@article{JTD26524,
author = {Joseph D. Phillips and Ian C. Bostock and Rian M. Hasson and Philip P. Goodney and David C. Goodman and Timothy M. Millington and David J. Finley},
title = {National practice trends for the surgical management of lung cancer in the CMS population: an atlas of care},
journal = {Journal of Thoracic Disease},
volume = {11},
number = {Suppl 4},
year = {2019},
keywords = {},
abstract = {Background: Video-assisted thoracoscopic surgery (VATS) has been established as a safe and effective alternative to an open approach for the treatment of early-stage lung cancer. Despite this, differences in utilization across the nation are present. The aims of this study were to: (I) characterize trends in the use of open surgery and VATS for the management of lung cancer across the United States, and (II) describe if particular regions of the country utilize minimally invasive surgery more frequently.
Methods: We studied all Medicare beneficiaries from the ages of 65 to 99 years with full Part A and B coverage and no HMO coverage for the years of 2006 and 2014 (the most recent year available at the time of this analysis). Beneficiaries with a diagnosis of lung cancer (ICD-9 codes: 162.0 162.2 162.3 162.4 162.5 162.8 162.9) were selected. Rates of thoracoscopic surgery (CPT codes: 32663, 32666, 32667, 32668, 32669, 32670, 32671) and open lung resections (32505, 32506, 32507, 32608, 32440, 32442, 32445, 32480, 32482, 32484, 32486, 32488) were calculated by year and region. Rates in 2006 and 2014 with descriptive statistics and a univariate analysis were performed using Student’s t-test and chi-square, as appropriate. A two-sided P value },
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/26524}
}