A Retrospective, Cost-minimization Analysis of Disposable and Traditional Negative Pressure Wound Therapy Medicare Paid Claims
| Autor: | Kim Tarka, Gary Delhougne, Sunitha Nair, Christopher Hogan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Diabetic ulcers Medicare Continuous variable 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Statistical significance Negative-pressure wound therapy Internal Medicine Medicine Humans General Nursing Aged Retrospective Studies Aged 80 and over Wound Healing business.industry Gastroenterology Retrospective cohort study medicine.disease Comorbidity United States Cost savings Surgery 030220 oncology & carcinogenesis Cost-minimization analysis Costs and Cost Analysis Female business Negative-Pressure Wound Therapy |
| Zdroj: | Ostomy/wound management. 64(1) |
| ISSN: | 1943-2720 |
| Popis: | Traditional negative pressure wound therapy (NPWT) systems are considered durable. The pump is designed for use by numerous patients over a period of several years. Recently developed smaller, disposable devices are designed for single-patient use. A retrospective analysis of 2012-2014 national Medicare claims data was used to examine payments associated with the use of traditional and disposable NPWT systems. Data extracted included NPWT episodes from the Limited Data Set Standard Analytic Files including the 5% sample for traditional NPWT and 100% sample for disposable NPWT. NPWT episodes were identified using claim service dates and billing codes. Mean costs per episode were compared and analyzed using chi-squared tests for comparisons between patients who received traditional and those who used disposable NPWT. For continuous variables, statistical significance was assessed using Mann-Whitney U tests. The data included traditional (n = 2938; mean age 66.6 years) and disposable (n = 3522; mean age 67.6 years) episodes for the 2 NPWT groups. Wound types differed for NPWT groups (P |
| Databáze: | OpenAIRE |
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