Defining the value of elective lumbar fusion: a systematic review of existing methodologies and framework for the Operative Value Index

Key Points

• The aim is to assess the current methodologies for evaluating the value of elective lumbar fusion surgeries.
• Conducted a systematic review of existing value assessment techniques
• Analyzed methodology heterogeneity across studies
• Proposed a framework integrating outcomes with specific costing
• Identified limitations in current value assessments due to inconsistent outcomes
• Recommended a standardized approach for improved comparability
• Highlighted the need for pathology-specific outcome measures in value assessments