FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3033039448> ?p ?o ?g. }

• W3033039448 endingPage "AB110" @default.
• W3033039448 startingPage "AB109" @default.
• W3033039448 abstract "Endoscopic mucosal resection (EMR) is preferred, compared to surgery, for management of complex colon polyps based on reductions in costs and adverse events. However, given the increased time and complexity of this procedure, it is unclear whether reimbursement rates accurately reflect work needed to perform EMR. Our primary aim was to determine the physician reimbursement rate of colon EMR compared to screening colonoscopy. We identified all adult patients who underwent colon EMR at our center over 21-months (3/2018-10/2019). We included patients referred to 1 of 3 EMR specialists for removal of ≥1 large (≥2cm) polyp. Patients undergoing sigmoidoscopy, inpatient colonoscopy, and/or endoscopic submucosal dissection were excluded. 158 patients who underwent EMR were compared to a control group of 158 patients undergoing normal screening colonoscopy over a similar period. For both EMR and screening patients, we abstracted procedure and in-room duration, as well as physician and hospital financial data (collections and charges). For hospital charges, we excluded patients admitted immediately after colonoscopy. The primary outcome was overall endoscopist reimbursement rate, defined as physician collections / procedure duration. We identified 158 patients who underwent EMR that met inclusion criteria (median age 66, 52% female; Table 1). Multiple polyps >2cm were removed in 7% of patients with a total of 169 polyps removed (mean size 29.1mm; range 20 - 90mm). The majority (67%) of polyps were adenomas. Trainees were involved in 42% of cases. There was a significantly greater procedure time among those cases with trainees (59.6 vs. 47.1 min, p=0.0002). We additionally identified a control group of 158 screening colonoscopy patients (median age 51, 66% female). Total procedure time was significantly longer in the EMR group (52.3 ± 21.5 min) compared to the control group (23 ± 6.6 min, p<0.0001). Mean physician collections were significantly greater for EMR ($653.44 ± 466.1) compared to the control group ($465.32 ± 120.9, p <0.0001; Table 2). However, mean physician reimbursement rates (physician collections / procedure minute) were significantly lower in the EMR group ($14.4/min) compared to the control group ($21.9/min, p<0.0001). Exclusion of procedures with trainees did not alter the significant physician reimbursement differences noted between cases and controls. Our study indicates that despite a modest increase in reimbursement for EMR compared to screening colonoscopy, this does not adequately offset the markedly greater EMR procedure times. While charges for EMR and screening colonoscopy appear appropriate, the lower physician reimbursement for EMR creates a financial disincentive to perform EMR. Changes in reimbursement focusing on the increased complexity and procedure times of EMR are needed.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
• W3033039448 created "2020-06-12" @default.
• W3033039448 creator A5007181969 @default.
• W3033039448 creator A5008316821 @default.
• W3033039448 creator A5031428743 @default.
• W3033039448 creator A5084165716 @default.
• W3033039448 creator A5086722265 @default.
• W3033039448 creator A5087225180 @default.
• W3033039448 date "2020-06-01" @default.
• W3033039448 modified "2023-09-25" @default.
• W3033039448 title "1183 ENDOSCOPIC MUCOSAL RESECTION IS INADEQUATELY REIMBURSED COMPARED TO SCREENING COLONOSCOPY" @default.
• W3033039448 doi "https://doi.org/10.1016/j.gie.2020.03.898" @default.
• W3033039448 hasPublicationYear "2020" @default.
• W3033039448 type Work @default.
• W3033039448 sameAs 3033039448 @default.
• W3033039448 citedByCount "0" @default.
• W3033039448 crossrefType "journal-article" @default.
• W3033039448 hasAuthorship W3033039448A5007181969 @default.
• W3033039448 hasAuthorship W3033039448A5008316821 @default.
• W3033039448 hasAuthorship W3033039448A5031428743 @default.
• W3033039448 hasAuthorship W3033039448A5084165716 @default.
• W3033039448 hasAuthorship W3033039448A5086722265 @default.
• W3033039448 hasAuthorship W3033039448A5087225180 @default.
• W3033039448 hasBestOaLocation W30330394481 @default.
• W3033039448 hasConcept C121608353 @default.
• W3033039448 hasConcept C126322002 @default.
• W3033039448 hasConcept C141071460 @default.
• W3033039448 hasConcept C160735492 @default.
• W3033039448 hasConcept C162324750 @default.
• W3033039448 hasConcept C2777137803 @default.
• W3033039448 hasConcept C2778435480 @default.
• W3033039448 hasConcept C2778451229 @default.
• W3033039448 hasConcept C2778866283 @default.
• W3033039448 hasConcept C2779703844 @default.
• W3033039448 hasConcept C2779896975 @default.
• W3033039448 hasConcept C50522688 @default.
• W3033039448 hasConcept C526805850 @default.
• W3033039448 hasConcept C61434518 @default.
• W3033039448 hasConcept C71924100 @default.
• W3033039448 hasConceptScore W3033039448C121608353 @default.
• W3033039448 hasConceptScore W3033039448C126322002 @default.
• W3033039448 hasConceptScore W3033039448C141071460 @default.
• W3033039448 hasConceptScore W3033039448C160735492 @default.
• W3033039448 hasConceptScore W3033039448C162324750 @default.
• W3033039448 hasConceptScore W3033039448C2777137803 @default.
• W3033039448 hasConceptScore W3033039448C2778435480 @default.
• W3033039448 hasConceptScore W3033039448C2778451229 @default.
• W3033039448 hasConceptScore W3033039448C2778866283 @default.
• W3033039448 hasConceptScore W3033039448C2779703844 @default.
• W3033039448 hasConceptScore W3033039448C2779896975 @default.
• W3033039448 hasConceptScore W3033039448C50522688 @default.
• W3033039448 hasConceptScore W3033039448C526805850 @default.
• W3033039448 hasConceptScore W3033039448C61434518 @default.
• W3033039448 hasConceptScore W3033039448C71924100 @default.
• W3033039448 hasIssue "6" @default.
• W3033039448 hasLocation W30330394481 @default.
• W3033039448 hasOpenAccess W3033039448 @default.
• W3033039448 hasPrimaryLocation W30330394481 @default.
• W3033039448 hasRelatedWork W140436568 @default.
• W3033039448 hasRelatedWork W1974508703 @default.
• W3033039448 hasRelatedWork W2060405381 @default.
• W3033039448 hasRelatedWork W2103579100 @default.
• W3033039448 hasRelatedWork W2143929290 @default.
• W3033039448 hasRelatedWork W2186917042 @default.
• W3033039448 hasRelatedWork W2345312722 @default.
• W3033039448 hasRelatedWork W2555159258 @default.
• W3033039448 hasRelatedWork W2556026584 @default.
• W3033039448 hasRelatedWork W2598703366 @default.
• W3033039448 hasVolume "91" @default.
• W3033039448 isParatext "false" @default.
• W3033039448 isRetracted "false" @default.
• W3033039448 magId "3033039448" @default.
• W3033039448 workType "article" @default.