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What is the level of evidence substantiating the Medicare local coverage determinations?

Identifieur interne : 000224 ( Main/Exploration ); précédent : 000223; suivant : 000225

What is the level of evidence substantiating the Medicare local coverage determinations?

Auteurs : Antonia F. Chen [États-Unis] ; Michael R. Bloomfield [États-Unis] ; Paul M. Lichstein [États-Unis] ; Adolph J. Yates [États-Unis] ; Matthew S. Austin [États-Unis]

Source :

The Journal of arthroplasty [ 1532-8406 ] ; 2015.

RBID : pubmed:25456638

Descripteurs français

KwdFr :
- Arthroplastie prothétique, Femelle, Floride, Humains, Maladies articulaires (), Maladies articulaires (diagnostic), Medicare (USA) (économie), Mâle, Médecine factuelle, Sujet âgé, États-Unis d'Amérique, Études rétrospectives.
MESH :
- diagnostic : Maladies articulaires.
- économie : Medicare (USA).
- Arthroplastie prothétique, Femelle, Floride, Humains, Maladies articulaires, Mâle, Médecine factuelle, Sujet âgé, États-Unis d'Amérique, Études rétrospectives.
Wicri :
- geographic : États-Unis.

English descriptors

KwdEn :
- Aged, Arthroplasty, Replacement, Evidence-Based Medicine, Female, Florida, Humans, Joint Diseases (diagnosis), Joint Diseases (surgery), Joint Diseases (therapy), Male, Medicare (economics), Retrospective Studies, United States.
MESH :
- geographic : Florida, United States.
- diagnosis : Joint Diseases.
- economics : Medicare.
- surgery : Joint Diseases.
- therapy : Joint Diseases.
- Aged, Arthroplasty, Replacement, Evidence-Based Medicine, Female, Humans, Male, Retrospective Studies.

Abstract

Total joint arthroplasty (TJA) accounts for large expenditures of Medicare resources. Recovery audit contractors (RACs) utilize Local Coverage Determinations (LCDs) documents to retrospectively assess the medical necessity of performed procedures. The Florida LCD requires 3 months of documented unsuccessful nonoperative care prior to TJA. The purpose of our study was to evaluate the applicability and quality of the evidence cited in the Florida LCD for patients undergoing TJA. Applicability was assessed by evaluating the efficacy of nonoperative treatment in candidates for TJA. There were 23 citations, of which 11 mentioned nonoperative treatment and only 5 provided references. No citations provided Level I or II evidence substantiating the effectiveness of 3 months of nonoperative treatment in patients who would otherwise be candidates for TJA.

DOI: 10.1016/j.arth.2014.10.003
PubMed: 25456638

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en">Total joint arthroplasty (TJA) accounts for large expenditures of Medicare resources. Recovery audit contractors (RACs) utilize Local Coverage Determinations (LCDs) documents to retrospectively assess the medical necessity of performed procedures. The Florida LCD requires 3 months of documented unsuccessful nonoperative care prior to TJA. The purpose of our study was to evaluate the applicability and quality of the evidence cited in the Florida LCD for patients undergoing TJA. Applicability was assessed by evaluating the efficacy of nonoperative treatment in candidates for TJA. There were 23 citations, of which 11 mentioned nonoperative treatment and only 5 provided references. No citations provided Level I or II evidence substantiating the effectiveness of 3 months of nonoperative treatment in patients who would otherwise be candidates for TJA.</div>
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What is the level of evidence substantiating the Medicare local coverage determinations?

What is the level of evidence substantiating the Medicare local coverage determinations?

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

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Pour générer des pages wiki

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