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Presurgical biopsychosocial variables predict medical and compensation costs of lumbar fusion in Utah workers' compensation patients.

Authors
DeBerard-MS; Masters-KS; Colledge-AL; Holmes-EB
Source
Spine J 2003 Nov-Dec; 3(6):420-429
NIOSHTIC No.
20037429
Abstract
BACKGROUND CONTEXT: Elective lumbar fusion surgery is a prevalent and costly procedure that requires a lengthy rehabilitation. It is important to identify presurgical biopsychosocial predictors of medical and compensation costs in such patients. PURPOSE: To determine if presurgical biopsychosocial variables are predictive of compensation and medical costs in a cohort of Utah lumbar fusion patients receiving workers' compensation. STUDY DESIGN/SETTING: A retrospective-cohort study consisting of a review of presurgical medical records and accrued medical and compensations costs. PATIENT SAMPLE: A consecutive sample of 203 compensated workers from Utah who underwent lumbar fusion from 1990 to 1995. Patients were at least 2 years postsurgery. OUTCOME MEASURES: Total accrued medical and compensations costs. METHODS: A retrospective review of presurgical biopsychosocial variables and total accrued medical and compensation costs was conducted. RESULTS: Presurgical variables from each of the biopsychosocial domains were statistically significantly correlated with medical and compensation costs. Social and biological variables were the best predictors of total compensation costs, whereas psychological variables were better predictors of total medical costs. CONCLUSIONS: Compensation and medical costs associated with posterolateral lumbar fusion can be predicted by preintervention biopsychosocial variables. Cost reduction programs might benefit from identifying biopsychosocial factors related to increased costs.
Keywords
Musculoskeletal-system; Musculoskeletal-system-disorders; Surgery; Medical-treatment; Medical-screening; Worker-health; Sociological-factors; Biological-factors; Psychological-factors; Author Keywords: Lumbar fusion; Medical costs; Compensation costs; Biopsychosocial; Prediction
Contact
M. Scott DeBerard, PhD, Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT84322-2810
CODEN
SJPOA6
Publication Date
20031101
Document Type
Journal Article
Email Address
sdeberard@coe.usu.edu
Funding Type
Grant
Fiscal Year
2004
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T42-OH-008414
Issue of Publication
6
ISSN
1529-9430
Source Name
The Spine Journal
State
UT
Performing Organization
University of Utah, Salt Lake City, Utah
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