June 2015
Volume 56, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2015
Rates of Vitrectomy Among Enrollees in a United States Managed Care Plan, 2001-2012
Author Affiliations & Notes
  • Thomas J Wubben
    Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
  • Nidhi Talwar
    Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
  • Taylor Blachley
    Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
  • Thomas Gardner
    Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
  • Mark W Johnson
    Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
  • Paul P Lee
    Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
  • Joshua D Stein
    Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
  • Footnotes
    Commercial Relationships Thomas Wubben, None; Nidhi Talwar, None; Taylor Blachley, None; Thomas Gardner, Johnson & Johnson (C), Kalvista (C), NovoNordisk (C); Mark Johnson, None; Paul Lee, CDC (C); Joshua Stein, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 1400. doi:https://doi.org/
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Thomas J Wubben, Nidhi Talwar, Taylor Blachley, Thomas Gardner, Mark W Johnson, Paul P Lee, Joshua D Stein; Rates of Vitrectomy Among Enrollees in a United States Managed Care Plan, 2001-2012. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):1400. doi: https://doi.org/.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose: In recent years, there have been advances in pharmacological treatment options for many retinal diseases, improvements in imaging technology, and improved surgical techniques. Further, better care of diabetes and its complications have reduced overall mortality and the risk of visual impairment. The purpose of this study is to assess whether such advances have impacted rates of vitrectomy surgery over the past decade.

Methods: Claims data from a managed-care network were analyzed on all patients ≥ 21 years old at plan entry between 2001 and 2012. Enrollees who underwent ≥1 pars plana vitrectomy (CPT codes 67036, 67108, 67038, 65260, 67039, 65265, 67040, 67299, 66990, 66850) were identified. Rates of vitrectomy per 1000 enrollees were computed each year from 2001-2012 for the entire group and separately for patients with diabetes mellitus.

Results: During the 12 year period examined, 39,143 vitrectomies on 36,616 enrollees were performed. The average age of those undergoing vitrectomy was 55 ± 15.4 years and the majority were white (79.1%) and male (56.5%). Overall vitrectomy rates increased 17% from 2001 to 2005, peaking at 1.50 per 1000 patients. From 2005 to 2010 vitrectomy rates decreased by 39% such that the rate was 0.91 per 1000 patients in 2010. The rate of vitrectomy among persons with diabetes substantially decreased by 61% from 2002 (5.19 per 1000 patients) to 2012 (2.01 per 1000 patients). The most common indications for vitrectomy were retinal detachment, macular hole/pucker, disorders of the vitreous, and diabetic retinopathy.

Conclusions: There was a substantial decline in utilization of pars plana vitrectomy in this large managed-care network over the course of the past decade. This trend was observed for the overall sample as well as for the subset of enrollees with diabetes. These changes may be explained in part by advances in diabetes care.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×