"Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has."

Margaret Mead
Original article
peer-reviewed

Economic Performance of Oblique Lateral Lumbar Interbody Fusion (OLLIF) with a Focus on Hospital Throughput Efficiency



Abstract

Oblique lateral lumbar interbody fusion (OLLIF) is a minimally invasive lumbar surgery. Differences in resource consumption between open spinal surgeries, transformational lumbar interbody fusions (TLIF) and OLLIF, are not documented. We monetize quantifiable differences in resource utilization between the two procedures. A retrospective review of 124 surgeries was performed (OLLIF=69, TLIF=55). Standard conversion factors were used and values reported based on the levels (1-4) addressed at surgery. One level surgery time (OLLIF 62.9 vs. TLIF 134.9 minutes) and surgical expense (OLLIF $5,253 vs. TLIF $11,264) were reduced in the OLLIF population. Inpatient costs (OLLIF $5,712 vs. TLIF $9,271) and length of stay (LOS) were also reduced (OLLIF 2.6 vs. TLIF 4.2 days). Per case, reduced resource consumption suggests lower total hospital costs. Reduced surgical time and LOS can result in greater patient throughput per operating room and patient bed for OLLIF patients in hospitals that have resourced constrained environments.



Want to read more?

Create a free account to continue reading this article.

Already a member? Login.



Original article
peer-reviewed

Economic Performance of Oblique Lateral Lumbar Interbody Fusion (OLLIF) with a Focus on Hospital Throughput Efficiency


Author Information

Hamid Abbasi

Tristate Brain and Spine Institute


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Pearl IRB issued approval 15-TRIS-101. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: Pearl Pathways provided writing and statistical assistance. Financial relationships: Christopher Murphy declare(s) employment from AMW Spine. Mr. Murphy is the owner of AMW Spine. AMW Spine is a medical device distributor for OLLIF implant devices. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Original article
peer-reviewed

Economic Performance of Oblique Lateral Lumbar Interbody Fusion (OLLIF) with a Focus on Hospital Throughput Efficiency


Figures etc.

Share
Original article
peer-reviewed

Economic Performance of Oblique Lateral Lumbar Interbody Fusion (OLLIF) with a Focus on Hospital Throughput Efficiency

  • Author Information
    Hamid Abbasi

    Tristate Brain and Spine Institute

    Christopher M. Murphy Corresponding Author

    AMW Spine


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Pearl IRB issued approval 15-TRIS-101. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: Pearl Pathways provided writing and statistical assistance. Financial relationships: Christopher Murphy declare(s) employment from AMW Spine. Mr. Murphy is the owner of AMW Spine. AMW Spine is a medical device distributor for OLLIF implant devices. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: July 30, 2015

    DOI

    10.7759/cureus.292

    Cite this article as:

    Abbasi H, Murphy C M (July 30, 2015) Economic Performance of Oblique Lateral Lumbar Interbody Fusion (OLLIF) with a Focus on Hospital Throughput Efficiency. Cureus 7(7): e292. doi:10.7759/cureus.292

    Publication history

    Received by Cureus: July 10, 2015
    Peer review began: July 21, 2015
    Peer review concluded: July 27, 2015
    Published: July 30, 2015

    Copyright

    © Copyright 2015
    Abbasi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Oblique lateral lumbar interbody fusion (OLLIF) is a minimally invasive lumbar surgery. Differences in resource consumption between open spinal surgeries, transformational lumbar interbody fusions (TLIF) and OLLIF, are not documented. We monetize quantifiable differences in resource utilization between the two procedures. A retrospective review of 124 surgeries was performed (OLLIF=69, TLIF=55). Standard conversion factors were used and values reported based on the levels (1-4) addressed at surgery. One level surgery time (OLLIF 62.9 vs. TLIF 134.9 minutes) and surgical expense (OLLIF $5,253 vs. TLIF $11,264) were reduced in the OLLIF population. Inpatient costs (OLLIF $5,712 vs. TLIF $9,271) and length of stay (LOS) were also reduced (OLLIF 2.6 vs. TLIF 4.2 days). Per case, reduced resource consumption suggests lower total hospital costs. Reduced surgical time and LOS can result in greater patient throughput per operating room and patient bed for OLLIF patients in hospitals that have resourced constrained environments.



Want to read more?

Create a free account to continue reading this article.

Already a member? Login.



Hamid Abbasi

Tristate Brain and Spine Institute

Christopher M. Murphy, M.B.A.

AMW Spine

For correspondence:
christophermurphy321@gmail.com

Hamid Abbasi

Tristate Brain and Spine Institute

Christopher M. Murphy, M.B.A.

AMW Spine

For correspondence:
christophermurphy321@gmail.com