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To account for baseline differences between groups, we calculated propensity scores and used these as probability weights in generalized linear models. After matching, the CCC had a shorter length of stay (LOS, coefficient = \u22122.60; P = .04) without a significant difference in 30-day readmission rate ( P = .62). For secondary outcomes, there were some significant resource utilization benefits favoring the complex care group without significant difference in complication outcomes between groups. In managing patients after spinal fusion surgery, both groups had similar LOS compared with prior studies of children after spinal fusion surgery. Management by the CCC may confer some outcome benefits for their patients.<\/jats:p>","DOI":"10.1177\/00099228241228104","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T05:14:02Z","timestamp":1706591642000},"page":"1537-1543","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of 2 Models of Care for Children With Medical Complexity Following Spinal Fusion"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7591-0581","authenticated-orcid":false,"given":"Zachary","family":"Semenetz","sequence":"first","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University\/Nemours Children\u2019s Hospital, Wilmington, DE, USA"},{"name":"Primary Care, Nemours Children\u2019s Health, Newark, DE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda M.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Center for Health Care Delivery Science, Nemours Children\u2019s Hospital, Wilmington, DE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamyar","family":"Arasteh","sequence":"additional","affiliation":[{"name":"Center for Health Care Delivery Science, Nemours Children\u2019s Hospital, Wilmington, DE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tullis","family":"Liu","sequence":"additional","affiliation":[{"name":"Diagnostic Referral Service, Nemours Children\u2019s Hospital, Wilmington, DE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0232-9611","authenticated-orcid":false,"given":"Matthew","family":"Demczko","sequence":"additional","affiliation":[{"name":"Diagnostic Referral Service, Nemours Children\u2019s Hospital, Wilmington, DE, USA"},{"name":"Division of Human Genetics, Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"bibr1-00099228241228104","first-page":"209","volume-title":"Cerebral Palsy: A Multidisciplinary Approach","volume":"2018","author":"Shrader MW","edition":"3"},{"key":"bibr2-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2013.05.015"},{"key":"bibr3-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70096-1"},{"key":"bibr4-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2012.11.002"},{"key":"bibr5-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09552-8"},{"key":"bibr6-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1177\/0009922807306789"},{"key":"bibr7-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.144"},{"issue":"3","key":"bibr8-00099228241228104","first-page":"197","volume":"72","author":"Rosenberg RE","year":"2014","journal-title":"Bull Hosp Jt Dis"},{"key":"bibr9-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2012-0066"},{"key":"bibr10-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.5026"},{"key":"bibr11-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2011.5"},{"key":"bibr12-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-1233"},{"key":"bibr13-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-1284E"},{"key":"bibr14-00099228241228104","doi-asserted-by":"publisher","DOI":"10.1367\/1539-4409(2002)002<0071:IACCWC>2.0.CO;2"},{"key":"bibr15-00099228241228104","unstructured":"3M\n                      TM\n                      clinical risk groups: measuring risk, managing care. 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