Musculoskeletal biopsy utilization and provider distribution in the United States medicare population.

Musculoskeletal biopsy utilization and provider distribution in the United States medicare population. Research Abstract Details 

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Musculoskeletal biopsy utilization and provider distribution in the United States medicare population. Abstract Text:

Eoin C Kavanagh,Catherine C Roberts,Andrea Frangos,Laurence Parker,Angela Gopez,Diane Deely,William B Morrison,

RATIONALE AND OBJECTIVES: Physicians from many specialties perform musculoskeletal biopsy. Using the Medicare database, we sought to determine which specialties represent the physicians who are performing the majority. MATERIALS AND METHODS: Using the CMS physician supplier procedure summary master file for 1996-2003, we extracted all claims for biopsy procedure codes (including marrow aspiration, muscle biopsy, percutaneous bone biopsy, and open surgical biopsy) categorized by provider specialty, and we analyzed procedure volumes. RESULTS: Since 1996, the rate of utilization of percutaneous bone biopsy has remained stable. In 2003, marrow aspiration was most commonly performed by hematology/oncology (80,038, 57%), followed by medical oncology (23,428, 17%); radiologists performed 755 (0.5%). Muscle biopsies were predominantly performed by radiologists (4,761, 40%), followed by neurosurgery (591, 5%). Percutaneous bone biopsy was mostly performed by radiologists (14,830, 53%), but orthopedic surgeons, neurosurgeons, and hematology/oncology specialists performed a large minority (6,879, 2,296, and 1,048 respectively; in aggregate, 37%). From 1996 to 2003, radiologists performed 71% more muscle biopsies (2,788 to 4,761) and 60% more percutaneous bone biopsies (9,259 to 14,830). Although most specialties are performing fewer percutaneous bone biopsies (e.g., oncologists: 7,217 to 1,048, -85%), orthopedic surgeons are performing 247% more (1,983 to 6,879) and neurosurgeons are performing 2,343% more (94 to 2,296). CONCLUSION: Excluding marrow aspiration, radiologists perform the majority of percutaneous bone biopsies, and the volume is increasing in the U.S. Medicare population. The overall volume has remained relatively stable from 1996 to 2003; although medical specialties are performing fewer, the volume performed by surgeons is increasing rapidly.

Musculoskeletal biopsy utilization and provider distribution in the United States medicare population. Publishing Authors By Initials

EC Kavanagh,CC Roberts,A Frangos,L Parker,A Gopez,D Deely,WB Morrison,

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Musculoskeletal biopsy utilization and provider distribution in the United States medicare population. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Academic radiology

VOLUME: 14

Page Numbers: 371-5

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ISSN: 1076-6332

DAY: 19

MONTH: Mar

YEAR: 2007

Musculoskeletal biopsy utilization and provider distribution in the United States medicare population. Information

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LANGUAGE: eng

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AFFILIATION: Department of Radiology, UPMC, Pittsburgh, PA.

Country: United States

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MEDLINETA: Acad Radiol

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