The National Ambulatory Medical Care Survey: A resource for understanding the outpatient dermatology treatment

Ahn, Christine S.; Allen, Mary-Margaret; Davis, Scott; Huang, Karen; Fleischer, Alan B.; Feldman, Steven R.

doi:10.3109/09546634.2014.858409

Cited by 23 publications

(15 citation statements)

References 13 publications

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“…All years of data were combined for analysis based on the NAMCS sampling design and weighting scheme, similar to previous studies. 12 - 14 We did not report estimates based on fewer than 30 survey records or that had a standard error ≥30% as they are considered unreliable by NCHS standards.…”

Section: Methodsmentioning

confidence: 99%

Burden of Nasal Polyps in the United States

et al. 2020

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Objective To investigate the clinical and health care burden of chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP) in the United States. Study Design Retrospective, cross-sectional design with analyses of patient visits from 2 databases. Setting National Ambulatory Medical Care Survey (NAMCS, 2012-2016) and State Ambulatory Surgery and Services Databases (SASD, 2012-2015) in available states. Methods In each analysis, we identified patients (≥18 years old) with a diagnosis of CRSwNP ( ICD-9-CM: 471.x; ICD-10-CM: J33.x) in the visit record during the study period. CRS patients without polyps (CRSsNP: ICD-9-CM: 473.x, ICD-10-CM: J32.x; without CRSwNP codes) were identified for comparison. In the SASD, we focused on visits involving relevant sinus procedures. Outcomes included comorbidities, diagnostic testing, and prescribed medication (NAMCS) and surgery visit characteristics (SASD). Results We identified 2272 NAMCS records from physician offices (183 CRSwNP, 2089 CRSsNP). Most visits were for patients aged <65 years (78.8%, 80.6%) and privately insured (67.7%, 61.5%); CRSwNP visits had a male majority (56.3%, 35.4%). CRSwNP vs CRSsNP visits more often reported asthma (40.2%, 10.3%), allergic rhinitis (14.0%, 8.7%), and congestion (22.0%, 21.1%), with the use of glucocorticoids (21.0%, 17.7%) and nasal allergy medication (26.2%, 10.2%). In the SASD, 427,306 surgery visits were identified (71,195 CRSwNP, 356,111 CRSsNP); demographics were similar to NAMCS. CRSwNP surgeries involved more sinus types (59.3%, 41.4%). Surgeries were mostly elective (>99%) and completed quickly (<2 hours), without perioperative complications (>99%), followed by routine discharge (>91%); follow-up visits were common (14.9%, 13.9%). Conclusion CRSwNP compared to CRSsNP patients have a distinct clinical experience, with moderately higher medication need and more extensive surgery.

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Section: Methodsmentioning

confidence: 99%

Burden of Nasal Polyps in the United States

et al. 2020

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“…The NAMCS collects data on outpatient ambulatory non-federally employed US physicians. 5 We analyzed adult acne visits, defined as age ≥25. Since studies claim adult acne among women is increasing, 1 we performed subanalyses on each gender.…”

Section: Methodsmentioning

confidence: 99%

Trends in Ambulatory Health Care Usage for Adult Acne

et al. 2015

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“…The annual survey is conducted by the Division of Health Care Statistics at the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC). The NAMCS surveys a large, generalizable sample of physicians and advanced practitioners and has achieved high response rates of up to 77% [3,4]. Hence, the NAMCS is a valuable resource for understanding trends in outpatient dermatology visits [3].…”

Section: Methodsmentioning

confidence: 99%

“…The NAMCS surveys a large, generalizable sample of physicians and advanced practitioners and has achieved high response rates of up to 77% [3,4]. Hence, the NAMCS is a valuable resource for understanding trends in outpatient dermatology visits [3].…”

Section: Methodsmentioning

confidence: 99%

Why Do Patients in the United States Seek Care from Dermatologists?

Peck

Roberson

Feldman

2022

Dermatol Ther (Heidelb)

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Introduction: While the diagnoses made at visits to the dermatologist are well characterized, the reasons patients visit the dermatologists are not well described. Understanding why patients present to dermatologists could be helpful in identifying patients' unmet needs and developing outreach programs to improve patients' access to care. The purpose of this study is to characterize the reasons why US patients sought medical attention from dermatologists. Methods: We evaluated the National Ambulatory Medical Care Survey (NAMCS) between 2007 and 2018, the most recent years available, to characterize the most common reasons patients visit the dermatologist. Results: Sixty-four thousand records were identified in the NAMCS estimating 1.55 billion visits to the dermatologist in the US during the study period. The most common reasons for visits were skin examination (7.8%), skin lesion (7.5%), and discoloration/abnormal pigmentation (7.3%). For patients B 18 years, the most common reasons for visits were acne (28%), warts (7.7%), and skin rash (6.4%). For patients 19-65 years and C 66 years, skin examinations (7.7%) and skin lesions (10%) were the most common reasons for visits to dermatologists, respectively. Conclusion: By identifying the most common reasons for visits to the dermatologist, we can improve our understanding of a patient's needs and appropriate health outreach resources to improve patients' access to care.

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The National Ambulatory Medical Care Survey: A resource for understanding the outpatient dermatology treatment

Cited by 23 publications

References 13 publications

Burden of Nasal Polyps in the United States

Burden of Nasal Polyps in the United States

Trends in Ambulatory Health Care Usage for Adult Acne

Why Do Patients in the United States Seek Care from Dermatologists?

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