Surgical Incision
Conditions
Keywords
deep brain surgery and complex back surgery
Brief summary
Evaluation of the use of resources and costs with O-arm in deep brain stimulation (DBS) surgeries and complex back surgeries
Detailed description
To measure the use of health resources in application A (with DBS) and in application B (vertebral fusions), in patients in the intervention group with O-arm and in the control group (usual care without O-arm) with the cost in each phase (pre-surgical, surgical, post-surgical and follow-up at 6 months (RAQUIS) and at 12 months (DBS))
Interventions
Deep brain stimulation surgeries with device O-Arm
Complex back surgeries with the device O-Arm
Deep brain stimulation surgeries without the device O-Arm
Complex back surgeries without the device O-Arm
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged ≥18 years. * Signed informed consent. * Patients with indication for DBS surgery for movement disorders, epilepsy and obsessive-compulsive disorder, or for cervical, dorsal or lumbar fusion surgery levels 1,2 and 3 in a degenerative disease
Exclusion criteria
* Patients who have had pediatric instrumented surgery. * Patients in which the pedicle screws are inserted for neoplasia or other disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Costs of health resources (stays, visits, diagnostic and therapeutic tests, personnel, consumables and implants) with DBS (O-Arm and without O-Arm groups) | 12 months |
| Costs of health resources (stays, visits, diagnostic and therapeutic tests, personnel, consumables and implants) with vertebral fusions (O-Arm and without O-Arm groups) | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life related to health in the intervention group (DBS) measured with the EQ-5D questionary | 12 months |
| Accuracy of surgeries in the control group (RAQUIS) measured with the rate of electrode or thyroid replacement during surgery | 6 months |
| Safety of surgeries in the control group (RAQUIS) measured like rate of complications associated with surgery | 6 months |
| Safety of surgeries in the control group (RAQUIS) measured like rate rate of surgical re-intervention | 6 months |
| Safety of surgeries in the intervention groups (DBS) measured like rate of surgical re-intervention | 12 months |
| Accuracy of surgeries in the intervention group (DBS) measured with the rate of electrode or thyroid replacement during surgery | 12 months |
| Safety of surgeries in the intervention groups (DBS) measured like rate of complications associated with surgery | 12 months |
Countries
Spain