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.
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초록· 키워드
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Objective : This study is a retrospective cost-benefit analysis of cervical anterior interbody fusion and cervical artificial disc replacement, which are the main surgical methods to treat degenerative cervical disc disease. Methods : We analyzed 156 patients who underwent anterior cervical disc fusion and cervical artificial disc replacement from January 1, 2008 to December 31, 2009, diagnosed with degenerative cervical disc disorder. In this study, the costs and benefits were analyzed by using quality adjusted life year (QALY) as the outcome index for patients undergoing surgery, and a Markov model was used for the analysis. Only direct medical costs were included in the analysis; indirect medical costs were excluded. Data were analyzed with TreeAge Pro $2015^{TM}$ (TreeAge Software, Inc, Williamstown, MA, USA). Results : Patients who underwent cervical anterior fusion had a total cost of KRW 2501807/USD 2357 over 5 years and obtained a utility of 3.72 QALY. Patients who underwent cervical artificial disc replacement received 4.18 QALY for a total of KRW 3685949/USD 3473 over 5 years. The cumulative cost-effectiveness ratio of cervical spine replacement surgery was KRW 2549511/QALY (USD 2402/QALY), which was lower than the general Korean payment standard. Conclusion : Both cervical anterior fusion and cervical artificial disc replacement are cost-effective treatments for patients with degenerative cervical disc disease. Cervical artificial disc replacement may be an effective alternative to obtain more benefits.
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등록된 정보가 없습니다.
참고문헌 (11)
참고문헌 신청
Anderson PA / 2004 / Intervertebral disc arthroplasty / Spine (Phila Pa 1976) 29:2779~2786
Bohlman HH / 1993 / Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Longterm follow-up of one hundred and twenty-two patients / J Bone Joint Surg Am 75:1298~1307
Cinotti G / 1996 / Results of disc prosthesis after a minimum follow-up period of 2 years / Spine (Phila Pa 1976) 21:995~1000
Coric D / 2011 / Prospective, randomized, multicenter study of cervical arthroplasty:269 patients from the Kineflex|C artificial disc investigational device exemption study with a minimum 2-year follow-up: clinical article / J Neurosurg Spine 15:348~358
Fryback DG / 1993 / The Beaver Dam Health Outcomes Study: initial catalog of health-state quality factors / Med Decis Making 13:89~102
Bohlman HH / 1993 / Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Longterm follow-up of one hundred and twenty-two patients / J Bone Joint Surg Am 75:1298~1307
Cinotti G / 1996 / Results of disc prosthesis after a minimum follow-up period of 2 years / Spine (Phila Pa 1976) 21:995~1000
Coric D / 2011 / Prospective, randomized, multicenter study of cervical arthroplasty:269 patients from the Kineflex|C artificial disc investigational device exemption study with a minimum 2-year follow-up: clinical article / J Neurosurg Spine 15:348~358
Fryback DG / 1993 / The Beaver Dam Health Outcomes Study: initial catalog of health-state quality factors / Med Decis Making 13:89~102
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