椎体强化治疗实践模式分析：2016年更新版

Analysis of vertebral augmentation practice patterns: a 2016 update.

作者信息

Hirsch Joshua A, Chandra Ronil V, Pampati Vidsysagar, Barr John D, Brook Allan L, Manchikanti Laxmaiah

机构信息

Neuroendovascular Program and NeuroInterventional Spine Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Interventional Neuroradiology Service, Departments of Medicine and Surgery, Monash Imaging, Monash Medical Centre, Monash University, Melbourne, Victoria, Australia.

出版信息

J Neurointerv Surg. 2016 Dec;8(12):1299-1304. doi: 10.1136/neurintsurg-2016-012767. Epub 2016 Oct 31.

DOI:10.1136/neurintsurg-2016-012767

PMID:27799375

Abstract

OBJECTIVE

To evaluate procedure utilization patterns for vertebroplasty and kyphoplasty in the US Medicare population from 2004 to 2014.

METHODS

The analysis was performed using the Centers for Medicare and Medicaid Services database of specialty utilization files for the fee for service (FFS) Medicare population.

RESULTS

The FFS Medicare population increased by 28% with an annual increase of 2.5% from 2004 to 2014. Utilization of vertebroplasty procedures decreased by 63% with an average annual decrease of 9.5% from 2004 to 2014 per 100 000 FFS Medicare beneficiaries. During the same time period, kyphoplasty procedures decreased by a total of 10%, with an average annual decrease of 1.3%. For augmentation generally (combined vertebroplasty/kyphoplasty data) there was thus an overall decrease in the rate per 100 000 Medicare population of 32% from 2004 to 2014, with an average annual decrease of 4.8%. The majority of vertebroplasty procedures were performed by radiologists whereas the majority of kyphoplasties were performed by orthopedic surgeons and neurosurgeons.

CONCLUSIONS

There has been a significant decline in vertebroplasty and kyphoplasty procedures in the FFS Medicare population between 2004 and 2014.

摘要

目的

评估2004年至2014年美国医疗保险人群中椎体成形术和后凸成形术的手术使用模式。

方法

使用医疗保险和医疗补助服务中心的按服务收费（FFS）医疗保险人群专科使用文件数据库进行分析。

结果

2004年至2014年，FFS医疗保险人群增加了28%，年增长率为2.5%。每10万名FFS医疗保险受益人中，椎体成形术的使用率从2004年到2014年下降了63%，平均每年下降9.5%。在同一时期，后凸成形术的手术总量下降了10%，平均每年下降1.3%。因此，总体而言（椎体成形术/后凸成形术数据合并），2004年至2014年每10万医疗保险人群中的手术率总体下降了32%，平均每年下降4.8%。大多数椎体成形术由放射科医生实施，而大多数后凸成形术由骨科医生和神经外科医生实施。