Evidence map›Paper›PMID 38587981›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2024

An analysis of benign prostatic hyperplasia surgical treatment reimbursement trends across Canada Examining provincial changes over the recent decade with comparison to cost of living changes.

Anindyo Chakraborty, Dean Elterman, Nicholas Corsi, David Bouhadana, Gregory Bailly, Premal Patel, Rowen McLellan, Liam Hickey, Daniel Costa, Matthew Andrews and 7 more

Abstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

17 authors.

Anindyo ChakrabortyFaculty of Medicine and Health Sciences, McGill University, Montreal, QC; Canada.
Dean EltermanDivision of Urology, University Health Network, University of Toronto, Toronto, ON, Canada.
Nicholas CorsiWayne State University School of Medicine, Detroit, MI, United States.
David BouhadanaDivision of Urology, McGill University, Montreal, QC, Canada.
Gregory BaillyDepartment of Urology, Dalhousie University, Halifax, NS, Canada.
Premal PatelSection of Urology, University of Manitoba, Winnipeg, MB, Canada.
Rowen McLellanDepartment of Urology, Dalhousie University, Halifax, NS, Canada.
Liam HickeyDepartment of Urology, Dalhousie University, Halifax, NS, Canada.
Daniel CostaDivision of Urology, Queen Elizabeth Hospital, Charlottetown, PEI, Canada.
Matthew AndrewsDivision of Urology, Memorial University, St. John's, NL, Canada.
Howard EvansDivision of Urology, University of Alberta, Edmonton, AB, Canada.
Connor M ForbesDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Hazem ElmansyDepartment of Urology, Northern Ontario School of Medicine, Thunder Bay, ON, Canada.
Malek MeskawiDepartment of Urology, Université de Montréal, Montreal, QC, Canada.
Naeem BhojaniDepartment of Urology, Université de Montréal, Montreal, QC, Canada.
Bilal ChughtaiDepartment of Urology, Weill Cornell Medicine, New York, NY, United States.
Kevin C ZornDepartment of Urology, Université de Montréal, Montreal, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA variety of procedures for the endoscopic surgical treatment of symptomatic benign prostatic hyperplasia (BPH) refractory to medical therapy have existed for decades. The present study examined trends in surgeon compensation for these treatments within Canada.

methodsThe physician fee schedule for BPH surgery across 10 Canadian provinces for the years 2010 and 2023 were obtained. A descriptive study examined first the provincial reimbursement for transurethral resection of prostate (TURP) and laser ablative/enucleation surgery; second, the difference in TURP reimbursement between 2010 and 2023; and third, the annual change in TURP reimbursement juxtaposed with the annual change in the provincial Consumer Price Index (CPI) and annual salary for the working population aged 35-44.

resultsSeven of 10 Canadian provinces reimburse laser BPH surgery equally to TURP. The average provincial TURP reimbursement is $545, ranging from $451 in Ontario to $688 in Saskatchewan. Since 2010, TURP reimbursement has varied by province from a 0% net change in Ontario to an increase of 21% in Nova Scotia. Reimbursement for TURP has increased at a slower pace than the local CPI, and for half of the provinces at a slower pace than the annual salary for people aged 35-44.

conclusionsThe compensation model for endoscopic BPH surgery does not have a unified structure in Canada that is consistent across provinces, nor does it keep up with inflation, possibly impacting future recruitment, increasing geographic disparities, and most importantly, limiting the adoption of new BPH therapies.

Identifiers

PMID38587981
PMCPMC11326725

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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.