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. 2015 Jul 9;9:28. doi: 10.14444/2028

Table 2.

Base Case Values.

Treatments
CC Spacer DS
Variable Base Case Base Case Base Case
Failure rate, quarterly 4.3% 2.7% 1.2%
1 Level NA 50.0% 50.0%
2 Levels NA 50.0% 50.0%
Adverse event* NA 0.0% 5.4%
Inpatient rehabilitation NA 0.0% 3.9%
Fusion, secondary treatmentx 31%
Probability of utilization - Qtr of Procedure
Healthcare NA 45.2% 76.2%
Medications NA 94.4% 94.4%
Diagnostics NA 22.2% 22.2%
Probability of utilization - FU Quarters
Healthcare 94.0% 13.1% 12.9%
Medications 100.0% 64.3% 64.3%
Diagnostics 86.0% 8.8% 8.8%
Costs
Procedure
1 Level $7,367 $7,883
2 Levels $7,683 $8,155
1 Level, fusionx NA $26,118
2 Levels, fusionx NA $27,662
Anesthesiology NA $386 $454/$567#
Inpatient rehabilitation NA NA $9,100
Qtr of Procedure
Healthcare $662 $774
Medications $334 $334
Diagnostics $333 $333
FU Quarters
Healthcare $289 $665 $1,060
Medications $498 $337 $337
Diagnostics $162 $870 $870
Adverse Event NA $6,770
QALY gained
Baseline to 3 mo 0.008 0.111 0.091
3 mo - 6 mo 0.016 0.144 0.173
6 mo - 9 mo 0.016 0.144 0.162
9 mo - 12 mo 0.016 0.144 0.155
After 12 mo 0.016 0.144 0.151
*

Adverse Events (AE) that generate additional reimbursement outside of the global payment. Healthcare includes non-surgeon physician visits, physical therapy, chiropractic care, acupuncture. Medications include narcotics, muscle relaxants, NSAIDs, and oral steroids. Diagnostics include MRI scans, CT scans, x-rays, spine injections, and EMGs. Superion patients assumed to have the same level of utilization for non-surgeon physician visits, medications, and diagnostics as decompressive surgery patients.

x

DS with fusion was received by a portion of patients after DS or Spacer failure.

#

Anesthesiology rate for DS without fusion / Anesthesiology rate for DS with fusion.

QALY gained is an annual amount; one-fourth of the value is accumulated each quarter.