Cell Saver Not Cost-Effective in Single-Level Lumbar Surgery

Incremental cost-effectiveness ratio of $55,538 per allogeneic transfusion averted

MONDAY, Oct. 15 (HealthDay News) -- Use of intraoperative blood salvage (cell saver) is not cost-effective for adult patients undergoing single-level posterior lumbar decompression and fusion (PLDF) surgery, according to research published online Oct. 5 in Spine.

Chelsea E. Canan, M.P.H., from the Norton Leatherman Spine Center in Louisville, Ky., and colleagues retrospectively reviewed medical records from 180 randomly selected adult patients who underwent a single-level PLDF. Costs were calculated for allogeneic blood transfusion, setting up the cell saver recovery system, and infusing autologous blood from cell saver. Effectiveness was measured by allogeneic blood transfusions averted and quality-adjusted life-years (QALYs).

The researchers found that the transfusion rate decreased from 40.0 to 38.7 percent with the cell saver approach, with an incremental cost-effectiveness ratio (ICER) of $55,538 per allogeneic transfusion averted. The cell saver approach was considered not cost-effective, with an ICER of $5,555,380 per QALY gained -- well above the cost-effectiveness threshold of $100,000 per QALY gained.

"The use of cell saver during a single-level PLDF does not significantly reduce the need for allogeneic blood transfusion and is not cost-effective," Canan and colleagues conclude. "Further studies are needed to evaluate the necessity for cell saver among other types of spinal surgery."

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

Abdominal Pain: An Approach to a Challenging Diagnosis
AACN Advanced Critical Care, July/September 2014
Free access will expire on October 13, 2014.


HIPAA Compliance Practice Tips
Professional Case Management, July/August 2014
Free access will expire on September 29, 2014.


Follow the leader: How does “followership” influence nurse burnout?
Nursing Management, August 2014
Free access will expire on September 29, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events