SDR was higher in small volume SDP. There was no difference in rate of inadequate exams between the two groups. A history of diabetes and constipation was associated with inadequate exams only in patients with the small volume SDP.
multivariable regression, high-dose SRS was associated with cost reduction (b Z -0.50, p<0.01), yielding an approximate $192 savings per month.
Conclusion:Value-based healthcare necessitates increased quality at reduced cost. Trigeminal neuralgia represents an enormous burden upon quality of life, but may require years of care and expensive interventions. SRS dose-escalation appears to offer superior efficacy at a substantially reduced cost.
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