Resources utilisation and economic burden of percutaneous vertebroplasty or percutaneous kyphoplasty for treatment of osteoporotic vertebral compression fractures in China: a retrospective claim database study

Abstract

Background: Osteoporotic vertebral compression fractures (OVCF) is a common and often debilitating complication of osteoporosis, leading to significant morbidity and increased mortality. Percutaneous vertebroplasty (PVP) and Percutaneous kyphoplasty (PKP) are recommendable surgical treatments for OVCF. Objective: To evaluate PVP/PKP utilisation and their related direct medical costs for OVCF treatment in China from the payer perspective. Methods: A population-based medical claims database of a metropolitan city in China was analysed from the payer perspective, which included all inpatient claims from 01/01/2015 to 31/12/2017. All vertebral fractures patients that met the eligibility criteria (aged ≥50 years old, having vertebral fracture diagnosis, without unrelated diseases diagnoses such as tumour and scoliosis, received PVP/PKP) were deemed as OVCF patients. Baseline characteristics, surgery rate, length of stay in hospital, time to re-surgery, and costs (including costs per hospitalisation and annual costs) were described. Survival analysis function was used to estimate the re-surgery rate.

A Retrospective Study to Evaluate the Effect of Dynamic Fracture Mobility on Cement Leakage in Percutaneous Vertebroplasty and Percutaneous Kyphoplasty in 286 Patients with Osteoporotic Vertebral Compression Fractures

“…The use of an expandable balloon during PKP provided a low-pressure cavity for the cement injection, which could reduce the risk of cement leakage. However, PKP has not completely replaced PVP due to its higher cost, greater complexity, and longer operation time [ 34 , 35 ]. Even so, when risk factors, such as peripheral vertebrae wall damage and dynamic fracture mobility, for cement leakage are present, PKP is recommend because of its ability to reduce the incidence of complications associated with cement leakage.…”

<p>Comparison Between Hyperextension and Neutral Positions for Vertebroplasty and Kyphoplasty: Which is Best for Osteoporotic Vertebral Compression Fractures?</p>

“…China constitutes one-fifth of the global population, and the prevalence of osteoporosis has been rising over the past few decades in parallel with an aging population. 15,16 OVCF is the most common complication of osteoporosis, and leads to chronic back pain, reduced activity, depression, and even increased mortality. 15 In China, between 2015 and 2017, nearly one-third of OVCF inpatients underwent VP or KP.…”

“…15,16 OVCF is the most common complication of osteoporosis, and leads to chronic back pain, reduced activity, depression, and even increased mortality. 15 In China, between 2015 and 2017, nearly one-third of OVCF inpatients underwent VP or KP. The high cost of treating OVCF placed a high economic burden on both the healthcare system and patients.…”

“…The high cost of treating OVCF placed a high economic burden on both the healthcare system and patients. 15 Thus, finding an economical and efficient method for treating OVCF is essential. According to our data, HPVP is nearly half the cost of NPKP and can achieve comparative kyphosis recovery and better analgesia, without increasing the operation time and rate of complications.…”

Unilateral Transforaminal Approach (UTFA) in Percutaneous Vertebroplasty for Osteoporotic Vertebral Compression Fractures: A Novel Puncture Technique

“…Osteoporosis is a systemic metabolic bone disease characterized by low bone content and microarchitectural deterioration of bone tissue, which increases the risk of fracture [1,2]. With the aging of society, the incidence rate of osteoporotic vertebral-compression fractures (OVCFs) tends to increase year by year [3]. OVCFs are characterized by back pain, spinal deformity and pulmonary dysfunction, which often reduce the patient's quality of life (QoL) and increase the nancial burden on patients, the healthcare system and society [4].…”