Regional Practice Patterns for Retinal Detachment Repair in the United States - 17/05/12
Inquiries to John Hwang, Doheny Eye Institute, University of Southern California, Keck School of Medicine, 1450 San Pablo St, Los Angeles, CA 90033Résumé |
Purpose |
To determine if there are variations in regional practice patterns for retinal detachment repair in the United States.
Design |
Retrospective, noninterventional, cross-sectional study.
Methods |
Year 2009 Medicare fee-for-service claims for retinal detachment repair were aggregated in 4 geographic regions and evaluated. The relative preference for retinal detachment repair by pars plana vitrectomy, scleral buckling, and pneumatic retinopexy was analyzed.
Results |
The Midwest demonstrated a greater preference for scleral buckling compared to all other regions (P < .01) and lower preference for pars plana vitrectomy relative to the South and West (P ≤ .02). The Northeast demonstrated a greater preference for pneumatic retinopexy when compared to all other regions (P < .01). The Northeast also revealed a trend toward a lower preference for pars plana vitrectomy compared to the West and South (P ≤ .08).
Conclusion |
There are statistically significant variations in regional practice patterns for retinal detachment repair. The West, despite its historical association with pneumatic retinopexy, did not demonstrate a greater preference for the surgical technique.
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| See Accompanying Editorial on page 1013. |
Vol 153 - N° 6
P. 1125-1128 - juin 2012 Retour au numéro
Article précédent
- Treatment Patterns for Neovascular Age-Related Macular Degeneration: Analysis of 284 380 Medicare Beneficiaries
- Lesley H. Curtis, Bradley G. Hammill, Laura G. Qualls, Lisa D. Dimartino, Fang Wang, Kevin A. Schulman, Scott W. Cousins
- Relationship Between Choroidal Thickness and Choroidal Circulation in Healthy Young Subjects
- Kenji Sogawa, Taiji Nagaoka, Atsushi Takahashi, Ichiro Tanano, Tomofumi Tani, Akihiro Ishibazawa, Akitoshi Yoshida
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