{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T11:00:14Z","timestamp":1782644414645,"version":"3.54.5"},"reference-count":26,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100006425","name":"NFL Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006425","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2022,12]]},"DOI":"10.1016\/j.wneu.2022.10.019","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T21:57:57Z","timestamp":1665179877000},"page":"e354-e368","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Assessing the Insurance Deductible Effect on Outcomes After Elective Spinal Surgery"],"prefix":"10.1016","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5745-1935","authenticated-orcid":false,"given":"Anthony M.","family":"Steinle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9532-7457","authenticated-orcid":false,"given":"Jessa D.","family":"Fogel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7656-5209","authenticated-orcid":false,"given":"Rishabh","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7621-4406","authenticated-orcid":false,"given":"Claudia","family":"Davidson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8012-4147","authenticated-orcid":false,"given":"Alicia M.","family":"Hymel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson E.","family":"Vaughan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2461-976X","authenticated-orcid":false,"given":"Andrew J.","family":"Croft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6070-3205","authenticated-orcid":false,"given":"Jacquelyn S.","family":"Pennings","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0433-1942","authenticated-orcid":false,"given":"Kristin R.","family":"Archer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott L.","family":"Zuckerman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond J.","family":"Gardocki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir M.","family":"Abtahi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5397-5344","authenticated-orcid":false,"given":"Byron F.","family":"Stephens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2022.10.019_bib1","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1097\/ICU.0000000000000343","article-title":"Increasing healthcare costs: can we influence the costs of glaucoma care?","volume":"28","author":"Toteberg-Harms","year":"2017","journal-title":"Curr Opin Ophthalmol"},{"key":"10.1016\/j.wneu.2022.10.019_bib2","first-page":"851","article-title":"Deductibles in health insurance, beneficial or detrimental: a review article","volume":"49","author":"Mirian","year":"2020","journal-title":"Iran J Public Health"},{"key":"10.1016\/j.wneu.2022.10.019_bib3","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1056\/NEJMoa1912658","article-title":"Surgery versus conservative care for persistent sciatica lasting 4 to 12 months","volume":"382","author":"Bailey","year":"2020","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.wneu.2022.10.019_bib4","first-page":"501","article-title":"Restraining the health care consumer: the history of deductibles and co-payments in U.S. health insurance","volume":"30","author":"Hoffman","year":"2006","journal-title":"Social Sci Hist"},{"key":"10.1016\/j.wneu.2022.10.019_bib5","doi-asserted-by":"crossref","first-page":"1892","DOI":"10.1377\/hlthaff.2018.1001","article-title":"Health benefits in 2018: modest growth in premiums, higher worker contributions at firms with more low-wage workers","volume":"37","author":"Claxton","year":"2018","journal-title":"Health Aff (Millwood)"},{"key":"10.1016\/j.wneu.2022.10.019_bib6","doi-asserted-by":"crossref","first-page":"106429","DOI":"10.1016\/j.clineuro.2020.106429","article-title":"Is the current insurance structure leading to seasonality in demand for spinal surgery? A quarterly, yearly, and insurance based analysis","volume":"201","author":"Wahood","year":"2021","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2022.10.019_bib7","first-page":"251","article-title":"Health insurance and the demand for medical care: evidence from a randomized experiment","author":"Manning","year":"1987","journal-title":"Am Econ Rev"},{"key":"10.1016\/j.wneu.2022.10.019_bib8","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1097\/SLA.0000000000003569","article-title":"The role of commercial health insurance characteristics in bariatric surgery utilization","volume":"273","author":"Chhabra","year":"2021","journal-title":"Ann Surg"},{"key":"10.1016\/j.wneu.2022.10.019_bib9","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1093\/ibd\/izaa179","article-title":"Variations in health care utilization patterns among inflammatory bowel disease patients at risk for high medical service utilization enrolled in high deductible health plans","volume":"27","author":"Berinstein","year":"2021","journal-title":"Inflamm Bowel Dis"},{"key":"10.1016\/j.wneu.2022.10.019_bib10","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1097\/ALN.0000000000003959","article-title":"December is coming: a time trend analysis of monthly variation in adult elective anesthesia caseload across Florida and Texas locations of a large multistate practice","volume":"135","author":"Piersa","year":"2021","journal-title":"Anesthesiology"},{"key":"10.1016\/j.wneu.2022.10.019_bib11","first-page":"102176","article-title":"Retrospective analysis of trends in surgery volumes between 2016 and 2019 and impact of the insurance deductible: cross-sectional study","volume":"63","author":"Shukla","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"10.1016\/j.wneu.2022.10.019_bib12","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1177\/0194599818792026","article-title":"Impact of deductible health plans on parental decision making for common pediatric otolaryngology procedures","volume":"159","author":"Sjogren","year":"2018","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.wneu.2022.10.019_bib13","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.spinee.2014.09.017","article-title":"The duration of symptoms and clinical outcomes in patients undergoing anterior cervical discectomy and fusion for degenerative disc disease and radiculopathy","volume":"15","author":"Burneikiene","year":"2015","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2022.10.019_bib14","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1007\/s12178-016-9349-4","article-title":"Cervical radiculopathy","volume":"9","author":"Iyer","year":"2016","journal-title":"Curr Rev Musculoskelet Med"},{"key":"10.1016\/j.wneu.2022.10.019_bib15","doi-asserted-by":"crossref","first-page":"E2","DOI":"10.3171\/2020.2.FOCUS207","article-title":"Quality Outcomes Database Spine Care Project 2012-2020: milestones achieved in a collaborative North American outcomes registry to advance value-based spine care and evolution to the American Spine Registry","volume":"48","author":"Asher","year":"2020","journal-title":"Neurosurg Focus"},{"issue":"22 suppl 1","key":"10.1016\/j.wneu.2022.10.019_bib16","doi-asserted-by":"crossref","first-page":"S106","DOI":"10.1097\/BRS.0000000000000579","article-title":"The National Neurosurgery Quality and Outcomes Database (N2QOD): a collaborative North American outcomes registry to advance value-based spine care","volume":"39","author":"Asher","year":"2014","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2022.10.019_bib17","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/2012.10.FOCUS12297","article-title":"The National Neurosurgery Quality and Outcomes Database (N2QOD): general overview and pilot-year project description","volume":"34","author":"McGirt","year":"2013","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2022.10.019_bib18","doi-asserted-by":"crossref","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","article-title":"The Oswestry disability index","volume":"25","author":"Fairbank","year":"2000","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2022.10.019_bib19","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/0168-8510(90)90421-9","article-title":"EuroQol\u2013a new facility for the measurement of health-related quality of life","volume":"16","year":"1990","journal-title":"Health Policy"},{"key":"10.1016\/j.wneu.2022.10.019_bib20","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1097\/00007632-199603150-00017","article-title":"The North American spine society lumbar spine outcome assessment instrument: reliability and validity tests","volume":"21","author":"Daltroy","year":"1996","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2022.10.019_bib21","doi-asserted-by":"crossref","first-page":"1752","DOI":"10.1377\/hlthaff.2019.01026","article-title":"Health benefits in 2019: premiums inch higher, employers respond to federal policy","volume":"38","author":"Claxton","year":"2019","journal-title":"Health Aff (Millwood)"},{"key":"10.1016\/j.wneu.2022.10.019_bib22","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1377\/hlthaff.28.4.1145","article-title":"High-deductible health insurance plans: efforts to sharpen a blunt instrument","volume":"28","author":"Reed","year":"2009","journal-title":"Health Aff (Millwood)"},{"key":"10.1016\/j.wneu.2022.10.019_bib23","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1002\/hec.630","article-title":"The effect of variable health insurance deductibles on the demand for physician visits","volume":"10","author":"Schellhorn","year":"2001","journal-title":"Health Econ"},{"key":"10.1016\/j.wneu.2022.10.019_bib24","series-title":"Health Insurance Coverage in the United States: 2018","author":"Edward","year":"2018"},{"key":"10.1016\/j.wneu.2022.10.019_bib25","doi-asserted-by":"crossref","first-page":"88","DOI":"10.4187\/respcare.03272","article-title":"Estimation of minimal clinically important difference in EQ-5D visual analog scale score after pulmonary rehabilitation in subjects with COPD","volume":"60","author":"Zanini","year":"2015","journal-title":"Respir Care"},{"key":"10.1016\/j.wneu.2022.10.019_bib26","doi-asserted-by":"crossref","first-page":"29","DOI":"10.14444\/4029","article-title":"The effect of smoking on spinal fusion","volume":"11","author":"Berman","year":"2017","journal-title":"Int J Spine Surg"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875022014255?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875022014255?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T09:19:53Z","timestamp":1761815993000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875022014255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12]]},"references-count":26,"alternative-id":["S1878875022014255"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2022.10.019","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2022,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Assessing the Insurance Deductible Effect on Outcomes After Elective Spinal Surgery","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2022.10.019","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}