Regional practice patterns for retinal detachment repair in the United States.

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.

journal_name

Am J Ophthalmol

authors

Hwang JC

doi

10.1016/j.ajo.2011.11.034

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

1125-8

issue

6

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(11)00930-5

journal_volume

153

pub_type

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