Abstract
This review paper tracks the growth in the evidence supporting the use of percutaneous vertebroplasty for painful osteoporotic vertebral compression fractures. The rapidly increasing numbers of publications in the literature between 1994 and 2004 are documented. Despite the relatively large volume of research on this topic, several technology appraisals undertaken by international health policy makers reported inadequate high-quality evidence. Policy makers' reimbursement decisions for vertebroplasty and their options when faced with imperfect evidence are discussed.
Publication types
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Research Support, N.I.H., Extramural
MeSH terms
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Attitude to Health
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Back Pain / economics*
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Back Pain / epidemiology*
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Back Pain / prevention & control
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Bone Cements / economics*
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Bone Cements / therapeutic use*
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Clinical Trials as Topic / statistics & numerical data
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Comorbidity
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Cost-Benefit Analysis / economics
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Evidence-Based Medicine / statistics & numerical data
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Fractures, Compression / economics
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Fractures, Compression / epidemiology
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Fractures, Compression / therapy
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Health Policy / economics*
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Humans
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Incidence
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Osteoporosis / economics
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Osteoporosis / epidemiology
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Osteoporosis / therapy
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Prevalence
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Recovery of Function
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Spinal Fractures / economics*
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Spinal Fractures / epidemiology
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Spinal Fractures / therapy*
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Technology Assessment, Biomedical / economics
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Technology Assessment, Biomedical / statistics & numerical data
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Treatment Outcome
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United States / epidemiology