作者: Hugh F. Huizenga , Scott D. Ramsey , Richard K. Albert
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摘要: Objective To estimate the number of lung volume reduction surgery procedures performed on Medicare enrollees from 1994 to 1996. Design Statistical analysis national claims data. Patients All with emphysema having records for pulmonary resection January 1, 1993, through December 31, Main outcome measure Estimated per month July Results An estimated 1,212 were between and 1995 (95% confidence interval, 1,012 1,408). Nearly one half these in last 3 months 1995. At time Health Care Financing Administration announced that it would suspend reimbursement procedure (December 1995), was being 37 states. The decreased a peak 169 1995, 11 March Average $31,398. Conclusions Lung patients increased rapidly following its reintroduction 1994. growth demonstrates widespread adoption utilization surgical can occur absence data controlled clinical trials. expenditures an $30 million $50 million. Performing all current who meet appropriate criteria cost $1 billion.