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Registries in Spine Care in the United States

  • Owoicho Adogwa
  • Joseph Cheng
  • John E. O’Toole
Chapter

Abstract

Spinal disorders are extremely common, debilitating, and costly to patients, payers, and society as a whole (Skovrlj B, Gologorsky Y, Haque R, Fessler RG, Qureshi SA. Complications, outcomes, and need for fusion after minimally invasive posterior cervical foraminotomy and microdiscectomy. Spine J 14:2405–2411, 2014). The increasing frequency of spinal related interventions along with increasing cost has triggered a paradigm shift to the delivery of value-based spine care (Roder C, Muller U, Aebi M. The rationale for a spine registry. Eur Spine J 15:S52–S56, 2006). The goal of this shift is the expected convergence of the interests of patients, payers, politicians, and clinicians. Value in healthcare is expressed as patient-centered outcomes (effectiveness of care) divided by related cost of care. Integral to the value equation is the ability to track patient outcomes longitudinally over time. Health registries, when designed properly, have the potential to provide the necessary statistical power and real-world setting required for true value measurement in both individuals and populations. In this chapter, we provide a summary of spinal registries in the United States.

Keywords

Value-based spine care Spinal registries Longitudinal spine registers Comparative effectiveness in the spine Transition from fee-for-service model Bundle payments Patient-reported outcomes Healthcare value Cost-effectiveness Implant registry 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Owoicho Adogwa
    • 1
  • Joseph Cheng
    • 2
  • John E. O’Toole
    • 1
  1. 1.Rush University Medical CenterChicagoUSA
  2. 2.Department of NeurosurgeryUniversity of Cincinnati College of MedicineCincinnatiUSA

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