Percutaneous hepatic and renal biopsy procedures: an 18-year analysis of changing utilization, specialty roles, and sites of service

Journal of Vascular and Interventional Radiology : JVIR
Wesley AngelRichard Duszak

Abstract

To evaluate national trends in percutaneous hepatic and renal biopsy procedures with regard to utilization, specialty group roles, and sites of service. Service-specific claims data for percutaneous hepatic and renal biopsy procedures were identified using Medicare Physician Supplier Procedure Summary Master Files for the period 1994-2012. Longitudinal national utilization rates were calculated using annual Medicare enrollment data. Procedure volumes by specialty group and site of service were analyzed. Between 1994 and 2012, the number of hepatic and renal biopsies performed on Medicare Part B beneficiaries increased 22% (from 43,478 to 53,055) and 68% (19,508 to 32,762), respectively. Per 100,000 beneficiaries, the utilization of hepatic and renal biopsy increased 19.6% (from 134.6 to 161.0) and 69.3% (from 60.4 to 102.2). Procedures performed by radiologists disproportionately increased 81% (from 25,484 to 46,181) and 236% (from 6,855 to 23,003), respectively. Although utilization in the inpatient setting declined 28.7% (from 68.2 to 48.6 per 100,000) for hepatic biopsies and 9.4% (from 43.1 to 39.1) for renal biopsies, there were larger concurrent increases of 73.9% (from 59.2 to 103.0) and 303.9% (from 15.1 to 61.0) in uti...Continue Reading

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Citations

Sep 12, 2015·Journal of the American College of Radiology : JACR·C Matthew HawkinsRichard Duszak
May 27, 2015·Journal of the American College of Radiology : JACR·C Matthew HawkinsRichard Duszak
Nov 13, 2019·The American Journal of Gastroenterology·Natascha S SandyMaria Angela Bellomo-Brandao
Oct 12, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·C Matthew Hawkins
Sep 4, 2020·Journal of the American College of Radiology : JACR·Ammar Sarwar, Sharon Kwan
May 23, 2021·Journal of the American College of Radiology : JACR·Elizabeth von EndeMina S Makary
Aug 21, 2021·Journal of Vascular and Interventional Radiology : JVIR·Elizabeth Von EndeMina S Makary

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