| Presurgical biopsychosocial variables predict medical, compensation, and aggregate costs of lumbar discectomy in Utah workers' compensation patients. | |
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MedLine Citation:
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PMID: 21514244 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND CONTEXT: Elective lumbar discectomy among injured workers is a prevalent spine surgery that often requires a lengthy rehabilitation. It is important to determine presurgical biopsychosocial predictors of compensation and medical costs in such patients. PURPOSE: To determine if presurgical biopsychosocial variables are predictive of compensation and medical costs in a cohort of Utah patients who have undergone open or microlumbar discectomy that are receiving workers' compensation. STUDY DESIGN/SETTING: A retrospective cohort study consisting of a review of presurgical medical records and accrued medical and compensation costs. PATIENT SAMPLE: A consecutive sample of 266 compensated workers from Utah who had undergone either open discectomy or microlumbar discectomy from 1994 to 2000. All patients were at least 2 years postsurgery at the time of follow-up. OUTCOME MEASURES: Total accrued medical, compensation, and aggregate costs. METHODS: A retrospective review of presurgical biopsychosocial variables and total accrued medical, compensation, and aggregate costs. RESULTS: Presurgical variables were statistically significantly correlated with medical and compensation costs. Multiple linear regression models accounted for 31% of variation in compensation costs, 32% in medical costs, and 43% in total aggregate costs. CONCLUSIONS: Presurgical biopsychosocial variables are important predictors of compensated lumbar discectomy costs. Medical cost control programs might benefit from identifying biopsychosocial variables related to increased costs. |
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Authors:
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M Scott Deberard; Anthony J Wheeler; Jessica M Gundy; David M Stein; Alan L Colledge |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-21 |
Journal Detail:
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Title: The spine journal : official journal of the North American Spine Society Volume: - ISSN: 1878-1632 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101130732 Medline TA: Spine J Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Published by Elsevier Inc. |
Affiliation:
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Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT 84322-2810, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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