Publications by authors named "V A Gill"
Background: Value-based care payment and delivery models such as the recently implemented Merit-based Incentive Payment System (MIPS) aim to both provide better care for patients and reduce costs of care. Gender disparities across orthopaedic surgery, encompassing reimbursement, industry payments, referrals, and patient perception, have been thoroughly studied over the years, with numerous disparities identified. However, differences in MIPS performance based on orthopaedic surgeon gender have not been comprehensively evaluated.
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- 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
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.
Article Synopsis
- The audit aimed to assess and improve the completeness and accuracy of the National Joint Registry (NJR) dataset specifically for elbow arthroplasty surgeries.
- In a two-phase approach, Phase 1 compared NJR data with NHS England Hospital Episode Statistics (HES), identifying thousands of unmatched and inaccurate records, particularly for radial head arthroplasties (RHAs).
- Phase 2 involved collaboration among 142 NHS hospitals to correct and update records, resulting in an improved completeness of the NJR dataset from 63% to 93% and accuracy from 94% to 98%.
Background: Balloon-assisted enteroscopy (BAE) (both single- and double-balloon enteroscopy) has garnered attention in the treatment of small intestine strictures in patients with Crohn's disease (CD). This study aimed to evaluate the pooled clinical outcomes of BAE-mediated endoscopic dilation of small intestine strictures in patients with CD.
Methods: We searched multiple databases for articles reporting outcomes following BAE for small intestinal strictures in patients with CD.