Role of Prospective Registries in Defining the Value and Effectiveness of Spine Care

作者：Matthew J. McGirt, Paul Park, Anthony L. Asher, Dan Norvell, Ned Sherry, Clinton James Devin · 发表于：Spine · 年份：2014 · DOI：10.1097/brs.0000000000000552 · 被引用次数：101 · 研究领域：Spine and Intervertebral Disc Pathology、Health Systems, Economic Evaluations, Quality of Life、Scoliosis diagnosis and treatment

In Brief Study Design. Literature review and case example. Objective. Describe methodological considerations of spine surgery registries. Review existing spine surgery registries. Describe the Vanderbilt Prospective Spine Registry (VPSR) as a case example and demonstrate its impact on comparative effectiveness research, value analysis, quality improvement, and practice-based learning. Summary of Background Data. To bend the cost curve and ultimately achieve sustainability in health care, medical providers and surgical treatments of the highest quality and effectiveness must be preferentially used and purchased. As the current US health care environment continues to evolve, it will be essential for all spine clinicians to understand and be facile with the principles of evidence-based health care reform. Methods. We describe the methodological considerations of spine surgery registries, review the literature to describe existing spine surgery registries, and discuss the VPSR as a case example. Results. We were able to obtain detailed information on 13 existing spine surgery registries through various internet-based resources. Of the 13, 2 registries had start dates before 2000, 3 between 2001 and 2005, 5 starting in 2006, and 3 were indeterminate. Follow-up rates were in the range from 22% to 79%, with longer follow-up times consistently producing lower follow-up rates. Conclusion. Prospective, longitudinal, patient-reported outcomes registries are powerful tools that allow mea...