Advanced Dermatology, Norwich, Connecticut, USA.
Dermatol Surg. 2013 Jan;39(1 Pt 1):35-42. doi: 10.1111/dsu.12024. Epub 2012 Nov 30.
There is a skin cancer epidemic in the United States.
To examine skin cancer treatment modality, location, and cost and physician specialty in the Medicare population from 1996 to 2008.
Centers for Medicare and Medicaid Services databases were used to examine skin cancer treatment procedures performed for Medicare beneficiaries.
From 1996 to 2008, the total number of skin cancer treatment procedures [malignant excision, destruction, and Mohs micrographic surgery (MMS)] increased from 1,480,645 to 2,152,615 (53% increase). The numbers of skin cancers treated by excision and destruction increased modestly (20% and 39%, respectively), but the number of MMS procedures increased more rapidly (248% increase). Dermatologists treated an increasing percentage (75-82%) of skin cancers during these years, followed by plastic and general surgery. In 2008, more than 90% of all skin cancers were treated in the office, with the remainder being treated in facility-based settings. Allowable charges paid to physicians by Medicare Part B for skin cancer treatments increased 137% from 1996 to 2008, from $266,960,673 to $633,448,103.
The number of skin cancer treatment procedures increased substantially from 1996 to 2008, as did overall costs to Medicare. Dermatologists treated the vast majority of skin cancers in the Medicare population, using a mix of treatment modalities, almost exclusively in the office setting.
美国正面临着皮肤癌高发的严峻形势。
从 1996 年至 2008 年，对 Medicare 人群中的皮肤癌治疗方式、部位、费用和医生专业进行研究。
使用医疗保险和医疗补助服务中心数据库，对 Medicare 受益人的皮肤癌治疗程序进行了检查。
从 1996 年至 2008 年，皮肤癌治疗程序（恶性切除、破坏和 Mohs 显微外科手术（MMS））的总数从 1,480,645 例增加到 2,152,615 例（增加了 53%）。切除和破坏治疗的皮肤癌数量略有增加（分别增加了 20%和 39%），但 MMS 程序的数量增加更快（增加了 248%）。这些年来，皮肤科医生治疗的皮肤癌比例不断增加（75-82%），其次是整形外科和普通外科。2008 年，超过 90%的皮肤癌在办公室治疗，其余在医疗机构治疗。从 1996 年到 2008 年，医疗保险 B 部分向皮肤科医生支付的皮肤癌治疗费用增加了 137%，从 266,960,673 美元增加到 633,448,103 美元。
从 1996 年至 2008 年，皮肤癌治疗程序的数量大幅增加，医疗保险的总费用也随之增加。皮肤科医生在 Medicare 人群中治疗了绝大多数皮肤癌，使用了多种治疗方式，几乎全部在办公室环境中进行。
