Senior Podiatrists in Solo Practice are High Performers of Nail Excisions.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-05-01 DOI:10.7547/22-063
Gabrielle M Rivin, Tracey C Vlahovic, Rachel C Hill, Alan B Fleischer, Shari R Lipner
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引用次数: 0

Abstract

Background: Nail excisions are indicated for onychocryptosis and nail spicules. They are technically demanding and require a refined skill set. We aimed to characterize practice patterns of US providers performing nail excisions.

Methods: We conducted a retrospective analysis of Medicare provider use and payment data, part D, for all claims of partial or complete nail/nail matrix excision with/without nail plate removal/destruction (current procedural terminology code 11750). High performers were defined as providers performing annual nail excisions 2 standard deviations above the mean. We analyzed demographic risk factors for nail excision high performers, including practice location, years of experience, household median income, practice type, and provider gender. Statistical analysis was conducted in SAS v9.4, with values of P < .05 considered statistically significant.

Results: Providers (n = 32,279) and high performers (n = 942) performed mean 34.7 and 173 nail excisions annually. Unsurprisingly, podiatrists constituted 99.7% of all nail excision performers. Providers in the South versus Midwest and Northeast were more often nail excision high performers (odds ratio [OR], 1.95; P < .0001, and OR, 1.46; P < .0001). Solo versus group practitioners were more likely, respectively, to be nail excision high performers (OR, 2.15; P < .0001). With linear regression analysis, for every 10-year increase in years of provider experience, there was an increase of 1.2 nail excisions annually per provider (P < .0001). For every $100,000 increase in household median income of practice location, there was a decrease of 9.9 nail excisions annually per provider.

Conclusions: Southern podiatrists, podiatrists with more years of experience, solo practitioners, and those practicing in regions with lower household median incomes were more likely to perform higher numbers of nail excisions. Identifying performance trends among podiatrists can help podiatrists understand how their performance of nail excisions compares to other podiatrists across the country.

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个人执业的资深足病医生是指甲切除术的高绩效者。
背景:指甲切除术适用于甲沟炎和甲沟炎。这些手术对技术要求很高,需要精湛的技能。我们的目的是了解美国医疗机构实施甲切除术的实践模式:我们对联邦医疗保险(Medicare)D 部分医疗机构的使用和支付数据进行了回顾性分析,这些数据涉及部分或全部指甲/甲基质切除术,同时/不包括甲板切除/破坏(当前程序术语代码 11750)。高绩效者的定义是每年进行的指甲切除术高于平均值 2 个标准差的医疗服务提供者。我们分析了甲切除术高绩效者的人口统计学风险因素,包括执业地点、从业年限、家庭收入中位数、执业类型和提供者性别。统计分析在 SAS v9.4 中进行,P < .05 为具有统计学意义:医疗服务提供者(n = 32,279 人)和高绩效者(n = 942 人)每年平均进行 34.7 次和 173 次指甲切除术。不出所料,足科医生占所有甲切除术实施者的 99.7%。与中西部和东北部相比,南部地区的医生更常进行指甲切除术(几率比 [OR],1.95;P < .0001;OR,1.46;P < .0001)。个人执业医师和团体执业医师分别更有可能成为指甲切除术的高绩效者(OR,2.15;P < .0001)。通过线性回归分析,医疗服务提供者的从业年限每增加 10 年,每位医疗服务提供者每年的指甲切除手术量就会增加 1.2 例(P < .0001)。执业地点的家庭收入中位数每增加 100,000 美元,每位医疗人员每年的指甲切除数量就会减少 9.9 例:结论:南方足科医生、经验丰富的足科医生、个体开业者以及家庭收入中位数较低地区的开业者更有可能实施较多的指甲切除术。确定足科医生的业绩趋势有助于足科医生了解他们的指甲切除业绩与全国其他足科医生相比如何。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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