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Performance Indicators in Spine Surgery.

Godefroy Hardy St-Pierre1, Michael H Yang2, Jonathan Bourget-Murray2

  • 1University of Western Ontario, London, Ontario, Canada.

Spine
|June 29, 2017
PubMed
Summary
This summary is machine-generated.

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Performance indicators in spine surgery are underdeveloped. Current outcome metrics need refinement and benchmarking to establish true performance measurement in this surgical field.

Area of Science:

  • Spine surgery outcomes research
  • Healthcare quality improvement
  • Health services research

Background:

  • The Patient Protection and Affordable Care Act emphasizes value-based purchasing in healthcare.
  • Measuring healthcare value through performance indicators is crucial for this new paradigm.
  • Spine surgery requires robust metrics to assess and improve patient value.

Purpose of the Study:

  • To systematically review the current use of performance indicators in spine surgery.
  • To identify existing measures of performance within spine surgery literature.
  • To assess the suitability of current metrics as true performance indicators.

Main Methods:

  • Systematic review following PRISMA-P methodology.
  • Searched MEDLINE, CINAHL Plus, EMBASE, and Google Scholar (1980-2016).

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  • Reviewed 27 full-text articles and reports for performance measures, assessing against established standards, risk adjustment, and benchmarking.

    • Main Results:

    • Despite extensive searching, no true performance indicators specific to spine surgery were identified.
    • Numerous articles presented performance measures, but these lacked key criteria for established indicators.
    • Analysis revealed the foundational elements for developing future spine surgery performance indicators.

    Conclusions:

    • Performance measurement in spine surgery is in its early stages.
    • Existing clinical outcome metrics require significant refinement to function as performance indicators.
    • Spine surgery registries provide a basis, but benchmarking is essential for accurate performance evaluation.