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[德国诊断相关分组系统2011/2012中椎体后凸成形术的报销情况。材料成本与治疗成本]

[Reimbursement for kyphoplasty in the Germann diagnosis-related groups system 2011/2012. Material costs versus treatment costs].

作者信息

Krüger A, Oberkircher L, Ruchholtz S, Wollny M

机构信息

Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Gießen-Marburg, Philipps-Universität Marburg, Baldingerstraße, 35043, Gießen-Marburg, Deutschland,

出版信息

Unfallchirurg. 2014 Jan;117(1):54-9. doi: 10.1007/s00113-012-2273-1.

DOI:10.1007/s00113-012-2273-1
PMID:23069863
Abstract

BACKGROUND

The treatment of osteoporotic vertebral fractures by means of kyphoplasty is an accepted and safe procedure.

AIM

In Germany the reimbursement for kyphoplasty and vertebroplasty differs greatly. The growing diversity of suppliers and systems makes a comparison possible and necessary. Besides the illustration of kyphoplasty in the German diagnosis-related group (G-DRG) system and the amendments for 2012 we analyzed the procedures and associated costs.

METHOD

Using the example of two manufacturers and different system approaches, both of which can be charged as kyphoplasty, we try to point out the importance of selecting exact comparison parameters. In particular material and treatment costs are compared for both methods.

摘要

背景

通过椎体后凸成形术治疗骨质疏松性椎体骨折是一种公认的安全手术。

目的

在德国,椎体后凸成形术和椎体成形术的报销情况差异很大。供应商和系统的日益多样化使得进行比较成为可能且必要。除了说明德国诊断相关分组(G-DRG)系统中的椎体后凸成形术以及2012年的修订内容外,我们还分析了手术过程及相关成本。

方法

以两家制造商和不同的系统方法为例,这两种情况都可按椎体后凸成形术收费,我们试图指出选择精确比较参数的重要性。特别对两种方法的材料和治疗成本进行了比较。

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2
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本文引用的文献

1
[Cost-benefit calculation of kyphoplasty in osteoporotic spine fractures].
Unfallchirurg. 2011 Mar;114(3):248-50. doi: 10.1007/s00113-011-1954-5.
2
Another chapter for vertebral compression fractures.椎体压缩性骨折的新篇章。
Lancet. 2010 Sep 25;376(9746):1031-3. doi: 10.1016/S0140-6736(10)61162-2. Epub 2010 Aug 9.
3
[DFine radiofrequency kyphoplasty (RFK)--kyphoplasty with ultrahigh viscosity cement].[精细射频椎体后凸成形术(RFK)——使用超高粘度骨水泥的椎体后凸成形术]
Rofo. 2010 Sep;182(9):803-5. doi: 10.1055/s-0029-1245385. Epub 2010 Apr 27.
4
[Kyphoplasty in osteoporotic spinal fractures].[骨质疏松性脊柱骨折的椎体后凸成形术]
Unfallchirurg. 2010 Feb;113(2):127-32. doi: 10.1007/s00113-009-1664-4.
5
Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial.球囊后凸成形术与非手术治疗椎体压缩骨折的疗效及安全性比较(FREE):一项随机对照试验
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6
[Vertebral body stenting. A method for repositioning and augmenting vertebral compression fractures].[椎体支架置入术。一种重新定位和强化椎体压缩性骨折的方法]
Orthopade. 2002 Apr;31(4):356-61. doi: 10.1007/s00132-001-0275-8.
7
[Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty].经皮丙烯酸椎体成形术治疗椎体血管瘤的初步报告
Neurochirurgie. 1987;33(2):166-8.