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Procedures, Visits, and Procedure Costs in the Management of Microbial Keratitis

机译:在微生物角膜炎管理中的程序,访问和程序成本

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摘要

Purpose: To investigate the burden of procedures, visits, and procedure costs in the management of microbial keratitis (MK). Methods: Medical records of patients from an academic hospital outpatient facility between December 2013 and May 2018 were retrospectively reviewed. Patients were included if they were older than the age of 18 years, recruited for study of likely MK, and not concurrently undergoing treatment for other acute eye conditions. For procedural costs, Medicare data for billing were obtained using the Center for Medicare and Medicaid Services Physician Fee Lookup tool. Results: A total of 68 patients were included for analysis. Patients were on average 51.3 years (SD = 19.5), 55.9% women (n = 38), and 89.7% White (n = 61). Per person, the average number of procedures was 2.9 (SD = 4.2). The average number of visits was 13.9 (SD = 9.2) over an average of 26.9 weeks (SD = 24.3). Age (P < 0.0001), positive Gram stain (P = 0.03), and mixed Gram stain (P = 0.002) were positively associated with the number of procedures. Age (P = 0.0003), fungal keratitis (P = 0.02), and mixed Gram stain (P = 0.01) were positively associated with the number of visits. Race was inversely associated with the number of procedures (P = 0.045) and visits (0.03). Patients with bacterial keratitis were more likely to have amniotic membrane grafts (P = 0.01) and tarsorrhaphies (P = 0.03) than fungal patients. Across all procedures performed for the management of MK, the mean cost per patient was $1788.7 (SD = $3324.62). Conclusions: Patients incur many procedural costs and attend many visits during the management of MK. These findings emphasize the importance of patient-provider communication for frequent follow-up care and the potential need to perform procedures for disease management.
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  • 来源
    《Cornea》 |2021年第4期|共5页
  • 作者单位

    Univ Michigan WK Kellogg Eye Ctr Dept Ophthalmol &

    Visual Sci 1000 Wall St Ann Arbor MI 48105;

    Univ Michigan WK Kellogg Eye Ctr Dept Ophthalmol &

    Visual Sci 1000 Wall St Ann Arbor MI 48105;

    Univ Michigan WK Kellogg Eye Ctr Dept Ophthalmol &

    Visual Sci 1000 Wall St Ann Arbor MI 48105;

    Univ Michigan WK Kellogg Eye Ctr Dept Ophthalmol &

    Visual Sci 1000 Wall St Ann Arbor MI 48105;

    Univ Michigan WK Kellogg Eye Ctr Dept Ophthalmol &

    Visual Sci 1000 Wall St Ann Arbor MI 48105;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 眼科学;
  • 关键词

    burden; surgeries; procedures; microbial keratitis;

    机译:负担;手术;程序;微生物角膜炎;

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