Outpatient vs Operating Room Setting for Fort Myers or Naples Treatment of Skin Cancer TAKE-HOME MESSAGE This retrospective study compared the cost of treating skin cancer in different settings by using billing records for 18 operating room and 18 matched outpatient cases. Of the 18 matched pairs, 17 pairs had sufficient data for American Society of […]
Outpatient vs Operating Room Setting for Fort Myers or Naples Treatment of Skin Cancer
This retrospective study compared the cost of treating skin cancer in different settings by using billing records for 18 operating room and 18 matched outpatient cases. Of the 18 matched pairs, 17 pairs had sufficient data for American Society of Anesthesiologists (ASA) anesthesia grading scale scores to be determined. The median cost for excision of malignant neoplasms in the outpatient setting was significantly lower ($1745) compared with treatment in the operating room ($11, 323).
This study confirms that treatment of skin cancer in the outpatient setting is more cost-effective than in the operating room.– InYoung Kim, MD, PhD
To date, no study has used authentic billing data in a case-control matched fashion to examine the cost of treating skin cancer in different settings.
To compare the cost of surgical treatment of skin cancer in the outpatient versus operating room setting using matched cases based on patient and skin cancer characteristics.
ICD-9 diagnosis codes for skin cancers were used to find patients who had a malignant excision current procedural terminology code in the operating room setting during 2010 to 2014. Patient and skin cancer characteristics were used to match cases to those treated as an outpatient. A total of 36 cases (18 operating room and 18 outpatient) had the required information and characteristics to be matched and analyzed for cost. Health status was determined using the American Society of Anesthesiologists anesthesia grading scale.
No statistically significant differences were found in the age (p > 0.9) or American Society of Anesthesiologists scores (p > 0.6) of the outpatient and operating room cases. The median cost for outpatient cases was $1,745. For operating room cases, the median cost was $11,323. This was a statistically significant difference (p < 0.001).
The outpatient setting remains a cost-effective location to treat skin cancer compared with the operating room.
We will continue to offer Teledermatology appointments but are now opening our doors for in-person visits as well. While we reopen our offices, the health and safety of our patients and our staff remain our #1 priority.
We are using strict CDC and published OSHA guidelines to routinely sanitize our stations and exam rooms. All equipment and patient contact surfaces are also sanitized after each use and again at the end of the day. We are observing new protocols that we ask you to adhere to for your own health, as well as the vulnerable among us.