医疗保险人群中椎体成形术和后凸成形术的使用模式分析。

Analysis of utilization patterns of vertebroplasty and kyphoplasty in the Medicare population.

机构信息

Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA.

出版信息

J Neurointerv Surg. 2013 Sep 1;5(5):467-72. doi: 10.1136/neurintsurg-2012-010337. Epub 2012 Jul 7.

DOI:10.1136/neurintsurg-2012-010337

PMID:22773335

Abstract

OBJECTIVE

To determine the pattern of utilization of vertebral augmentation procedures including vertebroplasty and kyphoplasty of the lumbar and thoracic spine in the Medicare population in the USA.

METHODS

This analysis was performed using a standard 5% national sample of the Centers for Medicare and Medicaid Services physician outpatient billing claims from 2001 to 2008 and the Physician/Supplier Procedure Summary Master File for 2009 and 2010. Overall characteristics of utilization patterns for vertebral augmentation procedures were evaluated using multiple variables.

RESULTS

From 2002 to 2010, vertebroplasty procedures decreased overall by 24.6% with an average annual decrease of 3.5% per 100 000 Medicare population; from 2006 to 2010 the declines were 42.4% overall and 12.9% annually. From 2006 to 2010, kyphoplasty procedures increased overall by 0.8% with an annual average increase of 0.2% per 100 000 Medicare population.

CONCLUSION

Analysis of growth patterns of vertebroplasty and kyphoplasty in the Medicare population from 2002 to 2010 illustrates a lack of growth of kyphoplasty and a decline in vertebroplasty procedures.

摘要

目的

确定美国医疗保险人群中腰椎和胸椎椎体增强术（包括椎体成形术和后凸成形术）的利用模式。

方法

本分析使用了医疗保险和医疗补助服务中心 2001 年至 2008 年的标准 5%全国样本的医师门诊计费索赔和 2009 年和 2010 年的医师/供应商程序摘要主文件进行。使用多个变量评估了椎体增强术利用模式的总体特征。

结果

从 2002 年到 2010 年，椎体成形术总体减少了 24.6%，每 10 万医疗保险人口平均每年减少 3.5%；从 2006 年到 2010 年，总体下降了 42.4%，每年下降 12.9%。从 2006 年到 2010 年，后凸成形术总体增加了 0.8%，每 10 万医疗保险人口平均每年增加 0.2%。