2000年至2014年医疗保险人群中 facet关节和骶髂关节干预措施的使用情况：持续爆发式增长！
Utilization of Facet Joint and Sacroiliac Joint Interventions in Medicare Population from 2000 to 2014: Explosive Growth Continues!
作者信息
Manchikanti Laxmaiah, Hirsch Joshua A, Pampati Vidyasagar, Boswell Mark V
机构信息
Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky, 42003, USA.
Department of Anesthesiology and Perioperative Medicine, University of Louisville, 530 S Jackson Street, Room C2A01, Louisville, KY, 40202, USA.
出版信息
Curr Pain Headache Rep. 2016 Oct;20(10):58. doi: 10.1007/s11916-016-0588-2.
Increasing utilization of interventional techniques in managing chronic spinal pain, specifically facet joint interventions and sacroiliac joint injections, is a major concern of healthcare policy makers. We analyzed the patterns of utilization of facet and sacroiliac joint interventions in managing chronic spinal pain. The results showed significant increase of facet joint interventions and sacroiliac joint injections from 2000 to 2014 in Medicare FFS service beneficiaries. Overall, the Medicare population increased 35 %, whereas facet joint and sacroiliac joint interventions increased 313.3 % per 100,000 Medicare population with an annual increase of 10.7 %. While the increases were uniform from 2000 to 2014, there were some decreases noted for facet joint interventions in 2007, 2010, and 2013, whereas for sacroiliac joint injections, the decreases were noted in 2007 and 2013. The increases were for cervical and thoracic facet neurolysis at 911.5 % compared to lumbosacral facet neurolysis of 567.8 %, 362.9 % of cervical and thoracic facet joint blocks, 316.9 % of sacroiliac joints injections, and finally 227.3 % of lumbosacral facet joint blocks.
在慢性脊柱疼痛管理中，介入技术（特别是小关节干预和骶髂关节注射）的使用日益增加，这是医疗政策制定者主要关注的问题。我们分析了小关节和骶髂关节干预在慢性脊柱疼痛管理中的使用模式。结果显示，2000年至2014年期间，医疗保险按服务项目付费（FFS）服务受益人群中小关节干预和骶髂关节注射显著增加。总体而言，医疗保险人群增加了35%，而每10万医疗保险人群中小关节干预和骶髂关节注射增加了313.3%，年增长率为10.7%。虽然2000年至2014年期间增长较为一致，但在2007年、2010年和2013年小关节干预出现了一些下降，而骶髂关节注射在2007年和2013年出现了下降。颈椎和胸椎小关节神经松解术增加了911.5%，而腰骶部小关节神经松解术增加了567.8%，颈椎和胸椎小关节阻滞增加了362.9%，骶髂关节注射增加了316.9%，最后腰骶部小关节阻滞增加了227.3%。
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