Utilization of Healthcare Resources by Vascular Anomaly Patients: An Assessment of Healthcare Burden by Lesion Complexity
Background:. Vascular anomalies (VAs) are heterogeneous lesions. Symptoms vary widely by lesion type and complexity. VA patients often require life-long interdisciplinary care; however, there is a paucity of data on the healthcare utilization of VA patients, and their burden on the healthcare system...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-10-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005348 |
| _version_ | 1797646836724400128 |
|---|---|
| author | Albert Y. Truong, MD Emma Iaconetti, BA Averill Clapp, BA Shannon Brackett, FNP Erica M. Fallon, MD Maria C. Garzon, MD Sheryl Tulin-Silver, MD June K. Wu, MD |
| author_facet | Albert Y. Truong, MD Emma Iaconetti, BA Averill Clapp, BA Shannon Brackett, FNP Erica M. Fallon, MD Maria C. Garzon, MD Sheryl Tulin-Silver, MD June K. Wu, MD |
| author_sort | Albert Y. Truong, MD |
| collection | DOAJ |
| description | Background:. Vascular anomalies (VAs) are heterogeneous lesions. Symptoms vary widely by lesion type and complexity. VA patients often require life-long interdisciplinary care; however, there is a paucity of data on the healthcare utilization of VA patients, and their burden on the healthcare system remains largely unquantified. We hypothesize that healthcare utilization by complex lymphatic malformation (LM) and venous malformation (VM) patients will be significantly higher compared with simple LM and VM patients.
Methods:. A retrospective, longitudinal study was performed of LM/VM patients seen through multidisciplinary VA clinics between January 1, 2019 and December 31, 2020. Data were collected from each patient’s first presentation through December 31, 2021 and included number of office visits, imaging studies, specialists involved, procedures, hospitalization data, and approximate costs, normalized to per year utilization. Patients were divided into “simple” and “complex” LMs/VMs. Involvement of the airway, more than one anatomic area, and/or complex lymphatic anomalies were defined as “complex.”
Results:. In total, 28 simple and 29 complex LM patients and 51 simple and 18 complex VM patients were identified. Complex LM and VM patients had significantly higher numbers of imaging studies, specialists involved, procedures and hospitalizations, and costs incurred. Complex LM patients also had significantly higher per year office visits.
Conclusions:. VA care is chronic and costly, especially for complex LM/VM patients. LM/VM complexity was a predictor for increased inpatient and outpatient healthcare utilization and higher costs. Better awareness of the healthcare utilization trends of LM/VM patients will allow for improved counseling for these patients regarding prognosis and expectations. |
| first_indexed | 2024-03-11T15:07:34Z |
| format | Article |
| id | doaj.art-26458a80bf7c464e922fab86eafdec54 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-11T15:07:34Z |
| publishDate | 2023-10-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-26458a80bf7c464e922fab86eafdec542023-10-30T03:42:32ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-10-011110e534810.1097/GOX.0000000000005348202310000-00043Utilization of Healthcare Resources by Vascular Anomaly Patients: An Assessment of Healthcare Burden by Lesion ComplexityAlbert Y. Truong, MD0Emma Iaconetti, BA1Averill Clapp, BA2Shannon Brackett, FNP3Erica M. Fallon, MD4Maria C. Garzon, MD5Sheryl Tulin-Silver, MD6June K. Wu, MD7From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, N.Y.† Columbia University Vagelos College of Physicians and Surgeons, New York, N.Y.† Columbia University Vagelos College of Physicians and Surgeons, New York, N.Y.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, N.Y.‡ Division of Pediatric Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, N.Y.§ Departments of Dermatology and Pediatrics, Division of Pediatric Dermatology, Columbia University Irving Medical Center, New York, N.Y.¶ Department of Radiology, Columbia University Irving Medical Center, New York, N.Y.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, N.Y.Background:. Vascular anomalies (VAs) are heterogeneous lesions. Symptoms vary widely by lesion type and complexity. VA patients often require life-long interdisciplinary care; however, there is a paucity of data on the healthcare utilization of VA patients, and their burden on the healthcare system remains largely unquantified. We hypothesize that healthcare utilization by complex lymphatic malformation (LM) and venous malformation (VM) patients will be significantly higher compared with simple LM and VM patients. Methods:. A retrospective, longitudinal study was performed of LM/VM patients seen through multidisciplinary VA clinics between January 1, 2019 and December 31, 2020. Data were collected from each patient’s first presentation through December 31, 2021 and included number of office visits, imaging studies, specialists involved, procedures, hospitalization data, and approximate costs, normalized to per year utilization. Patients were divided into “simple” and “complex” LMs/VMs. Involvement of the airway, more than one anatomic area, and/or complex lymphatic anomalies were defined as “complex.” Results:. In total, 28 simple and 29 complex LM patients and 51 simple and 18 complex VM patients were identified. Complex LM and VM patients had significantly higher numbers of imaging studies, specialists involved, procedures and hospitalizations, and costs incurred. Complex LM patients also had significantly higher per year office visits. Conclusions:. VA care is chronic and costly, especially for complex LM/VM patients. LM/VM complexity was a predictor for increased inpatient and outpatient healthcare utilization and higher costs. Better awareness of the healthcare utilization trends of LM/VM patients will allow for improved counseling for these patients regarding prognosis and expectations.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005348 |
| spellingShingle | Albert Y. Truong, MD Emma Iaconetti, BA Averill Clapp, BA Shannon Brackett, FNP Erica M. Fallon, MD Maria C. Garzon, MD Sheryl Tulin-Silver, MD June K. Wu, MD Utilization of Healthcare Resources by Vascular Anomaly Patients: An Assessment of Healthcare Burden by Lesion Complexity Plastic and Reconstructive Surgery, Global Open |
| title | Utilization of Healthcare Resources by Vascular Anomaly Patients: An Assessment of Healthcare Burden by Lesion Complexity |
| title_full | Utilization of Healthcare Resources by Vascular Anomaly Patients: An Assessment of Healthcare Burden by Lesion Complexity |
| title_fullStr | Utilization of Healthcare Resources by Vascular Anomaly Patients: An Assessment of Healthcare Burden by Lesion Complexity |
| title_full_unstemmed | Utilization of Healthcare Resources by Vascular Anomaly Patients: An Assessment of Healthcare Burden by Lesion Complexity |
| title_short | Utilization of Healthcare Resources by Vascular Anomaly Patients: An Assessment of Healthcare Burden by Lesion Complexity |
| title_sort | utilization of healthcare resources by vascular anomaly patients an assessment of healthcare burden by lesion complexity |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005348 |
| work_keys_str_mv | AT albertytruongmd utilizationofhealthcareresourcesbyvascularanomalypatientsanassessmentofhealthcareburdenbylesioncomplexity AT emmaiaconettiba utilizationofhealthcareresourcesbyvascularanomalypatientsanassessmentofhealthcareburdenbylesioncomplexity AT averillclappba utilizationofhealthcareresourcesbyvascularanomalypatientsanassessmentofhealthcareburdenbylesioncomplexity AT shannonbrackettfnp utilizationofhealthcareresourcesbyvascularanomalypatientsanassessmentofhealthcareburdenbylesioncomplexity AT ericamfallonmd utilizationofhealthcareresourcesbyvascularanomalypatientsanassessmentofhealthcareburdenbylesioncomplexity AT mariacgarzonmd utilizationofhealthcareresourcesbyvascularanomalypatientsanassessmentofhealthcareburdenbylesioncomplexity AT sheryltulinsilvermd utilizationofhealthcareresourcesbyvascularanomalypatientsanassessmentofhealthcareburdenbylesioncomplexity AT junekwumd utilizationofhealthcareresourcesbyvascularanomalypatientsanassessmentofhealthcareburdenbylesioncomplexity |