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Surgical Volume of Dermatologists Who Do Not Perform Mohs Micrographic Dermatologic Surgery: A Cross-Sectional Individual-Level Analysis Using Medicare Data.

不进行Mohs显微照相皮肤科手术的皮肤科医生的手术量: 使用医疗保险数据的横断面个体水平分析。

  • 影响因子:1.25
  • DOI:10.1097/DSS.0000000000001935
  • 作者列表:"Kantor J
  • 发表时间:2020-01-01
Abstract

BACKGROUND:Dermatologists overall perform a large number of procedures billed to Medicare, though the proportion of surgical procedures attributable to general dermatologists who do not perform Mohs micrographic dermatologic surgery (MDS) is unknown. OBJECTIVE:To determine the surgical volume of dermatologists who do not perform MDS and compare it to the surgical volume of MDS-performing dermatologists and all non-dermatologists. METHODS:A cross-sectional analytical study was performed using the Medicare public use file for 2014. Data were divided by physician specialty (dermatologists vs all non-dermatologists), and dermatologists were then dichotomized by MDS performance. RESULTS:Non-MDS dermatologists performed 42.19% of the benign excisions, 57.18% of the malignant excisions, and 46.00% of the intermediate repairs billed to Medicare in 2014. Micrographic dermatologic surgery-performing dermatologists were responsible for most of the complex repairs (67.56%), flaps (52.85%), and grafts (59.65%) billed to Medicare. CONCLUSION:Dermatologists who do not perform MDS represent the single largest group billing Medicare for benign excisions, malignant excisions, and intermediate repairs. They also bill for more complex repairs than all non-dermatologists combined. Micrographic dermatologic surgery-performing dermatologists performed most of the complex repairs, flaps, and grafts billed to Medicare.

摘要

背景: 皮肤科医生总体上执行了大量按医疗保险收费的手术,尽管不执行Mohs显微照相皮肤手术 (MDS) 的普通皮肤科医生的手术比例尚不清楚。 目的: 确定不执行MDS的皮肤科医生的手术量,并与执行MDS的皮肤科医生和所有非皮肤科医生的手术量进行比较。 方法: 采用医疗保险公共使用档案对 2014 进行横断面分析研究。按医师专科 (皮肤科医师vs所有非皮肤科医师) 划分数据,然后按MDS表现进行二分法。 结果: 非MDS皮肤科医生在 2014 年进行了 42.19% 的良性切除、 57.18% 的恶性切除和 46.00% 的医疗保险中期修复。显微照片皮肤科手术-执行皮肤科医生负责大部分复杂修复 (67.56%) 、皮瓣 (52.85%) 和移植物 (59.65%),费用由医疗保险支付。 结论: 不进行MDS的皮肤科医生代表了良性切除、恶性切除和中间修复的单一最大的组计费医疗保险。他们还比所有非皮肤科医生加起来还要复杂的修复费用。显微照片皮肤外科-执行皮肤科医生进行了大部分复杂的修复、皮瓣和移植物,费用由医疗保险支付。

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皮肤肿瘤方向

皮肤肿瘤是发生在皮肤的细胞增生性疾病,是一种常见病。发生于皮内或皮下组织的新生物,种类很多,临床上分良性肿瘤和恶性肿瘤。恶性肿瘤可以不断增殖,引起转移,威胁生命,称为皮肤癌。

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