Department of Radiology, Stobhill Hospital, Glasgow, UK.
Clin Radiol. 2013 Aug;68(8):776-9. doi: 10.1016/j.crad.2013.02.009. Epub 2013 Apr 12.
To ascertain prospectively the health service cost of vertebroplasty in a cohort of consecutive patients with spinal metastases.
Percutaneous vertebroplasty was performed under conscious sedation and local anaesthetic in the Interventional Suite with fluoroscopic guidance. Data were collected prospectively on standard forms. Quality of life questionnaires (EQ-5D) were filled out pre-, 6 weeks, and at 6 months post-vertebroplasty.
The majority of the procedures were performed on an outpatient basis (8/11). The median duration of the procedure was 60 min (range 40-80 min) with a further 60 min spent in the recovery room (range 10-230 min). Personnel involved included a consultant radiologist, a radiology registrar, four nurses, and two radiographers. The average cost of vertebroplasty per patient, including consumables, capital equipment, hotel/clinic costs, and staffing, was £2213.25 (95% CI £729.95). The mean EQ-5D utility scores increased from 0.421 pre-treatment to 0.5979 post-treatment (p = 0.047). The visual analogue scale (VAS) of perceived health improved from a mean of 41.88 to 63.75 (p = 0.00537).
Health service costs for percutaneous vertebroplasty in patients with spinal metastases is significantly lower than previously estimated and is in keeping with that of other palliative radiological procedures.
前瞻性确定连续脊柱转移瘤患者椎体成形术的卫生服务成本。
在介入室中，在全身麻醉和局部麻醉下，在透视引导下进行经皮椎体成形术。使用标准表格前瞻性收集数据。在椎体成形术前、6 周和 6 个月时填写生活质量问卷（EQ-5D）。
大多数手术均在门诊进行（8/11）。手术时间中位数为 60 分钟（范围 40-80 分钟），恢复室时间进一步为 60 分钟（范围 10-230 分钟）。参与人员包括顾问放射科医师、放射科住院医师、四名护士和两名放射技师。每位患者的椎体成形术平均成本，包括耗材、资本设备、酒店/诊所费用和人员配置，为 2213.25 英镑（95%CI 729.95）。平均 EQ-5D 效用评分从治疗前的 0.421 增加到治疗后的 0.5979（p=0.047）。感知健康的视觉模拟量表（VAS）评分从平均 41.88 提高到 63.75（p=0.00537）。
脊柱转移瘤患者经皮椎体成形术的卫生服务成本明显低于先前估计，与其他姑息性放射学治疗方法相符。
