Regional practice patterns for retinal detachment repair in the United States.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 22321800.
- Also identified by DOI 10.1016/j.ajo.2011.11.034.
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Abstract
To determine if there are variations in regional practice patterns for retinal detachment repair in the United States. Retrospective, noninterventional, cross-sectional study. 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. 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). 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.
Medical subject headings
- Cryosurgery
- Ophthalmology
- Practice Patterns, Physicians'
- Retinal Detachment
- Scleral Buckling
- Vitrectomy