Trends in Open and Endoscopic Cubital Tunnel Release in the Medicare Patient Population.
Trends in Open and Endoscopic Cubital Tunnel Release in the Medicare Patient Population.
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DOI：
10.1177/1558944716679610
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发表时间：
2017-07-01
期刊：
影响因子：
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通讯作者：
Chim, Harvey W
中科院分区：
文献类型：
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作者：
Law, Tsun Yee;Hubbard, Zachary S;Chim, Harvey W
背景技术背景：肘管综合征（CUT）是第二常见的周围神经病变，年发病率为24.7/100000，男性发病率几乎是女性的两倍。随着对医学成本效益和成本控制的日益关注，对开放和内窥镜肘管松解方法的卫生保健资源利用的批判性理解具有价值。本研究的目的是评估开放式和内窥镜肘管松解术的成本和使用趋势。方法：我们对PearlDiver超级计算机（华沙，印第安纳州）中的医疗保险数据库进行了回顾性分析，以了解2005年至2012年进行的手术。年利用率，收费，报销，人口统计数据，复合年增长率evaluated.RESULTS：我们的查询返回262104例CUT，其中69378（26.5%）和4636（1.8%）分别与开放和内镜下释放手术管理。内窥镜释放的平均费用（3798美元）高于开放释放（3197美元），而开放释放的报销（1041美元）高于内窥镜释放（866美元）。这两种手术最常见于
BACKGROUND: Cubital tunnel syndrome (CUT) is the second most common peripheral neuropathy with an annual incidence of 24.7 per 100000, affecting nearly twice as many men as women. With increasing focus on cost-effectiveness and cost-containment in medicine, a critical understanding of utilization of health care resources for open and endoscopic approaches for cubital tunnel release is of value. The purpose of this study was to evaluate the costs and utilization trends of open and endoscopic cubital tunnel release.METHODS: We performed a retrospective review of a Medicare database within the PearlDiver Supercomputer (Warsaw, Indiana) for procedures performed from 2005 to 2012. Annual utilization, charges, reimbursement, demographic data, and compound annual growth rate were evaluated.RESULTS: Our query returned 262104 patients with CUT, of which 69 378 (26.5%) and 4636 (1.8%) were surgically managed with open and endoscopic release respectively. Average charges were higher in endoscopic release ($3798) than open release ($3197) while reimbursements were higher in open releases ($1041) than endoscopic release, ($866). Both were performed most commonly in the