Ignite Creation Date:
2024-05-06 @ 8:16 AM
Last Modification Date:
2024-10-26 @ 11:58 AM
Study NCT ID:
NCT02703831
Status:
UNKNOWN
Last Update Posted:
2016-03-09
First Post:
2016-03-03
Brief Title:
Single Versus Dual Spine Attending Surgeons in Complex Adult Deformity Surgery
Sponsor:
Norton Leatherman Spine Center
Organization:
Norton Leatherman Spine Center
Study Overview
Official Title:
Single Versus Dual Spine Attending Surgeons in Complex Adult Deformity Surgery A Cost-effectiveness Study Using Activity-based Costing
Status:
UNKNOWN
Status Verified Date:
2016-03
Last Known Status:
NOT_YET_RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
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 embolismdeep 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
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
Detailed Description:
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 embolismdeep 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 With increasing scrutiny on the efficient use of health care dollars it would be important to determine if there are any downstream cost savings to justify paying the surgeon fees of two spine attendings for these complex and high cost cases
Most cost-effectiveness studies have used traditional accounting TA methods to determine costs TA uses allocated expenses from the general ledger and payroll activity codes These codes are derived from billable items and procedures entered into accounting software Costs of services are grouped by cost types across units of service
A few cost-effectiveness studies have used time-driven activity-based costing TDABC Kaplan in medicine Au Balakrishnan and none in spine surgery TDABC allows for detailed identification of costs during all phases of a patients care cycle While TDABC has been used in other industries its use has been described only a few times in health care and rarely in the operative setting Balakrishnan This may be due to the large amount of manpower necessary to collect TDABC data
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
Most cost-effectiveness studies have used traditional accounting TA methods to determine costs TA uses allocated expenses from the general ledger and payroll activity codes These codes are derived from billable items and procedures entered into accounting software Costs of services are grouped by cost types across units of service
A few cost-effectiveness studies have used time-driven activity-based costing TDABC Kaplan in medicine Au Balakrishnan and none in spine surgery TDABC allows for detailed identification of costs during all phases of a patients care cycle While TDABC has been used in other industries its use has been described only a few times in health care and rarely in the operative setting Balakrishnan This may be due to the large amount of manpower necessary to collect TDABC data
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
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None