Cutaneous cryosurgery in the United States

Background: Cryosurgery is a common treatment modality for many dermatological conditions; however, the extent to which it is used and by which medical specialties is not well characterized. Objective: To determine the rates of cryosurgery use over time, the top dermatoses treated by cryosurgery, pa...

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Published in:The Journal of dermatological treatment 2016-01, Vol.27 (1), p.91-94
Main Authors: Farhangian, Michael E., Snyder, Alyson, Huang, Karen E., Doerfler, Laura, Huang, William W., Feldman, Steven R.
Format: Article
Language:English
Subjects:
Actinic keratosis
Adolescent
Adult
Aged
aging
Cross-Sectional Studies
Cryosurgery - statistics & numerical data
cryotherapy
Health Care Surveys
Humans
Keratosis, Actinic - surgery
Middle Aged
seborrheic keratosis
skin cancer
Skin Diseases - surgery
United States
verruca
warts
Young Adult
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container_end_page 94
container_issue 1
container_start_page 91
container_title The Journal of dermatological treatment
container_volume 27
creator Farhangian, Michael E.
Snyder, Alyson
Huang, Karen E.
Doerfler, Laura
Huang, William W.
Feldman, Steven R.
description Background: Cryosurgery is a common treatment modality for many dermatological conditions; however, the extent to which it is used and by which medical specialties is not well characterized. Objective: To determine the rates of cryosurgery use over time, the top dermatoses treated by cryosurgery, patient demographics and the rate at which practitioners used cryosurgery. Methods: We used the National Ambulatory Medical Care Survey (NAMCS) from 1993 to 2010 in order to quantify the use of cryosurgery in outpatient offices. For visits where cryosurgery was utilized, the leading diagnoses, treating physician specialties, and patient ages were tabulated. Results: Cryosurgery was most commonly used for treating actinic keratoses (48% of visits), seborrheic keratoses (25% of visits) and verrucae (21% of visits). Dermatologists performed 82% of all cryosurgeries, followed by family/internal medicine physicians (13.6%) and pediatricians (2.8%). The use of cryosurgery for these dermatoses has increased over time (p 
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Objective: To determine the rates of cryosurgery use over time, the top dermatoses treated by cryosurgery, patient demographics and the rate at which practitioners used cryosurgery. Methods: We used the National Ambulatory Medical Care Survey (NAMCS) from 1993 to 2010 in order to quantify the use of cryosurgery in outpatient offices. For visits where cryosurgery was utilized, the leading diagnoses, treating physician specialties, and patient ages were tabulated. Results: Cryosurgery was most commonly used for treating actinic keratoses (48% of visits), seborrheic keratoses (25% of visits) and verrucae (21% of visits). Dermatologists performed 82% of all cryosurgeries, followed by family/internal medicine physicians (13.6%) and pediatricians (2.8%). The use of cryosurgery for these dermatoses has increased over time (p &lt; 0.0001), especially in patients over the age of 65 years. Physicians in offices with health maintenance organization-based practices were more likely to utilize cryosurgery. Limitations: Since NAMCS data are cross-sectional, we are unable to determine whether patients tried and failed other treatments. Conclusions: As the baby boomer generation ages, the demand for cryosurgery will likely further increase.</description><identifier>ISSN: 0954-6634</identifier><identifier>EISSN: 1471-1753</identifier><identifier>DOI: 10.3109/09546634.2015.1054780</identifier><identifier>PMID: 26208163</identifier><language>eng</language><publisher>England: Taylor &amp; Francis</publisher><subject>Actinic keratosis ; Adolescent ; Adult ; Aged ; aging ; Cross-Sectional Studies ; Cryosurgery - statistics &amp; numerical data ; cryotherapy ; Health Care Surveys ; Humans ; Keratosis, Actinic - surgery ; Middle Aged ; seborrheic keratosis ; skin cancer ; Skin Diseases - surgery ; United States ; verruca ; warts ; Young Adult</subject><ispartof>The Journal of dermatological treatment, 2016-01, Vol.27 (1), p.91-94</ispartof><rights>2015 Informa UK Ltd. 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26208163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Farhangian, Michael E.</creatorcontrib><creatorcontrib>Snyder, Alyson</creatorcontrib><creatorcontrib>Huang, Karen E.</creatorcontrib><creatorcontrib>Doerfler, Laura</creatorcontrib><creatorcontrib>Huang, William W.</creatorcontrib><creatorcontrib>Feldman, Steven R.</creatorcontrib><title>Cutaneous cryosurgery in the United States</title><title>The Journal of dermatological treatment</title><addtitle>J Dermatolog Treat</addtitle><description>Background: Cryosurgery is a common treatment modality for many dermatological conditions; however, the extent to which it is used and by which medical specialties is not well characterized. Objective: To determine the rates of cryosurgery use over time, the top dermatoses treated by cryosurgery, patient demographics and the rate at which practitioners used cryosurgery. Methods: We used the National Ambulatory Medical Care Survey (NAMCS) from 1993 to 2010 in order to quantify the use of cryosurgery in outpatient offices. For visits where cryosurgery was utilized, the leading diagnoses, treating physician specialties, and patient ages were tabulated. Results: Cryosurgery was most commonly used for treating actinic keratoses (48% of visits), seborrheic keratoses (25% of visits) and verrucae (21% of visits). Dermatologists performed 82% of all cryosurgeries, followed by family/internal medicine physicians (13.6%) and pediatricians (2.8%). The use of cryosurgery for these dermatoses has increased over time (p &lt; 0.0001), especially in patients over the age of 65 years. Physicians in offices with health maintenance organization-based practices were more likely to utilize cryosurgery. Limitations: Since NAMCS data are cross-sectional, we are unable to determine whether patients tried and failed other treatments. 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Objective: To determine the rates of cryosurgery use over time, the top dermatoses treated by cryosurgery, patient demographics and the rate at which practitioners used cryosurgery. Methods: We used the National Ambulatory Medical Care Survey (NAMCS) from 1993 to 2010 in order to quantify the use of cryosurgery in outpatient offices. For visits where cryosurgery was utilized, the leading diagnoses, treating physician specialties, and patient ages were tabulated. Results: Cryosurgery was most commonly used for treating actinic keratoses (48% of visits), seborrheic keratoses (25% of visits) and verrucae (21% of visits). Dermatologists performed 82% of all cryosurgeries, followed by family/internal medicine physicians (13.6%) and pediatricians (2.8%). The use of cryosurgery for these dermatoses has increased over time (p &lt; 0.0001), especially in patients over the age of 65 years. Physicians in offices with health maintenance organization-based practices were more likely to utilize cryosurgery. Limitations: Since NAMCS data are cross-sectional, we are unable to determine whether patients tried and failed other treatments. Conclusions: As the baby boomer generation ages, the demand for cryosurgery will likely further increase.</abstract><cop>England</cop><pub>Taylor &amp; Francis</pub><pmid>26208163</pmid><doi>10.3109/09546634.2015.1054780</doi><tpages>4</tpages></addata></record>
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source Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)
subjects Actinic keratosis
Adolescent
Adult
Aged
aging
Cross-Sectional Studies
Cryosurgery - statistics & numerical data
cryotherapy
Health Care Surveys
Humans
Keratosis, Actinic - surgery
Middle Aged
seborrheic keratosis
skin cancer
Skin Diseases - surgery
United States
verruca
warts
Young Adult
title Cutaneous cryosurgery in the United States
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