyzed over a 1-year period; of these, 557 thoracolumbar cases (28%) were analyzed. Fifty-eight (10.4%) were MIS fusions. Independent review determined an additional ~10% cases (50) to be candidates for MIS fusion. Furthermore, 41.4% patients had governmental insurance, while 58.6% had commercial insurance. The weighted average diagnosis-related group reimbursement for thoracolumbar procedures for the hospital system was calculated to be $25,057 for Medicare and $42,096 for commercial insurance. Time savings averaged 3.4 minutes per 1-level MIS procedure with robotic technology, resulting in annual savings of $5,713. Improved pedicle screw accuracy secondary to robotic technology would have resulted in 9.47 revisions being avoided, with cost savings of $314,661. Under appropriate payor mix components, robotic technology would have converted 31 Medicare and 18 commercial patients from open to MIS. This would have resulted in 140 fewer total hospital admission days ($251,860) and avoided 2.3 infections ($36,312). Robotic surgery resulted in immediate conservative savings estimate of $608,546 during a 1-year period at an academic center performing 557 elective thoracolumbar instrumentation cases.
Application of robotic spine surgery is cost-effective, resulting in lesser revision surgery, lower infection rates, reduced length of stay, and shorter operative time. Further research is warranted, evaluating the financial impact of robotic spine surgery. Objective We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice. Methods The time of operative procedures, infection rates, revision rates, length of stay, and possible conversion of open to minimally invasive spine surgery (MIS) secondary to robotic image guidance technology were calculated using a combination of institution-specific and national data points. This cost matrix was subsequently applied to 1 year of elective clinical case volume at an academic practice with regard to payor mix, procedural mix, and procedural revenue. Results A total of 1,985 elective cases were analyzed over a 1-year period; of these, 557 thoracolumbar cases (28%) were analyzed. Fifty-eight (10.4%) were MIS fusions. Independent review determined an additional ~10% cases (50) to be candidates for MIS fusion. Furthermore, 41.4% patients had governmental insurance, while 58.6% had commercial insurance. The weighted average diagnosis-related group reimbursement for thoracolumbar procedures for the hospital system was calculated to be $25,057 for Medicare and $42,096 for commercial insurance. Time savings averaged 3.4 minutes per 1-level MIS procedure with robotic technology, resulting in annual savings of $5,713. Improved pedicle screw accuracy secondary to robotic technology would have resulted in 9.47 revisions being avoided, with cost savings of $314,661. Under appropriate payor mix components, robotic technology would have converted 31 Medicare and 18 commercial patients from open to MIS. This would have resulted in 140 fewer total hospital admission days ($251,860) and avoided 2.3 infections ($36,312). Robotic surgery resulted in immediate conservative savings estimate of $608,546 during a 1-year period at an academic center performing 557 elective thoracolumbar instrumentation cases. Conclusion Application of robotic spine surgery is cost-effective, resulting in lesser revision surgery, lower infection rates, reduced length of stay, and shorter operative time. Further research is warranted, evaluating the financial impact of robotic spine surgery. Objective: We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice. Methods: The time of operative procedures, infection rates, revision rates, length of stay, and possible conversion of open to minimally invasive spine surgery (MIS) secondary to robotic image guidance technology were calculated using a combination of institution-specific and national data points. This cost matrix was subsequently applied to 1 year of elective clinical case volume at an academic practice with regard to payor mix, procedural mix, and procedural revenue. Results: A total of 1,985 elective cases were analyzed over a 1-year period; of these, 557 thoracolumbar cases (28%) were analyzed. Fifty-eight (10.4%) were MIS fusions. Independent review determined an additional ~10% cases (50) to be candidates for MIS fusion. Furthermore, 41.4% patients had governmental insurance, while 58.6% had commercial insurance. The weighted average diagnosis-related group reimbursement for thoracolumbar procedures for the hospital system was calculated to be $25,057 for Medicare and $42,096 for commercial insurance. Time savings averaged 3.4 minutes per 1-level MIS procedure with robotic technology, resulting in annual savings of $5,713. Improved pedicle screw accuracy secondary to robotic technology would have resulted in 9.47 revisions being avoided, with cost savings of $314,661. Under appropriate payor mix components, robotic technology would have converted 31 Medicare and 18 commercial patients from open to MIS. This would have resulted in 140 fewer total hospital admission days ($251,860) and avoided 2.3 infections ($36,312). Robotic surgery resulted in immediate conservative savings estimate of $608,546 during a 1-year period at an academic center performing 557 elective thoracolumbar instrumentation cases. Conclusion: Application of robotic spine surgery is cost-effective, resulting in lesser revision surgery, lower infection rates, reduced length of stay, and shorter operative time. Further research is warranted, evaluating the financial impact of robotic spine surgery. KCI Citation Count: 19 We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice.OBJECTIVEWe investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice.The time of operative procedures, infection rates, revision rates, length of stay, and possible conversion of open to minimally invasive spine surgery (MIS) secondary to robotic image guidance technology were calculated using a combination of institution-specific and national data points. This cost matrix was subsequently applied to 1 year of elective clinical case volume at an academic practice with regard to payor mix, procedural mix, and procedural revenue.METHODSThe time of operative procedures, infection rates, revision rates, length of stay, and possible conversion of open to minimally invasive spine surgery (MIS) secondary to robotic image guidance technology were calculated using a combination of institution-specific and national data points. This cost matrix was subsequently applied to 1 year of elective clinical case volume at an academic practice with regard to payor mix, procedural mix, and procedural revenue.A total of 1,985 elective cases were analyzed over a 1-year period; of these, 557 thoracolumbar cases (28%) were analyzed. Fifty-eight (10.4%) were MIS fusions. Independent review determined an additional ~10% cases (50) to be candidates for MIS fusion. Furthermore, 41.4% patients had governmental insurance, while 58.6% had commercial insurance. The weighted average diagnosis-related group reimbursement for thoracolumbar procedures for the hospital system was calculated to be $25,057 for Medicare and $42,096 for commercial insurance. Time savings averaged 3.4 minutes per 1-level MIS procedure with robotic technology, resulting in annual savings of $5,713. Improved pedicle screw accuracy secondary to robotic technology would have resulted in 9.47 revisions being avoided, with cost savings of $314,661. Under appropriate payor mix components, robotic technology would have converted 31 Medicare and 18 commercial patients from open to MIS. This would have resulted in 140 fewer total hospital admission days ($251,860) and avoided 2.3 infections ($36,312). Robotic surgery resulted in immediate conservative savings estimate of $608,546 during a 1-year period at an academic center performing 557 elective thoracolumbar instrumentation cases.RESULTSA total of 1,985 elective cases were analyzed over a 1-year period; of these, 557 thoracolumbar cases (28%) were analyzed. Fifty-eight (10.4%) were MIS fusions. Independent review determined an additional ~10% cases (50) to be candidates for MIS fusion. Furthermore, 41.4% patients had governmental insurance, while 58.6% had commercial insurance. The weighted average diagnosis-related group reimbursement for thoracolumbar procedures for the hospital system was calculated to be $25,057 for Medicare and $42,096 for commercial insurance. Time savings averaged 3.4 minutes per 1-level MIS procedure with robotic technology, resulting in annual savings of $5,713. Improved pedicle screw accuracy secondary to robotic technology would have resulted in 9.47 revisions being avoided, with cost savings of $314,661. Under appropriate payor mix components, robotic technology would have converted 31 Medicare and 18 commercial patients from open to MIS. This would have resulted in 140 fewer total hospital admission days ($251,860) and avoided 2.3 infections ($36,312). Robotic surgery resulted in immediate conservative savings estimate of $608,546 during a 1-year period at an academic center performing 557 elective thoracolumbar instrumentation cases.Application of robotic spine surgery is cost-effective, resulting in lesser revision surgery, lower infection rates, reduced length of stay, and shorter operative time. Further research is warranted, evaluating the financial impact of robotic spine surgery.CONCLUSIONApplication of robotic spine surgery is cost-effective, resulting in lesser revision surgery, lower infection rates, reduced length of stay, and shorter operative time. Further research is warranted, evaluating the financial impact of robotic spine surgery. |
| Author | Menger, Richard Philip Farokhi, Frank Savardekar, Amey R. Sin, Anthony |
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| Cites_doi | 10.3171/2017.2.FOCUS16544 10.1007/s00586-015-3758-8 10.1097/BRS.0000000000001778 10.1097/BRS.0b013e3181d323ab 10.1007/s00586-009-1258-4 10.3171/2017.5.FOCUS17188 10.1097/00115514-201411000-00005 10.3171/2017.3.FOCUS179 10.1016/j.juro.2011.11.089 10.1097/BRS.0000000000001482 10.1097/SLA.0b013e3181e6239e 10.1227/NEU.0b013e318270d02c 10.1007/s00586-011-2011-3 10.1016/j.wneu.2013.01.041 10.3171/2012.5.SPINE11399 10.2174/1874325001004010228 10.4103/0972-9941.195565 10.1093/neuros/nyw077 10.1111/1475-6773.12151 10.1097/BRS.0000000000001022 10.3171/2017.3.FOCUS16534 10.1097/BRS.0000000000001731 10.3171/2015.2.SPINE14973 10.3171/2016.5.JNS152135 10.1002/rcs.1779 10.1007/s00586-011-1729-2 10.1097/00007632-199001000-00004 10.1097/BRS.0b013e31824b7767 10.1111/j.1464-410X.2011.10114.x 10.1007/s12178-016-9352-9 10.3171/2011.1.SPINE10571 10.1097/BRS.0000000000001846 10.1016/j.jclinane.2010.02.003 10.3171/2017.2.FOCUS16552 |
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| Copyright | Copyright © 2018 by the Korean Spinal Neurosurgery Society 2018 |
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| References | ref35 ref12 ref34 ref15 ref37 ref14 ref36 ref31 ref30 ref11 ref33 ref32 (ref7) 2016 Vaccaro (ref10) 2017 ref2 ref1 Kim (ref39) 2017 ref16 ref38 ref19 Kaplan (ref20) 2011 Menger (ref13) 2014 Ellison (ref17) ref24 ref23 ref25 Schizas (ref26) 2012 ref42 ref41 ref22 ref21 ref28 ref27 ref29 (ref8) 2015 ref9 ref4 ref3 ref6 (ref18) 2001 ref5 ref40 |
| References_xml | – ident: ref1 doi: 10.3171/2017.2.FOCUS16544 – ident: ref28 doi: 10.1007/s00586-015-3758-8 – ident: ref40 doi: 10.1097/BRS.0000000000001778 – ident: ref42 doi: 10.1097/BRS.0b013e3181d323ab – volume-title: Medicare hospital prospective payment system - How DRG rates are calculated and updated [Internet] year: 2001 ident: ref18 – ident: ref34 doi: 10.1007/s00586-009-1258-4 – ident: ref31 doi: 10.3171/2017.5.FOCUS17188 – ident: ref3 doi: 10.1097/00115514-201411000-00005 – ident: ref37 doi: 10.3171/2017.3.FOCUS179 – ident: ref5 doi: 10.1016/j.juro.2011.11.089 – ident: ref29 doi: 10.1097/BRS.0000000000001482 – ident: ref21 doi: 10.1097/SLA.0b013e3181e6239e – ident: ref24 doi: 10.1227/NEU.0b013e318270d02c – volume-title: The big idea: how to solve the cost crisis in health care [Internet] year: 2011 ident: ref20 – ident: ref35 doi: 10.1007/s00586-011-2011-3 – volume-title: In vitro analysis of accuracy, dosage, and surgical time required for pedicle screw placement using convention percutaneous screw and robotic-assisted screw techniques year: 2017 ident: ref10 – ident: ref32 doi: 10.1016/j.wneu.2013.01.041 – ident: ref36 doi: 10.3171/2012.5.SPINE11399 – ident: ref12 doi: 10.2174/1874325001004010228 – ident: ref22 doi: 10.4103/0972-9941.195565 – ident: ref23 doi: 10.1093/neuros/nyw077 – ident: ref19 doi: 10.1111/1475-6773.12151 – ident: ref2 doi: 10.1097/BRS.0000000000001022 – ident: ref11 doi: 10.3171/2017.3.FOCUS16534 – ident: ref30 doi: 10.1097/BRS.0000000000001731 – ident: ref16 doi: 10.3171/2015.2.SPINE14973 – ident: ref6 doi: 10.3171/2016.5.JNS152135 – volume-title: A prospective, randomized, controlled trial of robot-assisted vs freehand pedicle screw fixation in spine surgery year: 2017 ident: ref39 doi: 10.1002/rcs.1779 – ident: ref25 doi: 10.1007/s00586-011-1729-2 – volume-title: Average cost per inpatient day across 50 states [Internet] ident: ref17 – start-page: 240 volume-title: Pedicle screw insertion: robotic assistance versus conventional C-arm fluoroscopy year: 2012 ident: ref26 – ident: ref38 doi: 10.1097/00007632-199001000-00004 – volume-title: National Comparisons of Commercial and Medicare Fee-For-Service Payments to Hospitals [Internet] year: 2016 ident: ref7 – ident: ref27 doi: 10.1097/BRS.0b013e31824b7767 – ident: ref4 doi: 10.1111/j.1464-410X.2011.10114.x – ident: ref14 doi: 10.1007/s12178-016-9352-9 – ident: ref15 doi: 10.3171/2011.1.SPINE10571 – ident: ref33 doi: 10.1097/BRS.0000000000001846 – ident: ref9 doi: 10.1016/j.jclinane.2010.02.003 – volume-title: U.S. Government Publishing Office [Internet] year: 2015 ident: ref8 – volume-title: Retrospective analysis of durotomy and surgical site infection rates in minimally invasive transforaminal lumbar interbody fusion year: 2014 ident: ref13 – ident: ref41 doi: 10.3171/2017.2.FOCUS16552 |
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| Snippet | We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice.
The time of operative procedures,... We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice.OBJECTIVEWe investigate the... Objective We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice. Methods The time of... Objective: We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice. Methods: The time of... |
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| SubjectTerms | Cost analysis Cost effectiveness Original Robotic spine surgery 신경외과학 |
| Title | A cost-effectiveness analysis of the integration of robotic spine technology in spine surgery |
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