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The researchers were unable to answer the study question by utilizing the insurance claims database.
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Mohs micrographic surgery (MMS) followed by skin reconstruction has been widely accepted for treatment of many skin cancers. To further characterize the trends in MMS and reconstruction for skin cancer, a retrospective analysis will be performed using the Optum© Clinformatics® DataMart de-identified commercial claims database from 2001-2016. The findings may provide critical data for future prospective studies in skin cancer treatments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Patients from the existing Optum insurance claimed database with a confirmed diagnosis of melanoma, basal cell carcinoma, or squamous cell carcinoma who have undergone skin cancer excision surgery followed by interpolated flap repair between the years 2001-2006. |
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| Measure | Description | Time Frame |
|---|---|---|
| Primary cost | How does interpolation flap procedure cost differ across settings | Claims from 2001-2016 will be analyzed |
| Measure | Description | Time Frame |
|---|---|---|
| Predictors of inpatient vs. outpatient procedure | How does medical specialty or geographical location predict where the procedure is performed | Claims from 2001-2016 will be analzyed |
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Inclusion criteria:
- All patients in the Optum© Clinformatics® database who have an ICD9 or ICD10 code for skin cancer and a corresponding CPT code specific for interpolated flap reconstruction
Exclusion criteria:
- All patients for whom cost data is missing in the Optum© Clinformatics® DataMart
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The study population was conveniently sampled from the compilation of de-identified claims in the Optum© Clinformatics® database using ICD9 and ICD10 codes specific for skin cancer and linking them to specific CPT codes for interpolated flap repair, a reconstructive skin surgery. The investigator's population is composed of >7,000 patients across the United States who received a skin cancer diagnosis and this procedure between 2001 and 2016.
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| Name | Affiliation | Role |
|---|---|---|
| Jeremy Etzkorn, MD | University of Pennsylvania | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
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| ID | Term |
|---|---|
| D012878 | Skin Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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