OBJECTIVE: For 75% of @entity1 with @entity4254 ( @entity4254 ), the @entity158 can be controlled with medication. For those who fail medication therapy, surgical options include @entity5663 ( @entity5663 ), percutaneous radiofrequency rhizotomy (RFR), and stereotactic radiosurgery (SRS). Few studies have explored the relative cost-effectiveness of these interventions, particularly in surgically na  ve @entity1 . METHODS: A retrospective chart review performed between January 2003 and January 2013 identified a total of 89 @entity1 who underwent surgical treatment for @entity4254 ( @entity5663 =27, RFR=23, SRS=39). Outcome measures included @entity158 (excellent=no @entity158 , no medications; good=no @entity158 , medications required; fair=>50% decrease in @entity158 ; and poor=<50% decrease in @entity158 /secondary surgery), @entity1183 , cost, and the need for a subsequent procedure. RESULTS: The average age of @entity1 for each procedure was @entity5663 =53.9  16, RFR=76.2  16, and SRS=74.5  12 (p<0.001 @entity5663 vs. other modalities). Total charges for the procedures (US dollars) were @entity5663 =50,100  9600, RFR=4700  2200, and SRS=39,300  6000 (p<0.001). Actual collections varied by insurance. Percentages of postoperative @entity1183 were @entity5663 =11%, RFR=52%, and SRS=28% (p<0.01). At two years, the rates of recurrence requiring a second procedure were @entity5663 =22%, RFR=74%, and SRS=31% (p<0.01). Average times to secondary procedure in months were @entity5663 =26  29, RFR=59  76, and SRS=35  25. Mean quality adjusted @entity158 were @entity5663 =1.58, RFR=2.28, and SRS=0.99. Cost-effectiveness calculations in US dollars showed @entity5663 =31,800, RFR=2100, and SRS=39,600 (p<0.001). CONCLUSION: There are significant cost differences among the three most common surgical procedures for @entity4254 . @entity5663 was the most expensive procedure, was more likely to be performed on younger @entity1 , had the lowest rate of @entity1183 , and had the lowest rate of recurrence requiring a secondary procedure. SRS was slightly less costly, more likely to be performed on an older population, and had a rate of recurrence similar to @entity5663 . RFR was the least expensive procedure, provided immediate relief, but was associated with the highest rates of @entity1183 and recurrence. Based on cost-effectiveness, considering both cost and outcome, RFR was the most cost-effective, followed by @entity5663 , and finally SRS.

The cost-effectiveness of surgery for @entity4254 in surgically na  ve XXXX : A retrospective study.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1183 :: ('MESH:D006987', 'Disease') :: ['numbness', 'facial numbness'] @entity4254 :: ('MESH:D014277', 'Disease') :: ['TN', 'trigeminal neuralgia'] @entity5663 :: ('MESH:D003665', 'Disease') :: ['MVD', 'microvascular decompression'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain-free years', 'facial pain', 'pain']
@entity1 :: (9606,Species) :: ['patients']
