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Research Letter |

Variation in the Use of Vena Cava Filters for Venous Thromboembolism in Hospitals in Kentucky ONLINE FIRST

Joshua D. Brown, PharmD, MS1; Jeffery C. Talbert, PhD1
[+] Author Affiliations
1Institute for Pharmaceutical Outcomes and Policy, Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy, Lexington
JAMA Surg. Published online July 27, 2016. doi:10.1001/jamasurg.2016.1004
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This study determines whether differences in the use of vena cava filters in hospitals in Kentucky can be explained by observable factors rather than potential reimbursement upcoding.

The use of vena cava filters (VCFs) has increased over the last decade without clear indication for many patients.1,2 This increase in use has been suggested to be partially motivated by upcoding for increased reimbursement, given that placement of a VCF increases the reimbursement rate for venous thromboembolism (VTE) by 250%.1

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Trend in Vena Cava Filter (VCF) Use

Tests for trend showed a 25% decrease in overall use (P < .001), a 33% decrease (P < .001) for pulmonary embolism (PE) alone or with deep vein thrombosis (DVT), and a 19% decrease (P < .001) for DVT alone. The line above the bar graphs is based on the overall percentage of patients who received a VCF (right axis).

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