Trends in Utilization of Image Guidance for Hip Joint Injections
| Autor: | Alejandro J Centurion, Ibrahim Mamdouh Zeini, Michelle Henne, Daryl C. Osbahr, Donald Harrison Youmans |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Physical Therapy Sports Therapy and Rehabilitation Osteoarthritis Hip Injections Intra-Articular Joint injections 03 medical and health sciences 0302 clinical medicine Femoracetabular Impingement Humans Medicine Orthopedics and Sports Medicine 030212 general & internal medicine Image guidance Femoroacetabular impingement Reimbursement Retrospective Studies Ultrasonography business.industry Ultrasound Outcome measures 030229 sport sciences Descriptive epidemiology medicine.disease Fluoroscopy Cost analysis Physical therapy Hip Joint business |
| Zdroj: | Clinical Journal of Sport Medicine. 31:374-378 |
| ISSN: | 1050-642X |
| DOI: | 10.1097/jsm.0000000000000781 |
| Popis: | OBJECTIVE This study aims to evaluate trends in utilization of image guidance for intraarticular hip injections and to compare the cost efficiency of ultrasound-, fluoroscopic-, and landmark-guided injections in the management of hip osteoarthritis (OA) and femoroacetabular impingement (FAI). DESIGN Retrospective descriptive epidemiology study. SETTING The information was collected from Humana private payer insurance claims database encompassing all practice settings. PATIENTS OR PARTICIPANTS A total of 302 855 patients for years 2007 to 2015. INTERVENTIONS OR ASSESSMENT OF RISK FACTORS OR INDEPENDENT VARIABLES Primary diagnosis of hip OA or FAI. MAIN OUTCOME MEASURES Injection type [corticosteroid (CS) or hyaluronic acid (HA)], imaging modality (landmark, ultrasound, or fluoroscopic guidance), and costs. RESULTS Landmark-guided CS and HA injections for the management of hip OA decreased, whereas fluoroscopic and ultrasound guidance increased. Similar trends were demonstrated in the management of FAI using CS. In the management of FAI using HA, landmark- and ultrasound-guided injections decreased and fluoroscopic-guided injections increased. Cost analysis revealed lower reimbursement of landmark and ultrasound guidance compared with fluoroscopic guidance. CONCLUSIONS During the study period, there was an increase in the use of image guidance and decline in landmark guidance for the treatment of OA and FAI using CS and HA. Fluoroscopic guidance demonstrated increased reimbursement compared with landmark and fluoroscopic guidance. There is an opportunity to mitigate cost and reduce radiation exposure by using ultrasound-guided injections rather than fluoroscopic guidance. |
| Databáze: | OpenAIRE |
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