Implanted Ventricular Shunts in the United States: The Billion-dollar-a-year Cost of Hydrocephalus Treatment

@article{Patwardhan2005ImplantedVS,
  title={Implanted Ventricular Shunts in the United States: The Billion-dollar-a-year Cost of Hydrocephalus Treatment},
  author={Ravish V. Patwardhan and Anil Nanda},
  journal={Neurosurgery},
  year={2005},
  volume={56},
  pages={139-145}
}
OBJECTIVE:To characterize admissions related to ventricular shunts in the year 2000 in terms of diagnoses, procedures, socioeconomic status, and other related data. METHODS:The Nationwide Inpatient Sample database (year 2000) was analyzed retrospectively. We reviewed 7.45 million patient admissions for primary International Classification of Diseases, 9th Revision, procedure codes 023 to 0243 (ventricular shunts to peritoneal, atrial, pleural, and urinary systems for initial placement, revision… 

Figures from this paper

VENTRICULOPERITONEAL SHUNT COMPLICATIONS IN CALIFORNIA: 1990 TO 2000
BACKGROUNDRisk factors for ventriculoperitoneal (VP) shunt complications have not been assessed with population cohort data since the advent of modern surgical techniques. We examined demographic
Morbidity of Ventricular Cerebrospinal Fluid Shunt Surgery in Adults: An 8-Year Study
TLDR
Evaluated CSF shunt complication incidence and factors that may be associated with increased shunt dysfunction and infection rates in adults suggest methods for decreasing shunt-related morbidity, including peritoneal routing whenever possible and special attention to preventing CSF leaks after craniotomy or external ventriculostomy.
Hospital care for children with hydrocephalus in the United States: utilization, charges, comorbidities, and deaths.
TLDR
Children with hydrocephalus have a chronic illness and use a disproportionate share of hospital days and healthcare dollars in the US, and compared with children who survived, those who died were more likely to be <3 months of age and have a birth-related admission.
A multi-institutional, 5-year analysis of initial and multiple ventricular shunt revisions in children.
TLDR
Higher hospital volume of initial shunt placement was associated with lower revision rates and future prospective studies are needed to examine the reasons for the variability in shunt revision rates among hospitals, including differences in specific processes of care.
The economic impact of ventriculoperitoneal shunt failure.
TLDR
This study confirmed that private insurance reimbursed at a higher rate, and that although patients had a shorter length of stay as compared with those with public insurance, their out-of-pocket expenses associated with a shunt failure episode were greater.
Predictors of Ventriculoperitoneal Shunt Failure in Children Undergoing Initial Placement or Revision
TLDR
Identifying the factors associated with VP shunt failure may allow the development of interventions to decrease failures and further refinement of the collected variables in the NSQIP Pediatric specific to neurosurgical procedures is necessary to identify modifiable risk factors.
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