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The increasing workload in head and neck surgery: An epidemiologic analysis.

Neil Bhattacharyya¹

¹Division of Otolaryngology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. neiloy@massmed.org

The Laryngoscope

|December 15, 2010

Summary

The aging US population will increase head and neck surgical procedures (HNSPs) by approximately 15.3% by 2020. This rise in HNSPs will significantly boost the workload for head and neck surgeons.

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Area of Science:

Medicine
Public Health
Demography

Background:

The US population is aging, potentially impacting healthcare demands.
Head and neck surgical procedures (HNSPs) are a significant component of surgical care.

Purpose of the Study:

To determine the projected increase in workload for head and neck surgery due to an aging population.
To estimate the future demand for head and neck surgical services.

Main Methods:

Cross-sectional analysis of national databases (National Hospital Discharge Summary, National Survey of Ambulatory Surgery).
Age-specific HNSP rates were calculated using 2006 data and projected to 2020 based on US Census Bureau demographic predictions.
Surgical workload was assessed using physician work relative value units (RVUs).

Main Results:

In 2006, an estimated 366,050 HNSPs were performed, requiring 2.49 million work RVUs.
By 2020, an estimated 422,183 HNSPs are projected, requiring 2.88 million work RVUs.
Both the rate of HNSPs and the projected RVUs show an approximate 15.3% increase.

Conclusions:

A substantial increase in the workload for head and neck surgeons is anticipated.
Manpower requirements in head and neck surgery need assessment in light of the aging US population.
Proactive planning is essential to meet future demands for head and neck surgical services.