Second opinion column in the surgery indications: evaluation of cost-effectiveness

• Grant number: 15/50352-6
• Support Opportunities: Research Grants - Research Partnership for Technological Innovation - PITE
• Start date: September 01, 2016
• End date: December 31, 2018
• Field of knowledge: Health Sciences - Medicine - Surgery
• Agreement: Instituto de Estudos de Saúde Suplementar (IESS)
• Principal Investigator: Mario Ferretti Filho
• Grantee: Mario Ferretti Filho
• Host Institution: Hospital Israelita Albert Einstein. Sociedade Beneficente Israelita Brasileira Albert Einstein (SBIBAE). São Paulo , SP, Brazil
• Company: Instituto de Estudos de Saúde Suplementar (IESS)
• City: São Paulo

Abstract

The objectives of this study are to: 1) assess the cost-effectiveness of second opinion for spine surgery; 2) evaluate the effectiveness of conservative and surgical treatments for degenerative lumbar spine diseases; 3) define objective criteria of conservative and surgical treatment using evidence-based medicine; 4) evaluate the prognostic of biomarkers; 5) compare the diagnoses and recommended management of patients with private health insurance who had received an initial recommendation for spinal surgery from a community-based spinal surgeon; 6) verify the effectiveness of the patients who underwent surgery, compared with patients who did not undergo surgery. We will conduct a prospective cohort study, which will evaluate patients with surgical treatment of the spine directed to a second opinion. We will compare the diagnoses and recommended management of patients with private health insurance who had received an initial recommendation for spinal surgery from a community-based spinal surgeon, and who were offered a second opinion at a private not-for-profit philanthropic hospital, by their private health insurers. The secondary aim was to compare functional and quality of life endpoints in a cohort of patients who were subsequently treated at the second opinion Hospital with either surgery or conservative care. We will assess the cost-effectiveness outcomes, pain, quality of life, function and biologics markers. (AU)

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

DE OLIVEIRA, REBECA BARQUEIRO; DE OLIVEIRA, ISADORA ORLANDO; ANTONIOLI, ELIANE; LENZA, MARIO; FERRETTI, MARIO. Clinical outcome analysis in surgical patients enrolled in a Second Opinion Program in spine surgery. Einstein (São Paulo), v. 20, p. 7-pg., 2022-01-01. (15/50352-6)