Evidence map›Paper›PMID 37425438›Full record

ArticleJTCVS open2023

Surgical markup in lung cancer resection, 2015-2020.

Eric Robinson, Parth Trivedi, Sean Neifert, Omeko Eromosele, Benjamin Y Liu, Brian Housman, Ilkka Ilonen, Emanuela Taioli, Raja Flores

Abstract read
In one paragraph

Article in JTCVS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Eric RobinsonDepartment of Thoracic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY.
Parth TrivediDepartment of Thoracic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY.
Sean NeifertDepartment of Thoracic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY.
Omeko EromoseleDepartment of Thoracic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY.
Benjamin Y LiuDepartment of Thoracic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY.
Brian HousmanDepartment of Thoracic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY.
Ilkka IlonenHeart and Lung Center, Helsinki University Hospital, Helsinki, Finland.
Emanuela TaioliDepartment of Thoracic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY.
Raja FloresDepartment of Thoracic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The objective of this study was to assess procedure markup (charge-to-cost ratio) across lung resection procedures and examine variability by geographic region. Methods: Provider-level data for common lung resection operations was obtained from the 2015 to 2020 Medicare Provider Utilization and Payment Data datasets using Healthcare Common Procedure Coding System codes. Procedures studied included wedge resection; video-assisted thoracoscopic surgery; and open lobectomy, segmentectomy, and mediastinal and regional lymphadenectomy. Procedure markup ratio and coefficient of variation (CoV) was assessed and compared across procedure, region, and provider. The CoV, a measure of dispersion defined as the ratio of the SD to the mean, was likewise compared across procedure and region. Results: Median markup ratio across all procedures was 3.56 (interquartile range, 2.87-4.59) with right skew (mean, 4.13). Median markup ratio was 3.59 for lymphadenectomy (CoV, 0.51), 3.13 for open lobectomy (CoV, 0.45), 3.55 for video-assisted thoracoscopic surgery lobectomy (CoV, 0.59), 3.77 for segmentectomy (CoV, 0.74), and 3.80 for wedge resection (CoV, 0.67). Increased beneficiaries, services, and Healthcare Common Procedure Coding System score (total) were associated with a decreased markup ratio ( Conclusions: We observe geographic variation in surgical billing for thoracic surgery.

Indexed as

healthcare policylung cancerMedicare

Identifiers

PMID37425438
PMCPMC10329030

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.