Abstract:
In this letter, we discussed the selection of patients undergoing Transcarotid Artery Revascularization (TCAR) using the Current Procedural Terminology (CPT) codes. We examined a previous study using CPT code 37215 to identify TCAR cases using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. As an ACS-NSQIP participating site, we have complete access to the ACS-NSQIP database, and we performed a more in-depth examination of the method. We found significant discrepancies in the method described and conclude that it is methodologically flawed to use CPT code 37215 to differentiate TCAR cases. This study not only re-evaluates the validity of the previous study but also has the potential to prevent other researchers from employing the erroneous methodology for TCAR selection using the CPT code, which is one of the most widely used standardizations of medical communication for surgical procedures. This is particularly pertinent given the recent \"TCAR revolution\", where significant attention has been focused on TCAR.
摘要:
在这封信中,我们讨论了使用当前程序术语(CPT)代码选择经颈动脉血运重建(TCAR)的患者.我们使用CPT代码37215检查了先前的研究,以使用美国外科医生学会国家外科质量改善计划(ACS-NSQIP)数据库识别TCAR病例。作为ACS-NSQIP参与站点,我们可以完全访问ACS-NSQIP数据库,我们对该方法进行了更深入的研究。我们发现所描述的方法存在显着差异,并得出结论,使用CPT代码37215来区分TCAR病例在方法上存在缺陷。这项研究不仅重新评估了先前研究的有效性,而且有可能防止其他研究人员采用错误的方法使用CPT代码进行TCAR选择。这是一个最广泛使用的标准化的医疗通信的外科手术。考虑到最近的“TCAR革命”,这一点尤其相关,在那里,人们的注意力一直集中在TCAR上。