Table 1. Unit cost ($HKD) for each health service component associated with conventional microsurgical decompression and full-endoscopic interlaminar decompression for lumbar spinal stenosis.
Unit cost ($HKD) | Reference | |
---|---|---|
Surgical treatment | ||
Operating theatre for MIS | ||
Staffing | 25,758 | Department of O&T, HKU |
Drugs | 1,796 | Department of O&T, HKU |
Endoscope accessories | 2,500 | Department of O&T, HKU |
Consumables | 3,026 | Department of O&T, HKU |
Dressing | 224 | Department of O&T, HKU |
Operating theatre for CD | ||
Staffing | 25,568 | Department of O&T, HKU |
Drugs | 1,796 | Department of O&T, HKU |
Consumables | 3,026 | Department of O&T, HKU |
Dressing | 224 | Department of O&T, HKU |
General ward length of stay | 4,680 | Government gazette 2013 |
Radiology | ||
X-ray of lumbosacral spine | 560 | HKU Radiology Department |
Plain MRI of lumbosacral spine | 4,000 | Government gazette 2013 |
Preoperative clinic | ||
Staffing | 1,859.34 | Department of O&T, HKU |
Consultation | 1,110 | Government gazette 2013 |
Routine follow-up visit | ||
Outpatient visits | ||
Staffing | 464.83 | Department of O&T, HKU |
Consultation | 1,110 | Government gazette 2013 |
Physiotherapy visit | 1,050 | Department of O&T, HKU |
Complication due to CD | ||
Infection | 23,845.2 | Department of O&T, HKU |
Dural tear | 609 | Department of O&T, HKU |
Reoperation | ||
Epidural hematoma | 48,654 | Department of O&T, HKU |
Inadequate decompression | 48,654 | Department of O&T, HKU |
Iatrogenic instability requiring fusion | 65,311 | Department of O&T, HKU |
Complication due to MIS | ||
Dural tear | 609 | Department of O&T, HKU |
Re-operation | ||
Iatrogenic instability requiring fusion | 65,311 | Department of O&T, HKU |
HKD, Hong Kong Dollars; CD, conventional microsurgical decompression; MIS, full-endoscopic interlaminar decompression; O&T, Orthopaedics and Traumatology; HKU, The University of Hong Kong.