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选择性颈椎手术的结果与价值:一篇介绍性与实用性的叙述性综述

Outcomes and value in elective cervical spine surgery: an introductory and practical narrative review.

作者信息

Zuckerman Scott L, Devin Clinton J

机构信息

Vanderbilt Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN, USA.

Steamboat Orthopaedic and Spine Institute, Steamboat Springs, CO, USA.

出版信息

J Spine Surg. 2020 Mar;6(1):89-105. doi: 10.21037/jss.2020.01.11.

Abstract

How we determine a successful clinical outcome and the value of a spine intervention are two major questions surrounding clinical spine research. Patient-reported outcomes (PROs), both LEGACY and Patient-Reported Outcomes Measurement Information System (PROMIS) measures, are becoming ubiquitous throughout the literature. Spine surgeons need a facile understanding of the financial landscape of their environment to influence change. In the current introductory, narrative review on outcomes and value in cervical spine surgery, we aim to: (I) define relevant outcome and cost terminology, (II) review recent cervical spine surgery literature, divided by specific pathology with a focus on LEGACY and PROMIS measures, and (III) discuss value and cost as they pertain to postoperative return to work and ambulatory surgery centers surgeries.

摘要

如何确定成功的临床结果以及脊柱干预的价值是围绕临床脊柱研究的两个主要问题。患者报告结局(PROs),包括传统指标和患者报告结局测量信息系统(PROMIS)指标,在整个文献中越来越普遍。脊柱外科医生需要对其所处环境的财务状况有一个浅显的了解,以便影响变革。在当前这篇关于颈椎手术结局和价值的介绍性叙述性综述中,我们旨在:(I)定义相关的结局和成本术语,(II)回顾近期颈椎手术文献,按特定病理情况进行分类,重点关注传统指标和PROMIS指标,以及(III)讨论与术后重返工作岗位和门诊手术中心手术相关的价值和成本。

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