Waldrop Robert, Cheng Joseph, Devin Clinton, McGirt Matthew, Fehlings Michael, Berven Sigurd
*Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California; Departments of ‡Neurological Surgery and §Orthopaedics and Rehabilitation, Vanderbilt University, Nashville, Tennessee; ¶Department of Neurosurgery, University of North Carolina Medical Center, Chapel Hill, North Carolina; ‖Department of Neurosurgery, University of Toronto, Toronto, Ontario, Canada.
Neurosurgery. 2015 Oct;77 Suppl 4:S46-50. doi: 10.1227/NEU.0000000000000950.
Disorders of the spine are common and have a significant and measurable burden on affected patients and on our healthcare economy. The burden of spinal disorders encompasses metrics such as the prevalence of spinal disorders, the impact of spinal disorders on health-related quality of life, and the use of resources associated with the operative and nonoperative management of spinal disorders. Measurement of the burden of spinal disorders is important in prioritizing the distribution of limited resources within our healthcare economy. In 1998, the Priority Setting Committee of the Institute of Medicine concluded that in defining health priorities for research and funding, the burden of disease and impact on the health of the population should be the primary determinants of resource allocation. The purpose of this article is to report metrics comprising the burden of spinal disorders, with a focus on the significant and growing burden of spinal disorders in our elderly population, and to demonstrate that allocation of resources to the management of spinal disorders should be a priority for our healthcare economy.
脊柱疾病很常见，对受影响的患者以及我们的医疗经济造成了重大且可衡量的负担。脊柱疾病的负担包括诸如脊柱疾病的患病率、脊柱疾病对健康相关生活质量的影响，以及与脊柱疾病手术和非手术治疗相关的资源使用等指标。衡量脊柱疾病的负担对于在我们的医疗经济中合理分配有限资源具有重要意义。1998年，医学研究所的优先事项设定委员会得出结论，在确定研究和资金的健康优先事项时，疾病负担和对人群健康的影响应是资源分配的主要决定因素。本文的目的是报告构成脊柱疾病负担的指标，重点关注老年人群中脊柱疾病日益加重的重大负担，并证明将资源分配用于脊柱疾病的管理应是我们医疗经济的优先事项。
