Comparing the Treatment Algorithm and Complications for Patients Undergoing an Anterior Cervical Discectomy and Fusion at a Physician-Owned Specialty Hospital and a University-Owned Tertiary Care Hospital. (March 2017)

• Record Type: Journal Article
• Authors: Schroeder, Gregory D.; Kurd, Mark F.; Kepler, Christopher K.; Radcliff, Kris E.; Rihn, Jeffery A.; Anderson, D. Greg; Hilibrand, Alan S.; Vaccaro, Alexander R.
• Is Part Of: American journal of medical quality. Volume 32:Number 2(2017:Mar./Apr.)
• Page Start: 208
• Page End: 214
• Publication Date: 2017-03
• Subjects: physician-owned hospital -- specialty hospital -- treatment algorithm -- ACDF; Medical care -- Quality control -- Periodicals; Medical care -- Evaluation -- Periodicals; Medical care -- Utilization review -- Periodicals; Medical care -- United States -- Periodicals; 362.1
• DOI: 10.1177/1062860615619691
• Languages: English
• ISSNs: 1062-8606

Abstract

The purpose of this case-control study is to compare the treatment algorithm and complication rate for patients who undergo an anterior cervical discectomy and fusion at a physician-owned specialty hospital to those who undergo surgery at a university-owned tertiary care hospital. Two controls were identified for 77 patients, and no differences in demographic data were identified. The median time between the onset of symptoms and surgery was shorter for patients who had surgery at the tertiary care center than for patients who had surgery at the specialty hospital (26.7 weeks vs 32.7 weeks, P = .0004). Furthermore, a higher percentage of patients who had surgery at the specialty hospital attempted nonoperative treatments than patients who underwent surgery at the tertiary care hospital.