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喉活检的国家趋势:手术与办公室手术的比较
Maxwell Scher1, Ashley Bodnar2, Jeremiah C Tracy3
1Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States of America; Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States of America.
American journal of otolaryngology
|May 24, 2025
概括
基于办公室的喉活检仍然不常见,在过去十年中略有下降. 这与有利于少入侵手术的趋势形成鲜明对比,促使进一步研究传统手术活检的减少.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 喉活检对于诊断喉疾病至关重要.
- 通过直接喉腔镜检查的传统手术活检是常见的.
- 办公室内镜提供了一个不那么侵入性的替代方案.
研究的目的:
- 分析基于办公室和手术的喉活检程序中的国家趋势.
- 为了比较柔性喉腔镜与活检到直接喉腔镜的患病率,使用和不使用微型喉腔镜.
主要方法:
- 对2013-2022年美国医疗保险B部分索赔数据的分析.
- 包括当前程序术语 (CPT) 代码 31576,31535 和 31536.
- 记录和分析计费费用的年度趋势.
主要成果:
- 基于办公室的灵活喉腔镜活检 (CPT 31576) 保持不变 (3.8%-4.8%的总数).
- 在研究期间,手术直接喉腔镜活检 (CPT 31535,31536) 显著下降.
- 在手术直喉镜检查 (斜率 = -310) 和微喉镜检查 (斜率 = -254) 均观察到下降趋势.
结论:
- 基于办公室的喉活检占手术比例很小,并且略有下降.
- 手术性直接喉活检的减少与减少侵入性,办公室护理的趋势形成鲜明对比.
- 需要进一步的研究,以了解手术喉活检下降的原因.
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