Polly David W, Cher Daniel
Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN, USA; Department of Neurosurgery, University of Minnesota, Minneapolis, MN, USA.
SI-BONE, Inc., San Jose, CA, USA.
Clinicoecon Outcomes Res. 2016 Jan 21;8:23-31. doi: 10.2147/CEOR.S97345. eCollection 2016.
Increasing evidence supports minimally invasive sacroiliac joint (SIJ) fusion as a safe and effective treatment for SIJ dysfunction. Failure to include the SIJ in the diagnostic evaluation of low back pain could result in unnecessary health care expenses.
Decision analytic cost model.
A decision analytic model calculating 2-year direct health care costs in patients with chronic low back pain considering lumbar fusion surgery was used.
The strategy of including the SIJ in the preoperative diagnostic workup of chronic low back pain saves an expected US$3,100 per patient over 2 years. Cost savings were robust to reasonable ranges for costs and probabilities, such as the probability of diagnosis and the probability of successful surgical treatment.
Including the SIJ as part of the diagnostic strategy in preoperative patients with chronic low back pain is likely to be cost saving in the short term.
越来越多的证据支持微创骶髂关节（SIJ）融合术是治疗骶髂关节功能障碍的一种安全有效的方法。在腰痛的诊断评估中未纳入骶髂关节可能会导致不必要的医疗费用。
决策分析成本模型。
使用一个决策分析模型来计算考虑腰椎融合手术的慢性腰痛患者两年的直接医疗费用。
在慢性腰痛的术前诊断检查中纳入骶髂关节的策略，预计每位患者在两年内可节省3100美元。成本节省对于成本和概率的合理范围具有稳健性，如诊断概率和手术治疗成功概率。
在慢性腰痛术前患者的诊断策略中纳入骶髂关节，短期内可能会节省成本。
