Related Experiment Video
Updated: Jun 27, 2025
08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
458
The Decline of Small Practice in Colorectal Surgery: Practice Consolidation From 2015-2022
Scott T Anderson1, Jordan R Mount2, Braden C Hintze3
1Mayo Clinic Alix School of Medicine, Jacksonville, Florida.
The Journal of Surgical Research
|April 26, 2024
Summary
Colorectal surgeons are increasingly joining larger group practices, a trend observed across all demographics but with notable regional and gender variations. New surgeons are preferentially joining these large groups.
Area of Science:
- Surgical Practice Trends
- Healthcare Management
- Colorectal Surgery
Background:
- Physician practice arrangements are shifting towards larger group settings.
- Consolidation trends in colorectal surgery specifically require detailed examination.
- Understanding demographic influences on practice changes is crucial.
Purpose of the Study:
- To analyze current practice consolidation trends in colorectal surgery.
- To evaluate the impact of demographic factors (age, gender, geography) on these trends.
- To identify shifts in practice size affiliations among colorectal surgeons.
Main Methods:
- Retrospective cross-sectional study design.
- Utilized Center for Medicare Services National Downloadable File (2015-2022).
- Categorized colorectal surgeons by practice size, region, gender, and age.
Main Results:
- Colorectal surgeon numbers increased 18.4% (2015-2022), while practice numbers grew 4.0%.
- Surgeons in small practices (1-2 members) decreased significantly (18.9% to 10.7%).
- Surgeons in large practices (500+ members) increased substantially (26.5% to 45.2%), with new surgeons predominantly joining large groups.
Conclusions:
- Colorectal surgeons are consolidating into larger practice affiliations.
- This consolidation trend is evident across demographic groups but varies geographically and by gender.
- Future colorectal surgeons are overwhelmingly entering larger group practices.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
78
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
78
01:25Endoscopic Procedures II: Colonoscopy
90
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
90