Is Anterior Cervical Discectomy and Fusion More Expensive at Quaternary Care Centers? An Application of Time-Driven Activity-Based Costing
ACDFs were less expensive at quaternary care centers than at satellite hospitals, challenging assumptions about lower costs in satellite or community settings. Methodologies such as ours may establish a foundation for identifying which surgeries are most amenable to community-based care.
Authors
- Ashmal Sami
- D. Mitchell Self
- Alexander Richard Vaccaro (ORCID: https://orcid.org/0000-0002-8073-0796)
- Adam Leibold (ORCID: https://orcid.org/0000-0003-1155-6744)
- Steven Glener
- Nikolaos Mouchtouris (ORCID: https://orcid.org/0000-0001-9495-9391)
- Joshua Heller (ORCID: https://orcid.org/0000-0003-3403-2556)
- James S. Harrop (ORCID: https://orcid.org/0000-0002-0943-3406)
- Kavantissa M. Keppetipola
- Jay Trivedi
- Srinivas Prasad (ORCID: https://orcid.org/0000-0003-4529-6143)
- Ashwini Sharan (ORCID: https://orcid.org/0000-0002-4759-6097)
- Advith Sarikonda (ORCID: https://orcid.org/0009-0002-7138-4331)
- Ahilan Sivaganesan
- Emily L. Isch (ORCID: https://orcid.org/0009-0002-1974-6972)
Institutions
- Thomas Jefferson University (US)
- Rothman Orthopaedics (US)
- Naples Anesthesia & Physician Associates (US)
- Jefferson Hospital for Neuroscience (US)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2025-05-08
- DOI
- https://doi.org/10.1016/j.wneu.2025.124047
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00