지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 29 - 37 (9page)
이용수
초록· 키워드
오류제보하기
Objectives: The aims of this study were to compare the performance of machine learning methods for the prediction of themedical costs associated with spinal fusion in terms of profit or loss in Taiwan Diagnosis-Related Groups (Tw-DRGs) andto apply these methods to explore the important factors associated with the medical costs of spinal fusion. Methods: A dataset was obtained from a regional hospital in Taoyuan city in Taiwan, which contained data from 2010 to 2013 on patients ofTw-DRG49702 (posterior and other spinal fusion without complications or comorbidities). Naïve-Bayesian, support vectormachines, logistic regression, C4.5 decision tree, and random forest methods were employed for prediction using WEKA3.8.1. Results: Five hundred thirty-two cases were categorized as belonging to the Tw-DRG49702 group. The mean medicalcost was US $4,549.7, and the mean age of the patients was 62.4 years. The mean length of stay was 9.3 days. The lengthof stay was an important variable in terms of determining medical costs for patients undergoing spinal fusion. The randomforest method had the best predictive performance in comparison to the other methods, achieving an accuracy of 84.30%,a sensitivity of 71.4%, a specificity of 92.2%, and an AUC of 0.904. Conclusions: Our study demonstrated that the randomforest model can be employed to predict the medical costs of Tw-DRG49702, and could inform hospital strategy in terms ofincreasing the financial management efficiency of this operation.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Rajaee SS / 2012 / Spinal fusion in the United States: analysis of trends from 1998 to 2008 / Spine (Phila Pa 1976) 37(1):67~76
Jancuska JM / 2016 / Utilization of lumbar spinal fusion in New York State: trends and disparities / Spine (Phila Pa 1976) 41(19):1508~1514
Rimler SB / 2015 / Diagnosis-related groups and hospital inpatient federal reimbursement / Radiographics 35(6):1825~1834
Hsiao WC / 1986 / Lessons of the New Jersey DRG payment system / Health Aff (Millwood) 5(2):32~45
Ugiliweneza B / 2014 / Spinal surgery: variations in health care costs and implications for episode-based bundled payments / Spine (Phila Pa 1976) 39(15):1235~1242
Jancuska JM / 2016 / Utilization of lumbar spinal fusion in New York State: trends and disparities / Spine (Phila Pa 1976) 41(19):1508~1514
Rimler SB / 2015 / Diagnosis-related groups and hospital inpatient federal reimbursement / Radiographics 35(6):1825~1834
Hsiao WC / 1986 / Lessons of the New Jersey DRG payment system / Health Aff (Millwood) 5(2):32~45
Ugiliweneza B / 2014 / Spinal surgery: variations in health care costs and implications for episode-based bundled payments / Spine (Phila Pa 1976) 39(15):1235~1242
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Early outcome of the Korean Diagnosis-Related Groups payment system for appendectomy
Annals of Surgical Treatment and Research
2015 .02
-
Does Korea’s current diagnosis-related group-based reimbursement system appropriately classify appendectomy patients?
Annals of Surgical Treatment and Research
2016 .07
-
우리나라 포괄수가제 하에서의 신의료기술 도입과환자접근성의 보장: 해외 사례 고찰 및 4대 중증질환 선별급여 품목 중심으로
대한의사협회지
2017 .01
-
건강보험 심사평가원 자료로 본 Diagnosis Related Group 시행 후 편도적출수술 청구 비용의 변화 평가
대한이비인후-두경부외과학회지
2016 .01
-
시계열 분석을 통한 7개질병군 포괄수가제의 환자 비용 변화 분석 -의료기관의 유형별 특성을 중심으로-
보건의료산업학회지
2017 .01
-
New DRG; Thyroid surgery
대한외과학회 학술대회 초록집
2016 .11
-
의인성 척추변형의 원인, 진단 및 치료
대한의사협회지
2021 .11
-
의료원가분석을 통한 편도 및 아데노이드 절제술의 경제적 적정성 연구
대한이비인후-두경부외과학회지
2015 .01
-
Determinants of Postoperative Spinal Height Change among Adult Spinal Deformity Patients with Long Construct Circumferential Fusion
Asian Spine Journal
2021 .01
-
Bisphosphonate’s and Intermittent Parathyroid Hormone’s Effect on Human Spinal Fusion: A Systematic Review of the Literature
Asian Spine Journal
2017 .01
-
Bone Substitute Options for Spine Fusion in Patients With Spine Trauma-Part II: The Role of rhBMP
Korean Journal of Neurotrauma
2024 .03
-
Decision Making Algorithm for Adult Spinal Deformity Surgery
대한신경외과학회지
2016 .01
-
Commentary on “The Incidence of Adding-On or Distal Junctional Kyphosis in Adolescent Idiopathic Scoliosis Treated by Anterior Spinal Fusion to L3 Was Significantly Higher Than by Posterior Spinal Fusion to L3”
Neurospine
2021 .09
-
A Review on the Use of Artificial Intelligence in Spinal Diseases
Asian Spine Journal
2020 .01
-
National Health Insurance Claim Patterns of Pediatric Appendectomy Before and after the Enforcement of DRG (Diagnosis-Related Group) System in Korea
대한외과학회 학술대회 초록집
2018 .11
-
Prognosis of Single Spinal Metastatic Tumors: Predictive Value of the Spinal Instability Neoplastic Score System for Spinal Adverse Events
Asian Spine Journal
2018 .01
-
Evaluation of electrical stimulator to enhance spinal fusion in a rat posterolateral spinal fusion model
한국실험동물학회 학술발표대회 논문집
2017 .08
-
신포괄수가 수준 적정성 연구
대한의사협회 의료정책연구소 연구보고서
2018 .08
-
Surgery for spinal deformity with osteoporosis: Achieving successful fusion
Osteoporosis and Sarcopenia
2024 .09
-
Development and internal validation of machine-learning models for predicting survival in patients who underwent surgery for spinal metastases
Asian Spine Journal
2024 .06
이 논문의 저자 정보
최근 본 자료
댓글(0)
0