1 / 21

Advances in Spine Care Could Save the U.S. Healthcare System Billions

Advances in Spine Care Could Save the U.S. Healthcare System Billions. David P. Rouben, M.D. River City Orthopedic Surgeons Louisville, Ky. September, 2005. Cost of Low Back Pain Costs U.S. Billions. The Common Cold-only medical condition treated more frequently than Low Back Pain

caelan
Download Presentation

Advances in Spine Care Could Save the U.S. Healthcare System Billions

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Advances in Spine Care Could Save the U.S. Healthcare System Billions David P. Rouben, M.D. River City Orthopedic Surgeons Louisville, Ky. September, 2005

  2. Cost of Low Back Pain Costs U.S. Billions • The Common Cold-only medical condition treated more frequently than Low Back Pain • 80% of U.S. Population experiences Low Back Pain • Low Back Pain Incidence- 4 times faster growth than U.S. Population

  3. Treating Low Back Pain Costs U.S. Billions • 126 million in the U.S. Workforce • Aging workers= Declining U.S. workforce • 20% Workers Disabled for up to 6 mo/yr • Injured Workers LosePay but Gain Disability • Employers Face Recurring Costs of • Injured Worker Medical Care • Lost Productivity • New Worker Recruiting-Retraining-Benefits

  4. Cost of Low Back Pain Costs U.S. Billions • U.S. Work Comp Injuries Cost $160 Billion in 2005 • 41% of Injuries are Low Back Pain • 25 million Workers are off for 6 months • 630,000 (2.5%) Workers Fail Non-Operative Tx

  5. Cost of Low Back Pain Costs U.S. Billions • Only 50% of Workers treated via “Traditional Open Lumbar Fusion Techniques” will return to work • Only 27% of Workers undergoing More than One back surgery will Return to Work • 50% of “Successful” Open Fusions Experience a Recurrence of Pain and Disability

  6. Treating Low Back Pain • Non-Surgical Treatments have Changed Little for 20 years • Technical Advances in Surgery offer Improved Results • Minimally Invasive Decompression • Minimally Invasive TLIF / PLIF

  7. Surgical Treatment Low Back Pain • Goals- • Speedy Return to Work • Reproducible- Consistent-Efficacious Treatment • Minimize Lifestyle Change-Disability

  8. OPEN TLIF

  9. MAST TLIF

  10. MAST TLIF vs. OPEN TLIF • By Comparison MAST TLIF Patients spend: • 88% Less time in the Hospital • 50% Less time in Recovery Room • 50% Less Narcotics in Hospital • 33% Less Blood Loss, No Transfusions • 39% MoreReturn to Work

  11. MAST TLIF vs. OPEN TLIF • Overall Savings: 45% Less or $24,336 • Major Hospital/Procedural Cost savings: • Recovery Room Charges: • 59% Less, $682 • In-Patient Hospital Charges: • 97% Less, $13,601 • Blood Transfusion Charges: • 100% Less, $2,518

  12. MAST TLIF vs. OPEN TLIF

  13. MAST TLIF vs. OPEN TLIF

  14. MAST TLIF BENEFITS • 70% Less Pain than before Surgery • 90% Return to Work within 10 weeks

  15. MAST TLIF • MAST TLIFonly represents a small number of total TLIFs • Training and Additional Data is needed to make MAST TLIF the new “Gold Standard”

  16. Potential Cost Savings MAST TLIF • 213,000 lumbar fusions will be performed in the U.S. in 2005 • 15% of all Lumbar Fusions (31,000)- Traditional Open TLIF’s

  17. Potential Cost Savings MAST TLIF Change 31,000 Open TLIF’s To MAST ? $754 Million Savings

  18. Potential Cost Savings MAST TLIF If All Lumbar Fusions performed as MAST • $5.2 Billion Savings

  19. MAST TLIF Published Data • Schwender JD, Holly LT, Rouben DP, Foley KT. Minimally Invasive Transforaminal Lumbar Interbody Fusion (TLIF). Journal Spinal Disorders Technique. Volume 18, supplement 1, February 2005. • 49 patients MAST TLIF • Operative time averaged 240 minutes. • Estimated blood loss averaged 140 mL. • Mean length of hospital stay was 1.9 days. • Improvements in average Visual Analogue Pain Scale and Oswestry Disability Index (preoperative to last follow-up) scores were 7.2-2.1 and 46-14, respectively. • At last follow-up, all patients had solid fusions by radiographic criteria.

  20. MAST TLIFBibliography • Foley KT, Smith MM. Microendoscopic Disectomy. Technique Neurosurgery. 1997;3:301-307. • Foley KT, Gupta SK, Justis JR, et al. Percutaneous pedicle Screw fixation of the lumbar spine. Neurosurgery Focus. 2001;10:10 • Foley KT, Holly LT, Schwender JD. Minimally Invasive lumbar fusion. Spine. 2003;28:S26-S35. • Schwender JD, Holly LT, Rouben DP, Foley KT. Minimally Invasive Transforaminal Lumbar Interbody Fusion (TLIF). Journal Spinal Disorders Technique. Volume 18, supplement 1, February 2005.

  21. Advances in Spine Care Could Save the Healthcare System Billions Q & A

More Related