COST ANALYSIS OF TWO TYPES OF THE LUMBAR SPINE STABILIZING SURGERY

English version

Autoři: Martina Caithamlová ¹; Markéta Moláková ¹; Michal Filip ²; Miroslav Barták ³; Ivo Květ ¹; Vladimír Rogalewicz ¹
Působiště autorů: CzechHTA, Department of Biomedical Technology, Faculty of Biomedical Engineering, Czech Technical University in Prague, Kladno, Czech Republic ¹; Department of Neurosurgery, Tomas Bata Regional Hospital, Zlín, Czech Republic and Department of Rehabilition, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic ²; Department of Addictology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Czech Republic ³
Vyšlo v časopise: Lékař a technika - Clinician and Technology No. 1, 2019, 49, 21-30
Kategorie: Original research

Souhrn

The study is aimed at quantifying the actual costs related to the MAST (Minimal Access Spine Technique) operative technique with the MIDLF (Midline Lumbar Fusion) instrumentation as compared to the costs related to the classic technique with transpedicular instrumentation complemented with PLIF (Posterior Lumbar Interbody Fusion) in the treatment of a degenerative disc disease in the lumbar spine. The costs were calculated using the Activity-Based Costing method. The total costs for the surgery of one segment amount to CZK 166,371 for MIDLF, and CZK 160,160 for PLIF. The cost difference of CZK 6,210.46 primarily accounts for higher costs associated with separately charged materials consumed in MIDLF. Further, the study pointed out the fact that the actual costs necessary for both operative techniques are underfinanced in terms of reimbursements from the public health insurance system.

Klíčová slova:

spine surgery – MAST – MIDLF – PLIF – costs – Activity-Based Costing

Zdroje

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