![]() The ACDF procedure was first described by Cloward 2 and Smith & Robinson 3 six decades ago using autologous iliac crest bone graft (ICBG) and a lot has changed since. 1 Current technological advances in biomaterials are shaping the future of surgical techniques. ![]() Anterior cervical discectomy and fusion (ACDF) interventions have doubled over the previous decades and this trend is likely to continue as the population ages. Keywords: cost-effectiveness, i-factor, spine fusion, spine allograft, cervical spondylosis, anterior cervical discectomy and fusion, cost analysis, decision analysisĬervical spondylosis is the most common cause of myelopathy and upper extremity radiculopathy. In a threshold sensitivity analysis, the cost of i-FACTOR could theoretically be increased 70-fold and still remain cost-effective.Ĭonclusion: The novel i-FACTOR is not only cost-effective compared to autograft in ACDF surgery but is the dominant economic strategy. The ICER at 90 days was $13,333 per QALY and became negative (“dominated”) relative to the control group within one year and onwards. The savings proved to be incremental over time, increasing to 3.7% over an extrapolated 10 years. Results: In all scenarios, i-FACTOR reduced costs within the first year by 1.4% to 2.1%. Cost-effectiveness was expressed as an incremental cost-effectiveness ratio (ICER). Health-related utility outcome was expressed in quality-adjusted life years (QALYs). In the base-case analysis, both health and societal system costs were evaluated. Two primary outcome measures were assessed: cost and utility. We analyzed various real-world scenarios, including inpatient and outpatient surgical settings as well as private versus public insurances. Patients randomly received either autograft (N = 154) or i-Factor (N = 165). IFACTOR MEMBER TRIALMethods: The patient cohort was extracted from a prospective, multicenter randomized control trial (RCT) from twenty-two North American centers. To evaluate the cost-effectiveness of i-FACTOR compared to autograft for patients undergoing ACDF surgery. ![]() Cost-effectiveness of these innovations remains an often-overlooked aspect of this effort. Objective: The efficacy and safety of traditional anterior cervical discectomy and fusion (ACDF) surgery has improved with the introduction of new implants and compounds. Study Design: We conducted decision analytical modeling using a Markov model to determine the ICER of i-factor compared to autograft in ACDF surgery. Neuronomics LLC, 7320 Woodlake Ave, Suite 215, West Hills, CA, 91307, USA The service is a part of Hydro One’s improved outage communications tools, which also includes Storm Centre, the outage map on and the company’s outage app.Bart Thaci, 1 Randy Yee, 2 Kee Kim, 1 Amir Vokshoor, 2– 4 J Patrick Johnson, 5 Jared Ament 2– 5ġUniversity of California, Davis, Sacramento, CA, USA 2Neuronomics LLC, Los Angeles, CA, USA 3Neurosurgery & Spine Group, Los Angeles, CA, USA 4Institute of Neuro Innovation, Santa Monica, CA, USA 5Cedars Sinai Medical Center, Los Angeles, CA, USA Since launching the program, Hydro One has sent hundreds of thousands of proactive outage alerts to customers who registered and had an outage occur near their residence. “We’re glad to see the pilot program succeed and be expanded to help even more customers.” “Hydro One values customer relationships and understands the importance of communicating with customers,” said Shazir Khan, CEO and President of iFactor, developer of the Notifi alert system used for the notification service, in the release. They will also have the ability to decide when and how they receive messages. Hydro One is the first utility in Canada to offer the service.Ĭustomers who register will receive alerts when an outage has been reported near their residence, as well as updates on estimated times of restoration. ![]() “With this service, we have the ability to reach out to our customers and provide the up-to-date information they want and need during an outage.” ![]() “When customers’ lights go out, they need to know two things: that help is on the way, and when we will restore power so life can get back to normal,” said Rob Quail, Hydro One’s vice-president of customer service, in a media release Thursday. People can register for outage alerts online at /MyAccount. Hydro One customers can now register to receive proactive personalized text or e-mail alerts about outages affecting their homes or businesses.īased on positive customer feedback after the initial pilot launch in November 2014, the utility made the service available to all of its residential customers across the province. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |