Trends in Open and Endoscopic Carpal Tunnel Release Utilization in the Medicare Patient Population

Abstract Background Surgical management of carpal tunnel syndrome (CTS) is performed with an open or endoscopic approach. Current literature suggests that the endoscopic approach is associated with higher costs and a steeper learning curve. This study evaluated the billing and utilization trends of...

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Veröffentlicht in:	The Journal of surgical research 2017-06, Vol.214, p.9-13
Hauptverfasser:	Law, Tsun yee, MD, (Co-investigator, manuscript writing, data acquisition & analysis), Rosas, Samuel, MD, (Data analysis & statistical analysis), Hubbard, Zachary S., BS, (Manuscript writing, data analysis), Chieng, Lee Onn, BS, (Manuscript writing, data analysis), Chim, Harvey W., MD, (Principal Investigator, senior author, expert review)
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Aged, 80 and over Carpal tunnel Carpal Tunnel Syndrome - economics Carpal Tunnel Syndrome - surgery Decompression, Surgical - economics Decompression, Surgical - methods Decompression, Surgical - trends Endoscopic carpal tunnel release Endoscopy - economics Endoscopy - statistics & numerical data Endoscopy - trends Fees and Charges - trends Female Humans Male Medicare Middle Aged Neurosurgical Procedures - economics Neurosurgical Procedures - methods Neurosurgical Procedures - trends Open carpal tunnel release Outcomes research Retrospective Studies Surgery Treatment Outcome United States
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Zusammenfassung:	Abstract Background Surgical management of carpal tunnel syndrome (CTS) is performed with an open or endoscopic approach. Current literature suggests that the endoscopic approach is associated with higher costs and a steeper learning curve. This study evaluated the billing and utilization trends of both approaches. Methods A retrospective review of a Medicare database within the PearlDiver Supercomputer (Warsaw, IN) was performed for patients undergoing open (OCTR) or endoscopic carpal tunnel release (ECTR) from 2005-2012. Annual utilization, charges, reimbursement, demographic data and compound annual growth rate (CAGR) were evaluated. Results Our query returned 1500603 CTS patients, of which 507924 (33.8%) and 68768 (4.6%) were surgically managed with OCTR and ECTR respectively (remainder treated conservatively). CAGR was significantly higher in ECTR (5%) than OCTR (0.9%) (p
ISSN:	0022-4804 1095-8673
DOI:	10.1016/j.jss.2017.02.055