基于办公室的跨鼻腔食道镜的使用情况的国家趋势
Lauren Kwa1, Ashley Bodnar2, Maxwell Scher1
1Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, 800 Harrison Avenue, BCD Building, 5th Floor, Boston, MA, 02118, United States of America; Boston University Chobanian and Avedisian School of Medicine, 72 East Concord Street, Boston, MA, 02118, United States of America.
尽管有诸如避免全身麻醉等好处,但透鼻食管镜 (TNE) 的利用率仍然很低. 传统的跨口腔和刚性食道镜手术正在减少,而TNE的使用没有显著的上升趋势.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于办公室的手术提供了诸如降低麻醉使用和成本等优势.
- 过鼻腔食道镜 (TNE) 是传统食道镜的替代方案.
- 了解程序趋势对于医疗保健计划至关重要.
研究的目的:
- 分析办公室跨鼻腔食道镜 (TNE) 使用的国家趋势.
- 为了比较TNE患病率与在手术室中进行的传统横口腔和刚性食道镜手术.
- 确定影响采用TNE的因素.
主要方法:
- 对2013-2022年美国医疗保险B部分索赔数据的分析.
- 使用了TNE,横口柔性和刚性食道镜的当前程序术语 (CPT) 代码.
- 采用趋势线和线性回归来分析过程性患病率随时间推移.
主要成果:
- 跨口灵活食道镜的患病率显著下降.
- 刚性食道镜的患病率保持稳定.
- 透鼻食管镜 (TNE) 占诊断食管镜的一小,相对稳定的百分比,TNE在活检程序中略有增加.
结论:
- 基于办公室的TNE提供了诸如避免全身麻醉,缩短手术时间和节省成本等好处.
- 尽管有优势,但跨国技术的利用率仍然很低,没有显著的增长趋势.
- 需要进一步的研究来了解基于办公室的TNE程序的不足利用情况.
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