What is the value proposition of evidence-based guidelines? An application of the operative value index for lumbar fusions

A Sarikonda, A Sami, K Hines, DM Self, E Isch… - World Neurosurgery, 2024 - Elsevier
Background Elective lumbar fusions have received criticism for inappropriate utilization.
Here, we use a novel Operative Value Index (OVI) to assess whether “indicated,” evidence …

Robotic carotid artery stenting: a multicenter, propensity score–matched analysis of clinical outcomes and cost-effectiveness

SA Patel, JM Roy, B Musmar, A Sarikonda, K Scott… - Neurosurgical …, 2024 - thejns.org
OBJECTIVE Preclinical studies suggest that robotic carotid artery stenting (CAS) could be
superior to manual CAS. However, very limited comparative data exist for patients who have …

How do the true intraoperative costs of endoscopic diskectomy compare with microdiskectomy for lumbar disk herniations? A time-driven activity-based cost analysis

A Leibold, A Sarikonda, E Tecce, A Sami… - Operative …, 2024 - journals.lww.com
METHODS: Total cost for the intraoperative episode was calculated using time-driven
activity-based costing methodology. Individual costs were obtained by direct observation …

What is the True Cost of Motion Preservation? A Time-Driven Activity-Based Cost Analysis of Anterior Cervical Discectomy and Fusion versus Disc Replacement

A Leibold, S Glener, A Sarikonda, A Sami, DM Self… - World Neurosurgery, 2024 - Elsevier
Background Total disc replacement (TDR) has become a viable alternative to anterior
cervical discectomy and fusion (ACDF) for select patients. Although most comparative …

[HTML][HTML] Does Body Mass Index Influence Intraoperative Costs and Operative Times for Open Transforaminal Lumbar Interbody Fusion? A Time-Driven Activity-Based …

DA Quraishi, A Sarikonda, DM Self, EL Isch… - North American Spine …, 2025 - Elsevier
Background The increasing prevalence of obesity has raised concerns about its impact on
surgical outcomes and healthcare costs. This study evaluates the influence of Body Mass …

[HTML][HTML] Impact of Severe Obesity on Outcomes in Single-Level Anterior Cervical Discectomy and Fusion (ACDF): A Large-Scale Comparative Study

D Maman, O Bar, Y Steinfeld, A Sleiman… - Surgical Techniques …, 2025 - mdpi.com
Background: Anterior cervical discectomy and fusion (ACDF) is a common procedure for
cervical radiculopathy and myelopathy. Severe obesity (BMI≥ 40 or BMI≥ 35 with …

Does Transforaminal Endoscopic Lumbar Discectomy Provide More Value than Microdiscectomy? An Application of the Operative Value Index

A Sarikonda, A Leibold, A Sami… - Operative …, 2022 - journals.lww.com
METHODS: MD (n= 95) and TED (n= 23) performed by neurosurgeons at our institution from
2017 to 2022 were retrospectively identified. Time-driven activity-based costing was applied …

In Reply: What is the Marginal Cost of Using Robot Assistance or Navigation for Transforaminal Lumbar Interbody Fusion? A Time-Driven Activity-Based Cost Analysis

A Leibold, A Sarikonda, A Sivaganesan - Neurosurgery, 2022 - journals.lww.com
To the Editor: We read with great interest the thoughtful response and points raised in the
letter to the editor by Hersh et al 1 regarding our article using time-driven activity-based …

[引用][C] The Wasteful Neurosurgeon?

A Sivaganesan, A Sarikonda, A Leibold… - World …, 2024 - europepmc.org
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