Single Versus Dual Spine Attending Surgeons in Complex Adult Deformity Surgery:

Status unconfirmed · Not applicable

Conditions studied: Scoliosis, Unspecified

In brief

Two recent studies showed that having two attending spine surgeons performing complex adult spine deformity surgery instead of one, decreased complications, unplanned surgeries within 30-days \[Ames\], 90-day readmissions, wound infection, pulmonary embolism/deep vein thrombosis and post-operative neurologic complications \[Sethi\]. However, both studies were retrospective and did not evaluate any cost-savings associated with having two spine surgeons instead of one performing complex spine deformity surgery. Most cost-effectiveness studies have used traditional accounting (TA) methods to determine costs. A few cost-effectiveness studies have used time-driven activity-based costing (TDABC) \[Kaplan\] in medicine \[Au, Balakrishnan\] and none in spine surgery. Objectives: The objectives of the study are (1) to determine if dual spine attendings reduce downstream costs compared to a single spine attending for complex spine surgeries using traditional accounting methods; and (2) to demonstrate an application of the TDABC method to evaluate the operating room phase during complex adult spinal deformity surgery and compare it to traditional accounting methods (TA).

Key facts

Study ID

NCT02703831

Run by

Norton Leatherman Spine Center

People needed

60

Starts

2016-05-01

Expected to finish

2023-05-01

Last updated by the study team

2016-03-09

Who can join

Age: 25 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients scheduled for a complex spine adult deformity surgery.
• instrumented posterior fusion from the thoracic spine into the pelvis, S1 or iliac wings;
• and/or any three-column posterior osteotomy, either a pedicle subtraction osteotomy or a vertebral column resection.
• Is at least 25 years of age inclusive at time of surgery.
• Is willing and able to comply with the study plan and sign the Patient Informed Consent Form

You may not qualify if…

• Has presence of active malignancy.
• Has overt or active bacterial infection, either local or systemic.
• Is mentally incompetent.
• Is a prisoner.
• Is an alcohol and/or drug abuser as defined by currently undergoing treatment for alcohol and/or drug abuse.
• Is pregnant or plan to be pregnant during the course of the study.

Where it is running

• Norton Leatherman Spine Center — Louisville, Kentucky, United States

Full record on ClinicalTrials.gov

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