Cargando…

Demographic Trends in Paddle Lead Spinal Cord Stimulator Placement: Private Insurance and Medicare Beneficiaries

OBJECTIVE: Although spinal cord stimulators (SCS) continue to gain acceptance as a viable nonpharmacologic option for the treatment of chronic back pain, recent trends are not well established. The aim of this study was to evaluate recent overall demographic and regional trends in paddle lead SCS pl...

Descripción completa

Detalles Bibliográficos
Autores principales: Labaran, Lawal, Bell, Joshua, Puvanesarajah, Varun, Jain, Nikhil, Aryee, Jomar N., Raad, Micheal, Jain, Amit, Carmouche, Jonathan, Hassanzadeh, Hamid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Spinal Neurosurgery Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338957/
https://www.ncbi.nlm.nih.gov/pubmed/32054146
http://dx.doi.org/10.14245/ns.1938276.138
_version_ 1783554793400172544
author Labaran, Lawal
Bell, Joshua
Puvanesarajah, Varun
Jain, Nikhil
Aryee, Jomar N.
Raad, Micheal
Jain, Amit
Carmouche, Jonathan
Hassanzadeh, Hamid
author_facet Labaran, Lawal
Bell, Joshua
Puvanesarajah, Varun
Jain, Nikhil
Aryee, Jomar N.
Raad, Micheal
Jain, Amit
Carmouche, Jonathan
Hassanzadeh, Hamid
author_sort Labaran, Lawal
collection PubMed
description OBJECTIVE: Although spinal cord stimulators (SCS) continue to gain acceptance as a viable nonpharmacologic option for the treatment of chronic back pain, recent trends are not well established. The aim of this study was to evaluate recent overall demographic and regional trends in paddle lead SCS placement and to determine if differences in trends exist between private-payer and Medicare beneficiaries. METHODS: A retrospective review of Medicare and private-payer insurance records from 2007–2014 was performed to identify patients who underwent a primary paddle lead SCS placement via a laminectomy (CPT-63655). Each study cohort was queried to determine the annual rate of SCS placements and demographic characteristics. Yearly SCS implantation rates within the study cohorts were adjusted per 100,000 beneficiaries. A chi-square analysis was used to compare changes in annual rates. RESULTS: A total of 31,352 Medicare and 2,935 private-payer patients were identified from 2007 to 2014. Paddle lead SCS placements ranged from 5.9 to 17.5 (p < 0.001), 1.9 to 5.9 (p < 0.001), and 5.2 to 14.5 (p < 0.001) placements per 100,000 Medicare, private-payer, and overall beneficiaries respectively from 2007 to 2014. SCS placements peaked in 2013 with 19.6, 7.1, and 16.8 placements per 100,000 Medicare, private-payer, and overall patients. CONCLUSION: There was an overall increase in the annual rate of SCS placements from 2007 to 2014. Paddle lead SCS placements peaked in 2013 for Medicare, private-payer, and overall beneficiaries. The highest incidence of implantation was in the Southern region of the United States and among females. Yearly adjusted rates of SCSs were higher among Medicare patients at all time points.
format Online
Article
Text
id pubmed-7338957
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Korean Spinal Neurosurgery Society
record_format MEDLINE/PubMed
spelling pubmed-73389572020-07-20 Demographic Trends in Paddle Lead Spinal Cord Stimulator Placement: Private Insurance and Medicare Beneficiaries Labaran, Lawal Bell, Joshua Puvanesarajah, Varun Jain, Nikhil Aryee, Jomar N. Raad, Micheal Jain, Amit Carmouche, Jonathan Hassanzadeh, Hamid Neurospine Original Article OBJECTIVE: Although spinal cord stimulators (SCS) continue to gain acceptance as a viable nonpharmacologic option for the treatment of chronic back pain, recent trends are not well established. The aim of this study was to evaluate recent overall demographic and regional trends in paddle lead SCS placement and to determine if differences in trends exist between private-payer and Medicare beneficiaries. METHODS: A retrospective review of Medicare and private-payer insurance records from 2007–2014 was performed to identify patients who underwent a primary paddle lead SCS placement via a laminectomy (CPT-63655). Each study cohort was queried to determine the annual rate of SCS placements and demographic characteristics. Yearly SCS implantation rates within the study cohorts were adjusted per 100,000 beneficiaries. A chi-square analysis was used to compare changes in annual rates. RESULTS: A total of 31,352 Medicare and 2,935 private-payer patients were identified from 2007 to 2014. Paddle lead SCS placements ranged from 5.9 to 17.5 (p < 0.001), 1.9 to 5.9 (p < 0.001), and 5.2 to 14.5 (p < 0.001) placements per 100,000 Medicare, private-payer, and overall beneficiaries respectively from 2007 to 2014. SCS placements peaked in 2013 with 19.6, 7.1, and 16.8 placements per 100,000 Medicare, private-payer, and overall patients. CONCLUSION: There was an overall increase in the annual rate of SCS placements from 2007 to 2014. Paddle lead SCS placements peaked in 2013 for Medicare, private-payer, and overall beneficiaries. The highest incidence of implantation was in the Southern region of the United States and among females. Yearly adjusted rates of SCSs were higher among Medicare patients at all time points. Korean Spinal Neurosurgery Society 2020-06 2020-02-01 /pmc/articles/PMC7338957/ /pubmed/32054146 http://dx.doi.org/10.14245/ns.1938276.138 Text en Copyright © 2020 by the Korean Spinal Neurosurgery Society This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Labaran, Lawal
Bell, Joshua
Puvanesarajah, Varun
Jain, Nikhil
Aryee, Jomar N.
Raad, Micheal
Jain, Amit
Carmouche, Jonathan
Hassanzadeh, Hamid
Demographic Trends in Paddle Lead Spinal Cord Stimulator Placement: Private Insurance and Medicare Beneficiaries
title Demographic Trends in Paddle Lead Spinal Cord Stimulator Placement: Private Insurance and Medicare Beneficiaries
title_full Demographic Trends in Paddle Lead Spinal Cord Stimulator Placement: Private Insurance and Medicare Beneficiaries
title_fullStr Demographic Trends in Paddle Lead Spinal Cord Stimulator Placement: Private Insurance and Medicare Beneficiaries
title_full_unstemmed Demographic Trends in Paddle Lead Spinal Cord Stimulator Placement: Private Insurance and Medicare Beneficiaries
title_short Demographic Trends in Paddle Lead Spinal Cord Stimulator Placement: Private Insurance and Medicare Beneficiaries
title_sort demographic trends in paddle lead spinal cord stimulator placement: private insurance and medicare beneficiaries
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338957/
https://www.ncbi.nlm.nih.gov/pubmed/32054146
http://dx.doi.org/10.14245/ns.1938276.138
work_keys_str_mv AT labaranlawal demographictrendsinpaddleleadspinalcordstimulatorplacementprivateinsuranceandmedicarebeneficiaries
AT belljoshua demographictrendsinpaddleleadspinalcordstimulatorplacementprivateinsuranceandmedicarebeneficiaries
AT puvanesarajahvarun demographictrendsinpaddleleadspinalcordstimulatorplacementprivateinsuranceandmedicarebeneficiaries
AT jainnikhil demographictrendsinpaddleleadspinalcordstimulatorplacementprivateinsuranceandmedicarebeneficiaries
AT aryeejomarn demographictrendsinpaddleleadspinalcordstimulatorplacementprivateinsuranceandmedicarebeneficiaries
AT raadmicheal demographictrendsinpaddleleadspinalcordstimulatorplacementprivateinsuranceandmedicarebeneficiaries
AT jainamit demographictrendsinpaddleleadspinalcordstimulatorplacementprivateinsuranceandmedicarebeneficiaries
AT carmouchejonathan demographictrendsinpaddleleadspinalcordstimulatorplacementprivateinsuranceandmedicarebeneficiaries
AT hassanzadehhamid demographictrendsinpaddleleadspinalcordstimulatorplacementprivateinsuranceandmedicarebeneficiaries