| Predicting Compensation and Medical Costs of Lumbar Fusion Patients Receiving Workers' Compensation in Utah Using Presurgical Biopsychosocial Variables. | |
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MedLine Citation:
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PMID: 21673617 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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ABSTRACT: Study Design. A retrospective-cohort investigation (N = 245) utilizing a review of patient medical records and costs accrued through the Workers' Compensation Fund of Utah.Objective. To replicate a previous study of compensation and medical costs in compensated lumbar fusion patients, to identify changes in costs across time, and to identify biopsychosocial variables predictive ofcurrent costs.Summary of Background Data. Previous studies have demonstrated that medical costs associated with lumbar fusion have been rising drastically. It is unclear if rising fusion costs are occurring in compensation populations. Prior studies have also demonstrated that costs can be predicted based upon pre-surgical biopsychosocial variables and there is a need to determine if such variables are still relevant.Methods. A retrospective review of patient medical records as well as compensation and medical costs paid by the Workers' Compensation Fund of Utah was performed.Results. Since the mid-1990s, medical costs for compensated lumbar fusion patients in Utah have risen approximately 174%, while compensation costs have increased roughly with the pace of inflation. Wage and assignment to nurse case management predicted compensation costs, while assignment to nurse case management also predicted medical costs.Conclusions. Medical costs among compensated Utah patients receiving lumbar fusion have risen dramatically since the 1990's, while compensation costs have not. Biopsychosocial variables continue to be predictive of these costs, although to a more modest degree than in prior studies. Further investigations should look at other factors leading to increased medical costs. |
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Authors:
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Anthony J Wheeler; Jessica M Gundy; M Scott Deberard |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-6-13 |
Journal Detail:
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Title: Spine Volume: - ISSN: 1528-1159 ISO Abbreviation: - Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-6-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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AuthorAffiliations: Utah State University, Utah State University, Associate Professor, Utah State University. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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