Trends in inferior turbinate surgery: analysis of patients using the Medicare database

Autor:	Jonathan Liang, Mitchell Anderson
Rok vydání:	2018
Předmět:	medicine.medical_specialty Cost effectiveness business.industry medicine.medical_treatment Turbinate surgery Soft tissue Ablation 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology 030220 oncology & carcinogenesis Ambulatory Submucous Resection medicine Immunology and Allergy 030223 otorhinolaryngology Head and neck Nuclear medicine business
Zdroj:	International Forum of Allergy & Rhinology. 8:1169-1174
ISSN:	2042-6976
Popis:	Background The aim of this study was to characterize trends in turbinate reduction procedures from 2000 to 2015. Methods Annual procedure data were obtained for the period 2000-2015 and detailed Medicare provider and payment data were obtained for 2012-2015. Turbinate procedures analyzed included turbinate soft tissue mucosal ablation (TMA), turbinate soft tissue submucosal ablation (TSMA), turbinate excision (TE), and turbinate submucous resection (TSR). TMA and TSMA were grouped as turbinate soft tissue ablation (TA) for analysis. From 2012 to 2015, the type and location-facility (F) or nonfacility (NF)-of the providers performing the procedures were assessed. Results From 2000 to 2015, the total number of turbinate reduction procedures increased by an average of 3.8% annually. TSR had the highest annual increase at 5.4%. TE is the only procedure to show a decrease, by an average of -2.3% annually. From 2012 to 2015, the number of turbinate reduction procedures changed by -1.6% and 107.7% at F and NF locations, respectively. NF TSMA and TSR had the largest increases at 121.6% and 260.1%, respectively. Of the NF TA procedures, there was an average annual increase of 50% by non-otolaryngologists. For TA, the average F charge was 78.0% more than the NF charge, and the average NF otolaryngologist charge 11.5% more than the non-otolaryngologist charge. Conclusion The number of turbinate reduction procedures increased steadily between 2000 and 2015, with the majority being TSRs. This is consistent with previous studies demonstrating that TSR leads to better outcomes. There has been a significant increase in turbinate reduction procedures performed in outpatient/ambulatory settings by otolaryngologists, non-otolaryngologists, and midlevel providers.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::17ce385f2fbd9f0dde0e969c288ea493 https://doi.org/10.1002/alr.22169 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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