Pain Management Center of Paducah, 2831 Lone Oak Rd, Paducah, KY 42003, USA.
Spine (Phila Pa 1976). 2013 Jan 15;38(2):157-68. doi: 10.1097/BRS.0b013e318267f463.
Analysis of the growth, utilization trends, and Medicare expenditures of spinal interventional pain management techniques from 2000 through 2008.
To evaluate the use of epidural steroid injections, facet joint interventions, and sacroiliac joint interventions, and to analyze the trends of Medicare utilization and expenditures in multiple settings-namely, hospital outpatient departments, ambulatory surgery centers, and physician offices.
There has been an explosive growth of many invasive and noninvasive modalities designed to manage chronic spinal pain. Commonly used interventional techniques include epidural steroid injections, facet joint interventions, and sacroiliac joint interventions. However, their effectiveness and the appropriateness of their application continue to be debated.
The present article provides an analysis of the growth of spinal interventional techniques, as described earlier, for managing the chronic spinal pain of Medicare beneficiaries from 2000 through 2008. The standard 5% national sample of the Centers for Medicare and Medicaid Services carrier claims that record data from 2000 through 2008 were utilized. Current procedural terminology codes from 2000 through 2008 were used to identify the number of procedures performed each year, as well as trends and expenditures.
Medicare recipients receiving spinal interventional techniques increased 107.8% from 2000 through 2008, with an annual average increase of 9.6%, whereas spinal interventional techniques increased 186.8%, an annual average increase of 14.1% per 100,000 beneficiaries.
The study suggests explosive increases in spinal interventional techniques from 2000 to 2008, with some slowing of growth in later years.
分析 2000 年至 2008 年期间脊柱介入性疼痛管理技术的增长、利用趋势和医疗保险支出。
评估硬膜外类固醇注射、关节突关节介入和骶髂关节介入的使用，并分析多种环境下医疗保险利用和支出的趋势，包括医院门诊、门诊手术中心和医生办公室。
旨在管理慢性脊柱疼痛的许多侵入性和非侵入性方法呈爆炸式增长。常用的介入技术包括硬膜外类固醇注射、关节突关节介入和骶髂关节介入。然而，它们的有效性和应用的适当性仍在争论中。
本文对 2000 年至 2008 年期间，医疗保险受益人为管理慢性脊柱疼痛而采用的脊柱介入技术的增长情况进行了分析。利用了医疗保险和医疗补助服务中心运营商索赔的全国标准 5%抽样数据，这些数据记录了 2000 年至 2008 年的数据。使用 2000 年至 2008 年的当前程序术语代码来确定每年进行的手术数量以及趋势和支出。
接受脊柱介入技术的医疗保险受助人从 2000 年至 2008 年增长了 107.8%，年平均增长率为 9.6%，而脊柱介入技术增长了 186.8%，年平均增长率为每 10 万人增加 14.1%。
研究表明，2000 年至 2008 年期间，脊柱介入技术呈爆炸式增长，近年来增长有所放缓。
