John C Hwang1. 1. Doheny Eye Institute, University of Southern California, Keck School of Medicine, Los Angeles, CA 90033, USA. jhwang@doheny.org
Abstract
PURPOSE: To determine if there are variations in regional practice patterns for retinal detachment repair in the United States. DESIGN: Retrospective, noninterventional, cross-sectional study. METHODS: Year 2009 Medicare fee-for-service claims for retinal detachment repair were aggregated in 4 geographic regions and evaluated. The relative preference for retinal detachment repair by pars plana vitrectomy, scleral buckling, and pneumatic retinopexy was analyzed. RESULTS: The Midwest demonstrated a greater preference for scleral buckling compared to all other regions (P < .01) and lower preference for pars plana vitrectomy relative to the South and West (P ≤ .02). The Northeast demonstrated a greater preference for pneumatic retinopexy when compared to all other regions (P < .01). The Northeast also revealed a trend toward a lower preference for pars plana vitrectomy compared to the West and South (P ≤ .08). CONCLUSION: There are statistically significant variations in regional practice patterns for retinal detachment repair. The West, despite its historical association with pneumatic retinopexy, did not demonstrate a greater preference for the surgical technique.
PURPOSE: To determine if there are variations in regional practice patterns for retinal detachment repair in the United States. DESIGN: Retrospective, noninterventional, cross-sectional study. METHODS: Year 2009 Medicare fee-for-service claims for retinal detachment repair were aggregated in 4 geographic regions and evaluated. The relative preference for retinal detachment repair by pars plana vitrectomy, scleral buckling, and pneumatic retinopexy was analyzed. RESULTS: The Midwest demonstrated a greater preference for scleral buckling compared to all other regions (P < .01) and lower preference for pars plana vitrectomy relative to the South and West (P ≤ .02). The Northeast demonstrated a greater preference for pneumatic retinopexy when compared to all other regions (P < .01). The Northeast also revealed a trend toward a lower preference for pars plana vitrectomy compared to the West and South (P ≤ .08). CONCLUSION: There are statistically significant variations in regional practice patterns for retinal detachment repair. The West, despite its historical association with pneumatic retinopexy, did not demonstrate a greater preference for the surgical technique.
Authors: Parisa Emami-Naeini; Jordan Deaner; Ferhina Ali; Priyanka Gogte; Richard Kaplan; Kevin C Chen; Eric Nudleman; Dilraj S Grewal; Meenakashi Gupta; Jeremy D Wolfe; Michael Klufas; Glenn Yiu Journal: Ophthalmol Retina Date: 2018-09-20
Authors: Omar Moinuddin; Rebhi O Abuzaitoun; Min W Hwang; Sanjana K Sathrasala; Xing D Chen; Joshua D Stein; Mark W Johnson; David N Zacks; Thomas J Wubben; Cagri G Besirli Journal: BMJ Open Ophthalmol Date: 2021-02-25