Spine Surgery Market Survey
A Survey of 50 Orthopedic Surgeons and Neurosurgeons
Price: $2500
Deliverables: Survey Data Only
Please contact Howard.Brick@panelintelligence.com to purchase.
S1. What is your primary medical specialty?
‘ Orthopedic Surgery
‘ Neurosurgery
‘ Other, non-spine surgery, specify __________ [Terminate]
S2. Are you board certified in your specialty?
‘ Yes
‘ No [Terminate]
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S3. Approximately how many years have you been in practice post-training?
_____ years (TERMINATE <2 OR >30)
S4. How many spinal fusions (of all types) do you perform per year?
________ spinal fusions (TERMINATE if less than 50)
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S5. Which of the following best describes the most common place you perform your spinal fusion cases?
‘
‘
‘ Hospital-Owned ASC
‘ Physician-Owned ASC
‘ ASC Owned Jointly by Hospital and Physicians
(Standard Qualify Text)
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1. Do you practice in an academic or community setting?
‘ Academic setting
‘ Community setting
2. What payer mix are you seeing in your practice for spinal fusions?
Medicare:____
Medicaid:_____
Workers Comp:_______
Private Insurers: ________
Self-Insured: ________
Other: ________
Force sum = 100%
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3. What is your average surgical backlog/wait time for spinal procedures (in weeks)?
_____ weeks: Currently
_____ weeks: Three Months Ago
[Allow Decimals]
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4. How many lumbar spinal fusion procedures do you perform a year?
_____ lumbar spinal fusions per year
5. In 3Q09 (July 09 Sept 09), have you noticed growth in your lumbar spinal fusion procedure volume versus last quarter (Mar 09 June 09)?
‘ My lumbar spinal fusion procedural volume was UNCHANGED this quarter (July 09 Sept 09) versus last quarter (Mar 09 June 09)
‘ My lumbar spinal fusion procedural volume this quarter (July 09 Sept 09) was GREATER THAN last quarter (Mar 09 June 09)
‘ My lumbar spinal fusion procedural volume this quarter (July 09 Sept 09) was LESS THAN last quarter (Mar 09 June 09)
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6. In full year 2010, what do you expect will be the growth in your lumbar spinal fusion procedure volume versus the same time last year?
‘ I expect 0-3% growth in lumbar spinal fusion procedural volume for full year 2010 versus full year 2009
‘ I expect 3-6% growth in lumbar spinal fusion procedural volume for full year 2010 versus full year 2009
‘ I expect 6-9% growth in lumbar spinal fusion procedural volume for full year 2010 versus full year 2009
‘ I expect 9-12% growth in lumbar spinal fusion procedural volume for full year 2010 versus full year 2009
‘ I expect greater than 12% growth in lumbar spinal fusion procedural volume for full year 2010 versus full year 2009
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7. How many cervical spinal fusion procedures do you perform a year?
_______ cervical spinal fusions per year
8. In 3Q09 (July 09 Sept 09), have you noticed growth in your cervical spinal fusion procedural volume versus last quarter (Mar 09 June 09)?
‘ My cervical spinal fusion procedural volume was UNCHANGED this quarter (July 09 Sept 09) versus last quarter (Mar 09 June 09)
‘ My cervical spinal fusion procedural volume this quarter (July 09 Sept 09) was GREATER THAN last quarter (Mar 09 June 09)
‘ My cervical spinal fusion procedural volume this quarter (July 09 Sept 09) was LESS THAN last quarter (Mar 09 June 09)
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9. In full year 2010, what do you expect will be the growth in your cervical spinal fusion procedure volume versus the same time last year?
‘ I expect 0-3% growth in cervical spinal fusion volume for full year 2010 versus full year 2009
‘ I expect 3-6% growth in cervical spinal fusion volume for full year 2010 versus full year 2009
‘ I expect 6-9% growth in cervical spinal fusion volume for full year 2010 versus full year 2009
‘ I expect 9-12% growth in cervical spinal fusion volume for full year 2010 versus full year 2009
‘ I expect greater than 12% growth in cervical spinal fusion volume for full year 2010 versus full year 2009
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10. What is the largest opportunity for volume growth in your practice?
‘ Spinal fusions using the lateral lumbar approach
‘ Kyphoplasty/Vertebroplasty procedures
‘ Dynamic stabilization procedures
‘ Older/osteoporosis patients
‘ Performing disc procedures in the cervical spine
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11. What percentage of insurance companies in your region (approximately) currently authorize reimbursement for artificial cervical disc procedures?
_________% of insurers
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12. Which companys spinal technology has the biggest opportunity to gain market share in your practice in 2010?
‘ Medtronic has the biggest opportunity to gain market share in my practice in 2010
‘ Zimmer/Abbott Spine has the biggest opportunity to gain market share in my practice in 2010
‘ Stryker has the biggest opportunity to gain market share in my practice in 2010
‘ J&J/Depuy has the biggest opportunity to gain market share in my practice in 2010
‘ NuVasive has the biggest opportunity to gain market share in my practice in 2010
‘ Synthes has the biggest opportunity to gain market share in my practice in 2010
‘ None of them have a chance to increase share in my practice, please explain TEXT BOX
13. How much incremental market share (as a %) do you think the spinal manufacturer you identified in the previous question will gain in your practice for 2010?
‘ I think the manufacturer will gain 0-1% market share in my practice for 2010
‘ I think the manufacturer will gain 1-2% market share in my practice for 2010
‘ I think the manufacturer will gain 2-3% market share in my practice for 2010
‘ I think the manufacturer will gain 3-4% market share in my practice for 2010
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14. Which companys spinal technology has the largest risk of losing market share in your practice in 2010?
‘ Medtronic has the largest risk of losing market share in my practice in 2010
‘ Zimmer/Abbott Spine has the largest risk of losing market share in my practice in 2010
‘ Stryker has the largest risk of losing market share in my practice in 2010
‘ J&J/Depuy has the largest risk of losing market share in my practice in 2010
‘ NuVasive has the largest risk of losing market share in my practice in 2010
‘ Synthes has the largest risk of losing market share in my practice in 2010
‘ None of them have a chance to lose share in my practice, please explain TEXT BOX
15. How much incremental market share (as a %) do you think the spinal fusion manufacturer you identified in the previous question will lose in your practice for 2010?
‘ I think the manufacturer will lose 0-1% market share in my practice for 2010
‘ I think the manufacturer will lose 1-2% market share in my practice for 2010
‘ I think the manufacturer will lose 2-3% market share in my practice for 2010
‘ I think the manufacturer will lose 3-4% market share in my practice for 2010
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16. JNJ/Depuy, Medtronic, and Synthes combined have greater than 60% market share in the spine market. However, their share has been eroding at the hands of smaller companies. Which small company has the largest opportunity to gain share in your practice in 2010?
‘ Orthofix
‘ Nuvasive
‘ Globus
‘ Alphatec
‘ Integra Lifesciences
‘ Biomet
‘ None of them have a chance to increase share in my practice, please explain TEXT BOX
17. Why does the spinal manufacturer you identified in the previous question have the largest opportunity to gain share in your practice in 2010?
‘ Better sales force/account management
‘ Improved product flow/technology
‘ Better Pricing
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18. Which smaller competitor has done the best job of increasing sales force presence through hiring more reps or increasing distributors in your practice in 2009?
‘ Orthofix
‘ Nuvasive
‘ Globus
‘ Alphatec
‘ Integra Lifesciences
‘ Biomet
‘ None of them have done a good job increasing their sales force
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19. What percentage of your cases involves patients over the age of 65?
‘ 0-10% of my cases involve patients >65 years old
‘ 11-20% of my cases involve patients >65 years old
‘ 21-30% of my cases involve patients >65 years old
‘ 31-40% of my cases involve patients >65 years old
‘ Greater than 40% of my cases involve patients >65 years old
20. Would you increase your surgical volume of patients over the age of 65 if better technologies existed?
‘ Yes
‘ No
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21. Which bone grafting option has the most opportunity for growth in your practice for 2010?
‘ Allograft Ceramic (i.e. Vitoss Morsels, Actifuse, Novabone, Mastergraft Granules, Pro Osteron)
‘ Allograft - Ceramic w/ collagen (i.e. Healos, Mozaik, Formagraft, Mastergraft Matrix, Vitoss Foam)
‘ Allograft Cancellous & Cortical Bone (i.e. Osteocel, Trinity)
‘ Allograft Demineralized Bone Matrix DBM (i.e. Grafton, DBX, Accell, Progenix DBM Putty)
‘ Bone Morphogentic Protein rhBMP (i.e. Infuse Bone Graft, OP-1 Putty/Implant)
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22. Which allograft - Cancellous & Cortical Bone grafting option has the most opportunity for growth in your practice for 2010?
‘ I do not expect to use these products.
‘ Trinity Evolution (OrthoFix)
‘ Osteocel Plus (Nuvasive)
end survey
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