Surgical Treatment of Nonmelanoma Skin Cancer in the Medicare Population

Manternach, Tasha; Housman, Tamara Salam; Williford, Phillip M.; Teuschler, Hoa; Fleischer, Alan B.; Feldman, Steven R.; chen, G. John

doi:10.1111/j.1524-4725.2003.29381.x

Cited by 27 publications

(26 citation statements)

References 13 publications

(15 reference statements)

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“…26 Physician office settings also offered the lowest cost per episode of care at $492. 26 The next 2 studies by Manternach et al 27 and Chen et al 28 provide information regarding NMSC treatments based on specialty. Inpatient settings provided the highest cost of episode per care at $5520.…”

Section: Cost Comparisons Based On Care Settings and Physician Specialtymentioning

confidence: 99%

“…27 The physicians who performed the surgical interventions included dermatologists, plastic surgeons, general surgeons, and other specialties. 27 The physicians who performed the surgical interventions included dermatologists, plastic surgeons, general surgeons, and other specialties.…”

Section: Cost Comparisons Based On Care Settings and Physician Specialtymentioning

confidence: 99%

“…27 The physicians who performed the surgical interventions included dermatologists, plastic surgeons, general surgeons, and other specialties. 27 Dermatologists managed 82% of the NMSC episodes and used a wider range of treatment options than other specialists. 27 Dermatologists managed 82% of the NMSC episodes and used a wider range of treatment options than other specialists.…”

Section: Cost Comparisons Based On Care Settings and Physician Specialtymentioning

confidence: 99%

“…27 Surgical procedures performed included biopsy, excision, destruction, and MMS. 27 Dermatologists performed 95% of the destructions, 90% of the biopsies, 56% of the excisions, and 100% of the MMS ( Figure 1). 27 Dermatologists performed 95% of the destructions, 90% of the biopsies, 56% of the excisions, and 100% of the MMS ( Figure 1).…”

Section: Cost Comparisons Based On Care Settings and Physician Specialtymentioning

confidence: 99%

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The Economic Impact of Non-Melanoma Skin Cancer: A Review

Mudigonda¹,

Pearce²,

Yentzer³

et al. 2010

J Natl Compr Canc Netw

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112

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Non-melanoma skin cancer (NMSC) is the most common cancer in the United States. Cost of NMSC care primarily depends on 2 factors: care settings and treatment modalities. However, the cost efficacy of NMSC care has been insufficiently addressed in previous literature. Therefore, this article evaluates available research on the cost implications to compare the costs associated with treatment within different care settings and specialties involved, and to assess the costs of different treatment modalities with respect to procedure type, tumor size, and tumor location. This evaluation showed that physician-office settings provided the lowest cost per episode of care ($492) and were the dominant setting for NMSC care; dermatologists managed most NMSC episodes and used a wider range of treatment options than other specialists. Regarding treatment modalities, Mohs micrographic surgery was shown to be similar in cost to traditional surgical excision with permanent sections and was less costly than excision with frozen sections. Electrodessication and curettage and imiquimod were also reported to be inexpensive treatments. Furthermore, a positive correlation was seen between cost and tumor size for any particular treatment modality. Given these comparisons, and the rising incidence of NMSC and potential legislative measures to regulate office-based procedures, it is important to preserve the low-cost management of this disease.

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Section: Cost Comparisons Based On Care Settings and Physician Specialtymentioning

confidence: 99%

Section: Cost Comparisons Based On Care Settings and Physician Specialtymentioning

confidence: 99%

Section: Cost Comparisons Based On Care Settings and Physician Specialtymentioning

confidence: 99%

Section: Cost Comparisons Based On Care Settings and Physician Specialtymentioning

confidence: 99%

See 2 more Smart Citations

The Economic Impact of Non-Melanoma Skin Cancer: A Review

Mudigonda¹,

Pearce²,

Yentzer³

et al. 2010

J Natl Compr Canc Netw

Self Cite

112

View full text Add to dashboard Cite

show abstract

“…There are large differences in the approaches used by physicians in different specialties to manage NMSC (7). Differences in training in and familiarity with different modes of NMSC treatment may affect proficiency in NMSC treatment.…”

Section: Introductionmentioning

confidence: 96%