Costs and Quality of Life for Prehabilitation and Early Rehabilitation After Surgery of the Lumbar Spine

Overview

Journal BMC Health Serv Res

Publisher Biomed Central

Specialty Health Services

Date 2008 Oct 10

PMID 18842157

Citations 41

Authors

Per Rotboll Nielsen

Jakob Andreasen

Mikael Asmussen

Hanne Tonnesen

Affiliations

Soon will be listed here.

Abstract

Unlabelled: During the recent years improved operation techniques and administrative procedures have been developed for early rehabilitation. At the same time preoperative lifestyle intervention (prehabilitation) has revealed a large potential for additional risk reduction. The aim was to assess the quality of life and to estimate the cost-effectiveness of standard care versus an integrated programme including prehabilitation and early rehabilitation.

Methods: The analyses were based on the results from 60 patients undergoing lumbar fusion for degenerative lumbar disease; 28 patients were randomised to the integrated programme and 32 to the standard care programme. Data on cost and health related quality of life was collected preoperatively, during hospitalisation and postoperatively. The cost was estimated from multiplication of the resource consumption and price per unit.

Results: Overall there was no difference in health related quality of life scores. The patients from the integrated programme obtained their postoperative milestones sooner, returned to work and soaked less primary care after discharge. The integrated programme was 1,625 euros (direct costs 494 euros + indirect costs 1,131 euros) less costly per patient compared to the standard care programme.

Conclusion: The integrated programme of prehabilitation and early rehabilitation in spine surgery is more cost-effective compared to standard care programme alone.

Citing Articles

Supervised prehabilitation in patients scheduled for spinal surgery - a scoping review.

Granicher P, Reicherzer L, Wanivenhaus F, Farshad M, Sporri J, Wirz M Eur Spine J. 2025; .

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Is it possible to return to skiing following long-construct spinal deformity surgery?.

Holuba K, Dionne A, Schwartz B, Miller R, Coury J, Arvind V Spine Deform. 2025; .

PMID: 39883389 DOI: 10.1007/s43390-024-01031-6.

Post-discharge care interventions to support patient recovery after elective degenerative spine surgery: a systematic review.

Lorenzen M, Wickstrom L, Andersen M, Carreon L, Clemensen J, Frandsen T Eur Spine J. 2024; 34(3):1042-1054.

PMID: 39702775 DOI: 10.1007/s00586-024-08622-x.

Your preoperative rehabilitation assistant: A study protocol for the impact of a telemedicine-supported preoperative home rehabilitation program on the prognosis of patients undergoing thoracoscopic surgery.

Sun Q, Omindo W, Liu W, Huang Y, Zhang R, Qian Y Digit Health. 2024; 10:20552076241258362.

PMID: 39351312 PMC: 11440335. DOI: 10.1177/20552076241258362.

Preoperative rehabilitation optimization for spinal surgery: a narrative review of assessment, interventions, and feasibility.

Reyes J, Coury J, Dionne A, Miller R, Katiyar P, Smul A Spine Deform. 2024; 12(5):1261-1267.

PMID: 38789728 DOI: 10.1007/s43390-024-00893-0.

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