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Extent of sinus surgery, 2000 to 2009: a population-based study
Melissa A Pynnonen1, Matthew M Davis
1Department of Otolaryngology, University of Michigan Health System, Ann Arbor, Michigan, U.S.A.
The Laryngoscope
|August 1, 2013
Summary
Ambulatory sinus surgery rates increased significantly from 2000 to 2009. More procedures were performed per case, with image guidance becoming more common, highlighting surgeon influence.
Area of Science:
- Otolaryngology
- Surgical Outcomes Research
- Health Services Research
Background:
- Sinus surgery is a common surgical procedure.
- Understanding trends in sinus surgery is crucial for healthcare planning and resource allocation.
Purpose of the Study:
- To analyze changes in the rates of ambulatory sinus surgery over a 10-year period.
- To identify factors associated with trends in sinus surgery procedures.
Main Methods:
- Secondary data analysis of the State Ambulatory Surgery Database of Florida.
- Population-adjusted rates of ambulatory sinus surgery were calculated for adults from 2000 to 2009.
Main Results:
- Population-adjusted rates of sinus surgery increased from 104 to 129 per 100,000 population (P <0.001).
- Procedure rates rose from 226 to 316 per 100,000 (P <0.001), with significant increases in frontal sinus and four-sinus procedures.
- Increased surgery was associated with image guidance and high surgeon case volume; surgeon was the strongest predictor.
Conclusions:
- Sinus surgery rates and procedures per case increased between 2000 and 2009.
- The strong influence of individual surgeons on procedural patterns warrants further investigation into training, technology, and reimbursement factors.