Medicare Trends in Auricular Cartilage and Composite Graft Utilization Among Mohs Surgeons and Other Specialists From 2013 to 2022.

IF 2.5 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2025-05-19 DOI:10.1097/DSS.0000000000004695

Samantha S Sattler, Andrea Tan, Jordan B Slutsky

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引用次数: 0

Abstract

Background: Cartilage and composite grafts are technically challenging yet remain valuable reconstruction methods in Mohs surgery. The frequency of utilization by Mohs surgeons is currently unknown.

Objective: To determine the frequency of auricular cartilage and composite graft utilization by Mohs surgeons compared with other specialists treating the Medicare population and to quantify total Mohs surgeons using these grafts.

Materials and methods: A cross-sectional analysis was performed using the Medicare Public Use Files from 2013 through 2022.

Results: Of all Mohs surgeons billing Medicare from 2013 through 2022, a total of 7.95% (278/3498) used auricular cartilage grafts and 0.09% (3/3498) used composite grafts. Mohs surgeons performed their highest number of auricular cartilage grafts in 2015 (419/1563, 26.8%) and their lowest in 2020 (249/1160, 21.5%). Mohs surgeons performed 100% of all Medicare composite grafts in 2018 (17/17) and 2022 (19/19) and none in 2017, 2019, or 2021. Mohs surgeons performed the most composite grafts (125/343, 36.4%) across all specialties. The only specialty surpassing Mohs surgery (3345/14303, 23.4%) in auricular cartilage graft usage was otolaryngology (6371/14303, 44.5%).

Conclusion: Auricular cartilage grafts are used more often than composite grafts. Mohs surgeons comprise a large subset of specialists using both, underscoring their utility in Mohs reconstruction.

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从2013年到2022年，Mohs外科医生和其他专家耳廓软骨和复合移植物使用的医疗保险趋势。

背景：软骨和复合移植物在技术上具有挑战性，但仍然是莫氏手术中有价值的重建方法。莫氏外科医生使用的频率目前尚不清楚。目的：比较Mohs外科医生与其他治疗医保人群的专家使用耳廓软骨和复合移植物的频率，并量化Mohs外科医生使用这些移植物的总数。材料和方法：使用2013年至2022年的医疗保险公共使用文件进行横断面分析。结果：从2013年到2022年，在所有Mohs外科医生中，共有7.95%（278/3498）使用耳廓软骨移植，0.09%（3/3498）使用复合移植。Mohs外科医生的耳软骨移植数量在2015年最多（419/1563,26.8%），在2020年最少（249/1160,21.5%）。Mohs外科医生在2018年（17/17）和2022年（19/19）执行了100%的医疗保险复合移植物，而在2017年、2019年或2021年没有。莫氏外科医生在所有专科中进行复合移植最多（125/343,36.4%）。耳廓软骨移植使用率超过莫氏外科（3345/14303,23.4%）的唯一专科是耳鼻喉科（6371/14303,44.5%）。结论：耳廓软骨移植比复合软骨移植应用更广泛。莫氏手术的外科医生包括大量使用这两种方法的专家，强调了他们在莫氏重建中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.