Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, February 24, 2022

Recent trends in high-volume Medicare stroke thrombectomy provider characteristics

Notice  they tell us NOTHING about 100% recovery statistics! Useless, I would have them all fired from stroke.

 

Recent trends in high-volume Medicare stroke thrombectomy provider characteristics

characteristics
  1. Keshav Jayaraman1,
  2. Stefan Santavicca2,
  3. Danny R Hughes2,3,
  4. Joshua A Hirsch4,
  5. Richard Duszak, Jr.2,
  6. Arindam R Chatterjee1
  1. Correspondence to Dr Arindam R Chatterjee, Mallinckrodt Institute of Radiology, Department of Neurosurgery and Department of Neurology, Washington University in St Louis School of Medicine, St Louis, Missouri, USA; chatterjee@wustl.edu

Abstract

Background Intracranial mechanical thrombectomy (MT) is increasingly indicated for use in acute ischemic stroke patients. We analyzed recent trends in the characteristics and geographic distributions of physicians providing this service with frequency to Medicare beneficiaries.

Methods We linked public data sources to elucidate and visualize trends in high-volume MT providers between 2016 and 2019.

Results High-volume MT providers increased by 184% between 2016 and 2019. The number of neurosurgeons, neurologists, and radiologists in this physician population increased by 251%, 205%, and 139%, respectively. Male practitioners accounted for 96% of providers in the most recent year of analysis. International medical graduates accounted for roughly one-third of these physicians across all 4 years of analysis. As of 2019, the three states with the most high-volume MT providers were Florida, California, and Texas, accounting for 7%, 7%, and 6% of providers, respectively.

Conclusions High-volume providers of MT services for Medicare beneficiaries represent a dynamic and rapidly expanding subset of physicians with diverse specialty backgrounds.

Data availability statement

Data are available in a public, open access repository. Requests for Medicare data should be directed to the Center for Medicare and Medicaid Services (CMS). The data used to create our manually curated database are available publicly on the internet.

 

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