Establishing the Socio-Economic Impact of Degenerative Cervical Myelopathy Is Fundamental to Improving Outcomes [AO Spine RECODE-DCM Research Priority Number 8]

Benjamin M. Davies, Richard Phillips, David Clarke, Julio C. Furlan, Andreas K. Demetriades, Jamie Milligan, Christopher D. Witiw, James S. Harrop, Bizhan Aarabi, Shekar N. Kurpad, James D. Guest, Jefferson R. Wilson, Brian K. Kwon, Alexander R. Vaccaro, Michael G. Fehlings, Vafa Rahimi-Movaghar, Mark R.N. Kotter

Research output: Contribution to journalArticlepeer-review

Abstract

Study Design: Literature Review (Narrative). Objective: To contextualize AO Spine RECODE-DCM research priority number 5: What is the socio-economic impact of DCM? (The financial impact of living with DCM to the individual, their supporters, and society as a whole). Methods: In this review, we introduce the methodology of health-economic investigation, including potential techniques and approaches. We summarize the current health-economic evidence within DCM, so far focused on surgical treatment. We also cover the first national estimate, in partnership with Myelopathy.org from the United Kingdom, of the cost of DCM to society. We then demonstrate the significance of this question to advancing care and outcomes in the field. Results: DCM is a common and often disabling condition, with a significant lack of recognition. While evidence demonstrates the cost-effectives of surgery, even among higher income countries, health inequalities exist. Further the prevalent residual disability in myelopathy, despite treatment affects both the individual and society as a whole. A report from the United Kingdom provides the first cost-estimate to their society; an annual cost of ∼£681.6 million per year, but this is likely a significant underestimate. Conclusion: A clear quantification of the impact of DCM is needed to raise the profile of a common and disabling condition. Current evidence suggests this is likely to be globally substantial.

Original languageEnglish (US)
Pages (from-to)122S-129S
JournalGlobal Spine Journal
Volume12
Issue number1_suppl
DOIs
StatePublished - Feb 2022
Externally publishedYes

Keywords

  • cervical myelopathy
  • cervical spondylosis
  • cervical stenosis
  • degeneration
  • disc herniation
  • health economics
  • ossification posterior longitudinal ligament
  • policy
  • research priorities
  • socioeconomics

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

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