Establishment of a varicose vein center in a tertiary vascular surgery practice: Urban versus rural differences

Syed M. Hussain, Robert B. McLafferty, Marc A. Passman, Jeffery Dattilo, Don E. Ramsey, Raoul J. Guzman, Thomas C. Naslund, Kim J. Hodgson

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    We examined changes in practice patterns after the establishment of a varicose vein center (VVC) within two tertiary university vascular surgery practices and compared differences between urban (U) and rural (R) sites. Practice patterns for the treatment of VVs were compared 3 years before (period 1) and 3 years after (period 2) the formation of a U-VVC and an R-VVC in 2001. Both VVCs were part of similar-sized tertiary vascular surgery practices. Evaluation was specific to VVs, reticular veins, and telangiectasias. Prior to U-VVC, there were 338 office visits, six office procedures, and 114 hospital procedures. After U-VVC, there were 624, 120, and 312, respectively. Prior to R-VVC, there were 85 office visits, five office procedures, and 69 hospital procedures. After R-VVC, there were 528, 163, and 303, respectively. In period 1 for U-VVC and R-VVC, VVC relative value unit (RVU) generation as a percent of total practice RVUs was 1.0% and 0.7%, respectively. In period 2 for U-VVC and R-VVC, VVC RVU generation as a percent of total practice RVUs was 2.6% and 2.5%, respectively. In an effort to provide more coordinated treatment for patients with VVs, establishing a VVC within a tertiary academic vascular surgery practice can lead to rapid expansion of clinical volume by increased office visits, office procedures, and hospital procedures. Clinical demand for evaluation and treatment of VVs showed little variation between R-VVC and U-VVC.

    Original languageEnglish (US)
    Pages (from-to)447-450
    Number of pages4
    JournalAnnals of Vascular Surgery
    Volume20
    Issue number4
    DOIs
    StatePublished - Jan 1 2006

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    Varicose Veins
    Blood Vessels
    Office Visits
    Telangiectasis

    All Science Journal Classification (ASJC) codes

    • Surgery
    • Cardiology and Cardiovascular Medicine

    Cite this

    Hussain, S. M., McLafferty, R. B., Passman, M. A., Dattilo, J., Ramsey, D. E., Guzman, R. J., ... Hodgson, K. J. (2006). Establishment of a varicose vein center in a tertiary vascular surgery practice: Urban versus rural differences. Annals of Vascular Surgery, 20(4), 447-450. https://doi.org/10.1007/s10016-006-9092-1

    Establishment of a varicose vein center in a tertiary vascular surgery practice : Urban versus rural differences. / Hussain, Syed M.; McLafferty, Robert B.; Passman, Marc A.; Dattilo, Jeffery; Ramsey, Don E.; Guzman, Raoul J.; Naslund, Thomas C.; Hodgson, Kim J.

    In: Annals of Vascular Surgery, Vol. 20, No. 4, 01.01.2006, p. 447-450.

    Research output: Contribution to journalArticle

    Hussain, SM, McLafferty, RB, Passman, MA, Dattilo, J, Ramsey, DE, Guzman, RJ, Naslund, TC & Hodgson, KJ 2006, 'Establishment of a varicose vein center in a tertiary vascular surgery practice: Urban versus rural differences', Annals of Vascular Surgery, vol. 20, no. 4, pp. 447-450. https://doi.org/10.1007/s10016-006-9092-1
    Hussain, Syed M. ; McLafferty, Robert B. ; Passman, Marc A. ; Dattilo, Jeffery ; Ramsey, Don E. ; Guzman, Raoul J. ; Naslund, Thomas C. ; Hodgson, Kim J. / Establishment of a varicose vein center in a tertiary vascular surgery practice : Urban versus rural differences. In: Annals of Vascular Surgery. 2006 ; Vol. 20, No. 4. pp. 447-450.
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