Publications by authors named "K Renfree"

Article Synopsis
  • The study aimed to assess trends in the use and reimbursement of open carpal tunnel release (OCTR) and endoscopic carpal tunnel release (ECTR) surgeries among Medicare patients from 2013 to 2021.
  • Results showed a notable increase in ECTR utilization (50%) compared to OCTR (6%), with regional differences in usage and reimbursement amounts; the Midwest had the highest OCTR usage but lowest ECTR usage.
  • Despite the increased utilization of both procedures, reimbursement rates fell (10.3% for OCTR and 11.8% for ECTR), and the patient demographics revealed fewer patients with serious comorbidities or dual Medicare-Medicaid coverage, suggesting stricter criteria for surgery eligibility
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Background: The goal of this study was to evaluate differences in carpal tunnel release volume, reimbursement, practice styles, and patient populations between male and female surgeons from 2013 to 2021.

Materials And Methods: The Medicare Physician & Other Practitioners database was queried from 2013 to 2021. Procedure volume, reimbursement, surgeon information, and patient demographic characteristics were collected for any surgeon who performed at least 10 open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR) procedures that year.

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 Patients often turn to online reviews as a source of information to inform their decisions regarding care. Existing literature has analyzed factors associated with positive online patient ratings among hand and wrist surgeons. However, there is limited in-depth analysis of factors associated with low patient satisfaction for hand and wrist surgeons.

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Background: Carpal Tunnel Syndrome (CTS) is associated with a significant personal and societal burden. Evaluating access to care can identify barriers, limitations, and disparities in the delivery of healthcare services in this population. The purpose of this study was to evaluate access to overall healthcare and healthcare utilization among patients with CTS.

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Purpose: The need to include simultaneous carpal tunnel release (sCTR) with forearm fasciotomy for acute compartment syndrome (ACS) or after vascular repair is unclear. We hypothesized that sCTR is more common when: 1) fasciotomies are performed by orthopedic or plastic surgeons, rather than general or vascular surgeons; 2) ACS occurred because of crush, blunt trauma, or fractures rather than vascular/reperfusion injuries; 3) elevated compartment pressures were documented. We also sought to determine the incidence of delayed CTR when not performed simultaneously.

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