laparoscopic colectomy · 2015. 11. 18. · louis avvento. riverhead, ny. he received the largest...

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Page 1: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,
Page 2: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,

Laparoscopic Colectomy

Cooper M, et al., BMJ 2014.

Page 3: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,

210,000 deaths

Page 4: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,

Causes of Death in the U.S.

1. Heart disease 597,689

2. Cancer 574,743

3. Variation 210,000

4. Respiratory diseases 138,080

Makary MA, Daniel M. Medical Error: The third leading cause

of death in the U.S., Johns Hopkins University, 2015

Page 5: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,

What percent of Medical Care is Unnecessary?

Lyu H et al, Unpublished data, Johns Hopkins University School of Medicine

% R

esp

on

de

nts

Page 6: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,
Page 7: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,
Page 8: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,

Xu T, et al. AGA 2015

Likelihood of complicationsby surgeon (N=92)

0

5

10

O/E = 1

O/E = 2

O/E = 3

O/E

ratio

Page 9: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,
Page 10: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,
Page 11: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,
Page 12: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,

Cuts Per Patient

0

100

200

300

400

500

600

1 1.2 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 More

Fre

qu

en

cy

Mean Number of Stages/Case

Courtesy: John Albertini and Joe Francis, Am Coll Mohs Surgeons

Page 13: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,

Daniel M, et al. The Orphan Drug Act: Restoring it’s mission to rare

diseases. Am Jour Clin Oncol. 2015;in press

Page 14: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,
Page 15: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,
Page 16: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,
Page 17: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,

Cotman

Page 18: Laparoscopic Colectomy · 2015. 11. 18. · LOUIS AVVENTO. Riverhead, NY. He received the largest 2012 Medicare payments for procrit of any oncologist, DAVID DRESDNER st. Petersburg,

[email protected]

@DrMartyMD