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Burden of disease of reoperations in instrumental spinal surgeries in Germany
Christian Jacob1, Elena Annoni2, Jennifer Scarlet Haas3
1Xcenda GmbH, Lange Laube 31, 30159, Hannover, Germany. Christian.Jacob@Xcenda.com.
Purpose:
To estimate the incidence of instrumental spinal surgeries (ISS) and consecutive reoperations and to calculate the related resource utilization and costs.
Methods:
ISS and subsequent reoperations were identified retrospectively using surgery codes in claims data. The study period included January 01, 2009 to December 31, 2011. The reoperation rate was calculated for 1 year after the primary ISS. Resource utilization and costs were analyzed by group comparison.
Results:
A total of 3316 incident ISS patients were identified in 2010 with an annual reoperation rate of 9.98% (95% CI 8.98-11.02%). Mean costs per patient were €11,331 per ISS and €11,370 per reoperation, with €8432 directly attributed to the reoperation and €2938 to additional resources.
Conclusions:
Costs of ISS and subsequent reoperations have a significant impact on health insurances budgets. The annual cost of reoperations exceeds the direct cost of the primary surgery driven by the need for further inpatient and outpatient care.

