Spending on vascular care not tied to amputation reduction

Spending on vascular care not tied to amputation reduction

(HealthDay)—There are significant regional differences in spending on vascular care in patients who ultimately need amputation for severe peripheral arterial disease, according to a study published online Nov. 20 in JAMA Surgery.

Philip P. Goodney, M.D., from the Dartmouth-Hitchcock Medical Center in Lebanon, N.H., and colleagues retrospectively analyzed data on 18,463 U.S. Medicare patients who underwent a major -related amputation from 2003 to 2010. Data were correlated to price-adjusted Medicare spending on and related vascular care in the year before amputation, across hospital referral regions.

The researchers found that among patients undergoing an amputation, 64 percent were admitted to the hospital in the previous year for revascularization, wound-related care, or both. Including the year before amputation, the mean cost of inpatient care (including the amputation procedure itself) was $22,405, but ranged significantly from $11,077 (Bismarck, N.D.) to $42,613 (Salinas, Calif.) (P < 0.001). Vascular procedures were significantly more likely to be performed in patients in high-spending regions, both in crude analyses (P < 0.001) and in risk-adjusted analyses (P < 0.001). While revascularization was associated with higher spending (P < 0.001), higher spending was not associated with lower regional amputation rates (P = 0.06).

"There is little evidence that higher regional spending is associated with lower rates," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Study examines impact of minimally invasive surgery

Mar 21, 2013

(HealthDay)—For specific types of surgery, minimally invasive procedures correlate with significantly lower health plan spending and fewer days of absence from work, compared with standard surgery, according ...

Gritti-Stokes amputations beneficial for trauma patients

Apr 24, 2012

(HealthDay) -- The Gritti-Stokes amputation procedure is beneficial and appears to be safe for patients in a trauma setting, according to a study published in the April 4 issue of The Journal of Bone & Jo ...

Recommended for you

New algorithm will allow better heart surgery

1 hour ago

A new technique to help surgeons find the exact location of heart defects could save lives, help them to treat patients more effectively and save health service cash.

Hard search for less invasive brain surgery leads to eyelid

16 hours ago

Doctor after doctor said removing the tumor causing Pamela Shavaun Scott's unrelenting headaches would require cutting open the top of her skull and pushing aside her brain. Then one offered a startling shortcut—operating ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.