Hospital-level variation in hospitalization costs for spinal fusion in the United States.

ABSTRACT:

Background

With a growing emphasis on value of care, understanding factors associated with rising healthcare costs is increasingly important. In this national study, we evaluated the degree of center-level variation in the cost of spinal fusion.

Methods

All adults undergoing elective spinal fusion were identified in the 2016 to 2020 National Inpatient Sample. Multilevel mixed-effect models were used to rank hospitals based on risk-adjusted costs. The interclass coefficient (ICC) was utilized to tabulate the amount of variation attributable to hospital-level characteristics. The association of high cost-hospital (HCH) status with in-hospital mortality, perioperative complications, and overall resource utilization was analyzed. Predictors of increased costs were secondarily ex

SUBMITTER: Curry J 

PROVIDER: S-EPMC10852221 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature