双能X射线吸收测量在美国医疗保险受益者中的趋势:2005-2019年
Tyler Prout1, Casey Pelzl2, Eric W Christensen3
1Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
概括
在医疗保险受益者中,双能X射线吸收计 (DXA) 的使用率下降,然后在2019年反弹. 扫描越来越多地发生在门诊医院环境中,截至2019年,放射科医生解释了大多数DXA扫描.
科学领域:
- 医疗成像医学成像
- 骨密度测试 骨密度测试 骨密度测试
- 医疗保健趋势 医疗保健趋势
背景情况:
- 自2005年以来,双能X射线吸收度 (DXA) 的利用,性能站点和解释员专业在美国发展.
- 了解这些转变对于医疗保健规划和资源配置至关重要.
研究的目的:
- 分析DXA扫描量,速率和服务地点的趋势.
- 检查从2005年至2019年医疗保险费用服务人口中对DXA扫描翻译专业的变化.
主要方法:
- 使用了医疗保险医生/供应商程序摘要有限数据集 (2005-2019).
- 计算每10,000名受益人每年的DXA计数和利率.
- 描述了扫描位置和解释器专业的分布,使用服务地点趋势的线性回归.
主要成果:
- 每年每1万受益人使用的DXA在2008年达到顶峰,在2015年下降到最低点,到2019年增加到807个.
- 在办公室设置中的DXA性能从70.7%下降到47.2%,而门诊医院 (OH) 设置从28.6%增加到51.7%.
- 放射科医生对DXA扫描的解释显著增加,从2005年的43.5%增加到2019年的73.5%.
结论:
- 医疗保险受益人中DXA的总使用率在2005年至2019年之间呈现下降和恢复趋势.
- 从办公室DXA到门诊医院设置发生了显著的转变.
- 放射科医生对DXA解释的比例明显增加,到2019年成为占主导地位的专业.
相关概念视频
01:24X-ray Imaging
5.5K
German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with...
5.5K
01:29Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K