Study: BMP Costs High Without Much Better Results

Spine

A study published in Spine found that amongst the population having surgery for lumbar stenosis, there has been an uptake in the use of bone morphogenetic proteins but BMP has not related to reduced likelihood of reoperation. Researchers evaluated 16,822 patients with a primary diagnosis of lumbar stenosis who had fusion surgery in the past. Findings include:

•    Use of BMP increased rapidly from 5.5 percent in 2003 to 28.1 percent in 2008.
•    BMP use was greater among patients with previous surgery and among those having complex fusion procedures.
•    Major medical complications, wound complications and 30-day rehospitalization rates were nearly identical with or without BMP. Reoperation rates were also very similar.
•    Adjusted hospital charges for operations involving BMP were $15,000 more than hospital charges for fusions without BMP.
•    Medicare's Diagnosis-Related Group reported reimbursing only an average of $850 more for fusions with BMP than without it.

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