Cervical Disc Disease Cost-Effectiveness Analysis
1
Supplementary Tables:
2
Table S1: Clinical Series Used in the Analysis
1st Author
Abd-Alrahman N1
Acikbas CS2
Anderson P3
Balabhadra RS4
Bärlocher CB5
Bertagnoli R6
Bertalanffy H7
Bhadra AK8
Bishop RC9
Brenke C10
Brigham CD11
Brooke NS12
Bryan disc FDA
exemption trial
Burkus13
Cao JM14
Cappelletto B15
Chen F16
Chen JF17
Chung SB18
Cinotti G19
Coric D20
Cuatico W
Dan NG22
Davis23
de Tribolet N24
Year
Published
1999
1999
2010
2008
2004
2002
2002
2002
2005
1988
2009
2009
2009
1996
1996
2012
1995
1997
.
2010
2010
2011
2013
2013
2005
2012
1996
2011
2011
198121
1998
2013
1981
# of cases
operated
50
40
32
.
98
30
36
33
27
450
15
30
15
60
32
22
43
19
221
Study
type
NRC
NRC
Ret
RCT
Ret
RCT
RCT
RCT
Ret
Ret
NRC
NRC
NRC
NRC
NRC
RCT
Ret
Ret
RCT
Procedure
Auto
ACD
ACD
Allo, CDR
Allo
Auto
Spacer
ACD
CDR
ACD
Auto
Spacer
CDR
Auto
Allo
CDR
Auto
Auto
Allo
242
265
276
29
84
31
63
29
46
133
136
81
476
.
17
RCT
RCT
RCT
RCT
NRC
Ret
Ret
RCT
Ret
RCT
RCT
Ret
Ret
RCT
Ret
CDR
Allo
CDR
CDR
CDR
CDR
Spacer
CDR
CDR
Allo
CDR
ACD
ACD
Auto, CDR See Mobi-C
ACD
1
Notes
See Bryan disc
See Heller JG 2009,
Anderson PA 2008,
Sasso RC 2011
Cervical Disc Disease Cost-Effectiveness Analysis
Debusscher F25
Delamarter RB26
Ding C27
Donaldson JW28
Dowd GC29
Duggal N30
Enan A31
Erickson M32
Faldini C33
Feiz-Erfan I34
Fengbin Y35
Fernández-Fairen
M36
Frempong-Boadu
A37
Gaetani P38
Ghahreman A39
Goffin J40
Goldberg EJ41
Grob D42
Guérin P43
Hacker FM44
Hacker RJ45
Haden N46
Hauerberg J47
Heidecke V48
Heller JG49
Huppert J50
Husag L51
Jensen WK52
Kaiser MG53
Kasliwal MK54
Kepler CK55
Kesman T56
Kim SH57
Kim SJ58
2009
2013
2012
2002
1999
1999
2004
2011
2007
2011
2007
2013
2012
2012
20
239
32
64
44
40
26
14
56
25
21
58
33
28
Pro
RCT
Ret
Ret
RCT
RCT
Pro
Pro
Pro
Ret
Pro
Ret
NRC
NRC
Spacer
CDR
CDR
ACD
ACD,
ACDF
CDR
CDR
Auto
Spacer
Allo
Spacer
Auto
Spacer
2002
1995
2009
2010
2002
2010
2012
2013
2005
2005
2005
2008
2008
2008
2009
2011
1997
2009
2002
2014
2010
2012
2012
2007
2014
23
139
55
98
30
73
40
94
119
271
105
40
46
54
.
231
240
91
251
35
20
22
22
23
48
Pro
Ret
Pro
Ret
Ret
Pro
Ret
Ret
RCT
RCT
NRC
RCT
RCT
Pro
RCT
Pro
NRC
Ret
Ret
Ret
Ret
RCT
RCT
Ret
NRC
Allo
ACD
Auto
CDR
Auto
CDR
CDR
CDR
Auto
Spacer
ACD
Spacer
ACD
CDR
Allo, CDR
CDR
ACD
Allo
Allo
Spacer
Spacer
CDR
ACDF
CDR
Auto
2
See Bryan disc
Cervical Disc Disease Cost-Effectiveness Analysis
2014
2005
2010
2013
2013
2008
1998
2003
2007
2007
2000
2000
48
46
48
55
23
240
42
34
12
12
15
14
NRC
Pro
Ret
Pro
Pro
Pro
Ret
Ret
RCT
RCT
NRC
NRC
Spacer
CDR
CDR
CDR
Spacer
Auto
ACD
Spacer
Auto
Spacer
Auto
Allo
1998
1980
2011
2011
2013
1999
1997
2010
2010
2006
2002
34
128
85
85
24
317
40
148
151
36
250
Ret
Ret
NRC
NRC
Pro
Ret
NRC
RCT
RCT
Ret
Ret
Auto
ACD
Spacer
CDR
CDR
Allo
ACD
Allo
CDR
Spacer
Spacer
1999
2010
2010
2006
2013
80
100
151
54
79
Ret
RCT
RCT
Ret
Pro
ACD
Allo
CDR
CDR
CDR
164
RCT
CDR
Nabhan A84
2004
2004
2007
2009
2007
2007
81
28
37
.
.
21
20
RCT
NRC
NRC
RCT
RCT
RCT
RCT
Nabhan A85
2009
40
RCT
Lafuente J
Lee JH60
Li J61
Li Y62
Lied B63
Lieu A64
Lin CN65
59
Lind BI66
Löfgren H67
López-Oliva
Muñoz F68
Lunsford LD69
Maldonado CV70
Malham G71
Martin GJ Jr72
Martino V73
Marzluff J74
Mastronardi L75
Matge G76
Maurice-Williams
RS77
McAfee PC78
Mehren C79
Miao J80
Mobi-C device
FDA exemption
trial
81
Moreland DB
Mummaneni82
Murrey83
3
See Singh K 2012;
Auto
Davis RJ 2013
Allo
Spacer
Allo, CDR See Prestige disc
Auto, CDR See ProDisc
Spacer
CDR
ACDF
w/wo plate
Cervical Disc Disease Cost-Effectiveness Analysis
Nanda A86
Nandoe Tewarie
RDS87
Niu CC88
2013
1026
Ret
Allo
2007
2010
456
53
Ret
Pro
Nunley PD
2012
173
RCT
Nunley PD90
Oktenoglu T91
Palma L92
Pan HC93
Park HW94
Park MS95
2013
2007
2010
2007
2009
2004
2012
2012
2006
2006
2011
2007
2007
2010
2010
2013
2013
2006
2007
2009
1995
2004
2004
763
20
110
21
31
26
18
15
12
24
40
46
49
31
30
185
218
74
71
132
68
28
27
RCT
NRC
Ret
Ret
Pro
Ret
NRC
NRC
NRC
NRC
Pro
RCT
RCT
RCT
RCT
RCT
RCT
Pro
Pro
Pro
Ret
RCT
RCT
ACD
Spacer
ACDF,
CDR
ACDF,
CDR
ACD
ACD
Auto
Spacer
Allo
Spacer
CDR
Auto
Spacer
CDR
Auto
Spacer
Allo
CDR
Allo
CDR
CDR
CDR
Auto
ACD
Auto
CDR
265
RCT
Allo
276
RCT
CDR
106
103
58
62
21
38
45
RCT
RCT
NRC
NRC
Pro
Ret
Pro
Auto
CDR
Auto
Spacer
CDR
ACD
CDR
89
Park SB96
Payer M97
Peng CW98
Peolsson A99
Pettine KA100
Phillips FM101
Pickett GE102
Pimenta L103
Pitzen TR104
Pointillart V105
Porchet F106
Prestige disc FDA
exemption trial
ProDisc FDA
exemption trial
107
Profeta G
Quan GM108
Rao PJ109
Ren X110
2000
2000
2011
2008
2011
4
Review of multiple
RCTs
Review of multiple
RCTs
See Mummaneni PV
2007, Burkus JK
2010
See Murrey D 2009,
Delamarter RB 2013
Cervical Disc Disease Cost-Effectiveness Analysis
111
Riina J
Robertson JT112
Robertson JT113
Rohe SM114
Rollinghoff M115
Ruetten S116
Ryu KS117
Sasso RC118
Savolainen S119
Schluessmann E120
121
Sekerci Z122
Sekhon LH123
Shad A124
Shapiro S125
Shim CS126
Singh127
Song KJ128
Song KJ129
Suchomel P130
Thorell W131
Tian W132
Trahan J133
Tu TH134
Türeyen K135
Tzaan W136
Vaccaro A137
Walraevens J138
Wang MY139
Wang X140
2008
2008
1980
2005
2005
2009
2012
2012
2009
2010
2011
2011
1998
1998
2010
2006
2006
2004
2005
2001
2001
2006
2012
2006
2006
2010
2010
1998
1998
2010
2011
2012
2003
2011
2013
2013
2010
2005
2009
9
10
135
158
74
54
23
19
103
36
138
181
91
31
691
54
20
11
22
111
142
61
.
41
19
41
54
235
290
50
38
75
43
94
140
240
87
20
64
RCT
RCT
NRC
NRC
NRC
Pro
NRC
NRC
Pro
Pro
RCT
RCT
RCT
RCT
Pro
Ret
Pro
Ret
Pro
NRC
NRC
Ret
Ret
NRC
NRC
Pro
Ret
Ret
Ret
Pro
Ret
Ret
Ret
Pro
RCT
RCT
Pro
Ret
Ret
5
Allo
CDR
ACD
Spacer
CDR
Spacer
Spacer
CDR
Auto
CDR
Allo
CDR
Auto
ACD
CDR
Spacer
Spacer
CDR
Spacer
Auto
Allo
CDR
Auto, CDR See Mobi-C
Auto
Spacer
Spacer
CDR
Auto
ACD
CDR
Allo
CDR
Spacer
ACD
Allo
CDR
CDR
Auto
Spacer
Cervical Disc Disease Cost-Effectiveness Analysis
Watters WC141
White BD142
3
1994
62
Ret
ACD
2005
87
Ret
ACD
2000
25
RCT
ACD
143
Wirth FP
2000
25
RCT
Auto
144
Wu JC
2012
42
Ret
CDR
2007
15
RCT
ACD
145
Xie J
2007
27
RCT
allo
146
Yamamoto I
1991
55
Ret
ACD
147
Yang S
2008
19
Pro
CDR
148
Yang YC
2009
15
Ret
CDR
149
Yoon DH
2006
46
Ret
CDR
150
Yue WM
2003
15
Ret
Allo
2013
24
Ret
Auto
151
Zagra A
2013
62
Ret
Spacer
2002
18
NRC
Auto
152
Zevgaridis D
2002
18
NRC
Spacer
2012
53
RCT
Allo
153
Zhang X
2012
56
RCT
CDR
154
Zhang Z
2014
66
Pro
CDR
155
Zhao YB
2010
22
Ret
CDR
156
Zoëga B
1998
27
Pro
Auto
Abbreviations: Study types – NRC = non-randomized case-control trial; Pro = observational with
4
prospective data collection; RCT = randomized, controlled trial; Ret = retrospective data
5
collection; Procedures – ACD = anterior cervical discectomy without fusion; Allo = anterior
6
cervical discectomy with allograft fusion; Auto = anterior cervical discectomy with autograft
7
fusion; CDR = cervical disc replacement; Spacer = anterior cervical discectomy with fusion
8
using a cage or other spacer device
6
Cervical Disc Disease Cost-Effectiveness Analysis
9
Table S2: Total* Expected Costs Associated with Different Surgeries and Outcomes
First Operation
Autograft
Average case
No complications
Complications
Allograft
Average case
No complications
Complications
Spacer
Average case
No complications
Complications
CDR
Average case
No complications
Complications
ACD
Average case
No complications
Complications
Reoperation, adjacent level (includes those
with and without complications)
CDR – same as 1st CDR operation
All others – same as 1st allograft
operation
Mean ($US)
SD
18,948
17,916
24,548
298
-
18,493
18,197
24,548
238
-
18,068
17,802
24,434
226
-
19,218
18,940
24,447
278
-
16,030
15,722
22,354
217
-
Costs added to those of first
operation
19,218
278
18,493
238
10
Reoperation, same level (includes
Costs added to those of first
additional surgeon-related costs related to
operation
st
reversing/revising 1 procedure)
CDR
2007
151
All others
2889
177
* = surgeon-, facility-, implant- and outpatient follow-up-related costs; - = not calculated
11
Abbreviations: CDR = cervical disc replacement; ACD = anterior cervical discectomy without
12
fusion
7
Cervical Disc Disease Cost-Effectiveness Analysis
13
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14
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