经皮肺肿块热消融和冷冻消融与亚叶肺切除术的比较：2012年至2021年的医疗保险趋势

IF 1.5 4区医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical Imaging Pub Date : 2025-05-28 DOI:10.1016/j.clinimag.2025.110523

Ricardo Martinez Garcia , Rajoo Dhangana , Will S. Lindquester

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引用次数: 0

摘要

目的分析经皮肺肿块消融术与肺叶下肺切除术的医疗保险用量和应用趋势。方法使用现行程序术语（CPT）代码提取2012年至2021年医疗保险B部分医师/供应商程序摘要中关于经皮肺热消融（射频（RFA）和微波）和冷冻消融以及开放和视频辅助胸腔镜（VATS）亚叶肺切除术的索赔。结果在医保受益人中，肺肿块消融术的数量从2012年的601例（仅热消融术）减少到2021年的466例（240例RFA和226例冷冻消融术）。肺肿块消融的使用率从2012年的每10万医保受益人1.18例（仅RFA）下降到2021年的每10万受益人0.74例（热消融0.38例，冷冻消融0.36例）。自2018年启动肺部冷冻消融CPT代码以来，数量从192例增加到2021年的226例。在研究期间，开放式叶下肺切除术的数量显著减少，从2012年的8114例（每10万医疗保险受益人15.96例）减少到2021年的2668例（每10万医疗保险受益人4.26例）。VATS亚叶肺切除术的数量从2012年的14,279例增加到2021年的15,978例，但由于医疗保险参保人数的增加，每10万名医疗保险受益人的利用率从28.09例下降到25.52例。结论2012 - 2021年全经皮肺肿块消融的低使用率有所下降。然而，自2018年以来，经皮冷冻消融的小容量有所增长。

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Percutaneous thermal and cryoablation of lung masses compared to sub-lobar lung resection: Medicare trends from 2012 to 2021

Objective

To analyze trends in Medicare volume and utilization for percutaneous ablation of lung masses compared to sub-lobar surgical lung resection.

Methods

Claims from the Medicare Part B Physician/Supplier Procedure Summary from 2012 to 2021 were extracted using Current Procedural Terminology (CPT) codes for percutaneous lung thermal ablation (radiofrequency (RFA) and microwave) and cryoablation as well as open and Video Assisted Thoracoscopic (VATS) sub-lobar lung resection.

Results

The volume of lung mass ablation decreased from 601 cases (thermal ablation only) in 2012 to 466 cases (240 RFA and 226 cryoablation) in 2021 amongst Medicare beneficiaries. Utilization of lung mass ablation decreased from 1.18 procedures (RFA only) per 100,000 Medicare beneficiaries in 2012 to 0.74 procedures (0.38 for thermal ablation and 0.36 for cryoablation) per 100,000 beneficiaries in 2021.

From the inception of the CPT code for lung cryoablation in 2018, the volume increased from 192 to 226 procedures in 2021.

The volume for open sub-lobar lung resection decreased markedly over the study period, decreasing from 8114 procedure (15.96 per 100,000 Medicare beneficiaries) in 2012 to 2668 procedure (4.26 per 100,000 Medicare beneficiaries) in 2021. The volume of VATS sub-lobar lung resection increased from 14,279 procedures in 2012 to 15,978 procedures in 2021, but utilization per 100,000 Medicare beneficiaries decreased from 28.09 to 25.52 due to growth in Medicare enrollees.

Conclusion

Very low utilization of all percutaneous ablation of lung masses decreased from 2012 to 2021. Nevertheless, the low volume of percutaneous cryoablation has grown since 2018.

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来源期刊

Clinical Imaging 医学-核医学

CiteScore

4.60

自引率

0.00%

发文量

265

审稿时长

35 days

期刊介绍： The mission of Clinical Imaging is to publish, in a timely manner, the very best radiology research from the United States and around the world with special attention to the impact of medical imaging on patient care. The journal''s publications cover all imaging modalities, radiology issues related to patients, policy and practice improvements, and clinically-oriented imaging physics and informatics. The journal is a valuable resource for practicing radiologists, radiologists-in-training and other clinicians with an interest in imaging. Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties, which include: -Body Imaging- Breast Imaging- Cardiothoracic Imaging- Imaging Physics and Informatics- Molecular Imaging and Nuclear Medicine- Musculoskeletal and Emergency Imaging- Neuroradiology- Practice, Policy & Education- Pediatric Imaging- Vascular and Interventional Radiology