Table 5.
ACDF (n = 10) | CDA (n = 18) | P-value | |
---|---|---|---|
Medicare cost* | |||
Hospital | $11,747 ± $1,343 | $10,015 ± $0 | <0.00‡ |
Surgeon | $3107 ± $0 | $1826 ± $0 | <0.00‡ |
Anesthesia | $596 ± $37 | $610 ± $37 | 0.94 |
Neuromonitoring | $710 ± $57 | $720 ± $72 | 0.70 |
Total cost*† | $16,162 ± $1337 | $13,171 ± $106 | <0.00‡ |
NDI | |||
Cost/QALY—Year 1 | $101,013 | $101,315 | |
Cost/QALY—Year 2 | $43,681 | $48,781 | |
ICER ACDF vs CDA—Year 1 | $99,700 | ||
ICER ACDF vs CDA—Year 2 | $18,593 | ||
SF-36 | |||
Cost/QALY—Year 1 | $70,269 | $87,806 | |
Cost/QALY—Year 2 | $34,387 | $41,159 | |
ICER ACDF vs CDA—Year 1 | $37,387 | ||
ICER ACDF vs CDA—Year 2 | $19,940 |
Statistically significant.
Values given as mean ± standard deviation.
Hospital cost plus and CPT-based fees for surgeon, anesthesia and neuromonitoring.
Statistically significant.