Featured Research

from universities, journals, and other organizations

Minimally invasive sinus surgery becoming more common in Medicare population

Date:
May 17, 2010
Source:
JAMA and Archives Journals
Summary:
Sinus surgery performed using an endoscope appears to be increasingly common for the management of chronic sinus disease among Medicare beneficiaries, according to a new report.

Sinus surgery performed using an endoscope appears to be increasingly common for the management of chronic sinus disease among Medicare beneficiaries, according to a report in the May issue of Archives of Otolaryngology-Head & Neck Surgery, one of the JAMA/Archives journals.

Related Articles


Chronic rhinosinusitis is characterized by infection and inflammation of the sinus cavities and nose that lasts longer than three months, according to background information in the article. Symptoms include congestion, runny nose, headache, facial pressure and loss of smell. "Mainstays of medical management for sinusitis include antibiotic therapy, systemic and topical intranasal steroids and nasal saline irrigations," the authors write. "A subset of patients with chronic rhinosinusitis in whom medical management fails undergo surgery, sometimes repeatedly, for treatment of their disease."

Endoscopic sinus surgery, a minimally invasive technique, was introduced in the United States in 1985, the authors note. To examine trends in rates of the procedure, Giridhar Venkatraman, M.D., M.B.A., of Dartmouth-Hitchcock Medical Center, Lebanon, N.H., and colleagues studied a sample of Medicare beneficiaries age 65 to 99.

From 1998 to 2006, the rate of beneficiaries diagnosed with chronic rhinosinusitis declined by 1.4 percent. However, the rate of endoscopic sinus surgery increased 20 percent, from 0.72 per 1,000 patients to 0.92 per 1,000 patients. Over the same time, open sinus surgery rates declined 40 percent, from 0.20 per 1,000 patients to 0.11 per 1,000 patients.

When the researchers analyzed patients by age group -- ages 65 to 69, 70 to 74, 75 to 79, 80 to 84 or 85 and older -- the per capita rate of chronic sinusitis diagnoses remained the same. However, all age groups had increases in endoscopic sinus surgery rates.

"Our findings indicate that endoscopic sinus surgery is increasingly becoming the mainstay of chronic rhinosinusitis management in the Medicare population," the authors write. "Because of the uncertainty regarding the outcomes of surgical vs. medical management, the root causes of the observed increase in endoscopic sinus surgery rates need to be investigated. Given that sinusitis is a common diagnosis necessitating physician visits, comparative effectiveness studies examining medical vs. surgical management would be warranted."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Giridhar Venkatraman; Donald S. Likosky; Weiping Zhou; Samuel R. G. Finlayson; David C. Goodman. Trends in Endoscopic Sinus Surgery Rates in the Medicare Population. Arch Otolaryngol Head Neck Surg, 2010; 136 (5): 426-430 [link]

Cite This Page:

JAMA and Archives Journals. "Minimally invasive sinus surgery becoming more common in Medicare population." ScienceDaily. ScienceDaily, 17 May 2010. <www.sciencedaily.com/releases/2010/05/100517161138.htm>.
JAMA and Archives Journals. (2010, May 17). Minimally invasive sinus surgery becoming more common in Medicare population. ScienceDaily. Retrieved December 22, 2014 from www.sciencedaily.com/releases/2010/05/100517161138.htm
JAMA and Archives Journals. "Minimally invasive sinus surgery becoming more common in Medicare population." ScienceDaily. www.sciencedaily.com/releases/2010/05/100517161138.htm (accessed December 22, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Monday, December 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Christmas Kissing Good for Health

Christmas Kissing Good for Health

Reuters - Innovations Video Online (Dec. 22, 2014) Scientists in Amsterdam say couples transfer tens of millions of microbes when they kiss, encouraging healthy exposure to bacteria. Suzannah Butcher reports. Video provided by Reuters
Powered by NewsLook.com
Brain-Dwelling Tapeworm Reveals Genetic Secrets

Brain-Dwelling Tapeworm Reveals Genetic Secrets

Reuters - Innovations Video Online (Dec. 22, 2014) Cambridge scientists have unravelled the genetic code of a rare tapeworm that lived inside a patient's brain for at least four year. Researchers hope it will present new opportunities to diagnose and treat this invasive parasite. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Touch-Free Smart Phone Empowers Mobility-Impaired

Touch-Free Smart Phone Empowers Mobility-Impaired

Reuters - Innovations Video Online (Dec. 21, 2014) A touch-free phone developed in Israel enables the mobility-impaired to operate smart phones with just a movement of the head. Suzannah Butcher reports. Video provided by Reuters
Powered by NewsLook.com
Earthworms Provide Cancer-Fighting Bacteria

Earthworms Provide Cancer-Fighting Bacteria

Reuters - Innovations Video Online (Dec. 21, 2014) Polish scientists isolate bacteria from earthworm intestines which they say may be used in antibiotics and cancer treatments. Suzannah Butcher reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins