National Trends in Inferior Vena Cava Filter Placement and Retrieval Procedures in the Medicare Population Over Two Decades

Journal of the American College of Radiology : JACR
Elizabeth MorrisAndrew B Rosenkrantz

Abstract

To assess trends in inferior vena cava (IVC) filter placement and retrieval procedures in Medicare beneficiaries over the last two decades. Using Physician/Supplier Procedure Summary Master Files from 1994 through 2015, we calculated utilization rates for IVC filter placement and retrieval procedures in Medicare fee-for-service beneficiaries. Services were stratified by provider specialty group and site of service. IVC filter placement rates increased from 1994 to 2008 (from 65.0 to 202.1 per 100,000 beneficiaries, compound annual growth rate [CAGR] +8.4%) and then decreased to 128.9 by 2015 (CAGR -6.2%). This decrease was observed across all specialty groups and sites of service. From 1994 to 2015, placement procedure market share increased for radiologists (from 45.1% to 62.7%) and cardiologists (from 2.5% to 6.7%) but decreased for surgeons (from 46.6% to 27.9%). Overall, procedures shifted slightly from the inpatient (from 94.5% to 86.5% of all procedures) to outpatient hospital (from 4.9% to 14.9%) settings. Between 2012 and 2015, retrieval rates increased from 12.0 to 17.7 (CAGR +13.9%). Retrievals as a percentage of placement procedures were similar across specialties in 2015 (range 13.0%-13.8%). Despite prior dramatic g...Continue Reading

Citations

Apr 2, 2019·AJR. American Journal of Roentgenology·Divya KishoreRichard Duszak
Sep 19, 2019·AJR. American Journal of Roentgenology·Andrew B RosenkrantzRichard Duszak
Apr 11, 2019·Abdominal Radiology·Andrew B RosenkrantzRichard Duszak
Dec 17, 2019·JRSM Cardiovascular Disease·Carlos A PadulaBeau B Toskich
Oct 10, 2020·AJNR. American Journal of Neuroradiology·S AsnafiJ W Allen
Nov 19, 2020·AJR. American Journal of Roentgenology·Andrew KesselmanDavid Trost
Aug 3, 2020·Journal of Vascular and Interventional Radiology : JVIR·Ahmed-Zayn MohamedGlenn Hoots
Jul 30, 2020·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Tommy IvanicsJudith C Lin
Mar 28, 2021·Journal of Cardiovascular Electrophysiology·Kuldeep ShahNishaki Kiran Mehta
Jun 19, 2021·Expert Review of Hematology·Anil PillaiSanjeeva P Kalva
Aug 21, 2021·Journal of Vascular and Interventional Radiology : JVIR·Elizabeth Von EndeMina S Makary

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