Journal ArticleDOI
Cost—benefit value of microscopic examination of intervertebral discs
Reads0
Chats0
TLDR
Histological examination of intervertebral disc specimens is cost beneficial only if there is a significant preoperative clinical diagnosis, and no cost-benefit analysis of this practice was made.Abstract:
Object. Given the virtual absence of histologically detected, clinically unsuspected disease in intervertebral disc specimens, some authors have advocated that histological examination be discontinued. However, the examination of intervertebral disc specimens remains common practice in most pathology laboratories. No cost—benefit analysis of this practice has been made; therefore, the authors' goal in this study was perform such an analysis. Methods. Using the University of Iowa surgical pathology database, 1109 patients who had undergone a laminectomy were identified retrospectively. These cases were classified into four categories based on the patients' preoperative clinical diagnosis and final histopathological diagnosis: insignificant clinical diagnosis/insignificant pathological diagnosis (ICIP), significant clinical diagnosis/insignificant pathological diagnosis (SCIP), significant clinical diagnosis/significant pathological diagnosis (SCSP), and insignificant clinical diagnosis/significant patholog...read more
Citations
More filters
Journal ArticleDOI
Cost-benefit analysis of routine pathology examination in primary shoulder arthroplasty
Daniel Howard,Namdar Kazemi,William J. Rubenstein,Matthew J. Hartwell,Jashvant Poeran,Andy L. Chang,Jeremy D. Podolnick,Bradford O. Parsons,Leesa M. Galatz,Evan L. Flatow +9 more
TL;DR: This study showed limited clinical utility in routinely sending specimens from primary shoulder arthroplasty cases for pathology examination, and calculation using a traditional life-year value of $50,000 showed that the standard for cost-effectiveness is not met.
Journal ArticleDOI
Incidence of unusual and clinically significant histopathological findings in routine discectomy.
Adam Wu,Daryl R. Fourney +1 more
TL;DR: Routine histopathological examination of disc specimens is not justified and the decision to send specimens for pathological examination should be determined on a case-by-case basis after consideration of the clinical presentation, results of laboratory and imaging studies, and intraoperative findings.
Journal ArticleDOI
Histopathological examination of intervertebral disc specimens: a cost-benefit analysis.
Adam Wu,Daryl R. Fourney +1 more
TL;DR: In routine cases, histopathological examination of disc specimens is not justified, and the decision to send specimens for pathological examination should be based on the surgeon's judgment.
Journal ArticleDOI
Degenerate-disc infection study with contaminant control (DISC): Application of a proposed histological scoring system.
Prashanth J. Rao,Monish M. Maharaj,Katrina Tang,Neil Lambie,Daniel B. Scherman,Kevin Phan,Ralph J. Mobbs +6 more
TL;DR: Poor correlation between histopathological evidence of chronic or acute inflammation and positive disc cultures is suggested questioning the idea that disc infection is the root cause of acute or chronic back pain/leg pain.
Journal ArticleDOI
Examination of total hip and knee arthroplasty tissues.
TL;DR: Submitting routine tissue from arthroplasty procedures to pathology does not affect patient management and therefore provides no value for the health care resources expended in doing so, according to this retrospectively reviewed study.
References
More filters
Journal ArticleDOI
Value-based pathology: a cost-benefit analysis of the examination of routine and nonroutine tonsil and adenoid specimens.
TL;DR: It is concluded that Histologic examination of nonroutine cases is cost-effective, whereas in most routine cases with adequate clinical history, histologic examination is not cost- effective.
Journal ArticleDOI
Surgical pathology of the intervertebral disc. Is routine examination necessary
Pier Boutin,Howard Hogshead +1 more
TL;DR: The elimination of routine pathologic examination of surgical discectomy specimens would not have lowered the standard of care; the pathologist's report had no discernible influence on patient management.
Journal ArticleDOI
The cost-effectiveness of routine histologic examination.
TL;DR: Before definitive policy conclusions can be made, additional studies are needed to better define the trade-off between cost and the value of information and the incidence of detecting clinically significant disease.
Journal ArticleDOI
Is pathology examination of disc specimens necessary after routine anterior cervical discectomy and fusion
TL;DR: If the symptoms, physical examination, radiographic diagnostic studies, and surgical findings are consistent with those of cervical disc herniation or spondylosis, the chance of an unexpected, clinically important pathologic finding within the disc specimen is extremely small.
Related Papers (5)
Pathological evaluation of intervertebral disc tissue specimens after routine cervical and lumbar decompression. A cost-benefit analysis retrospective study.
Surgical pathology of the intervertebral disc. Is routine examination necessary
Pier Boutin,Howard Hogshead +1 more