An analysis of benign prostatic hyperplasia surgical treatment reimbursement trends across Canada Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.5489/cuaj.8638
Introduction: A variety of procedures for the endoscopic surgical treatment of symptomatic benign prostatic hyperplasia (BPH) refractory to medical therapy have existed for decades. The present study examines trends in surgeon compensation for these treatments within Canada. Methods: The physician fee schedule for BPH surgery across 10 Canadian provinces for the years 2010 and 2023 were obtained. A descriptive study examining first, the provincial reimbursement for transurethral resection of prostate (TURP) and laser ablative/enucleation surgery; second, the difference in TURP reimbursement between 2010 and 2023; and third, the annual change in TURP reimbursement juxtaposed with the annual change in the provincial Consumer Price Index (CPI) and annual salary for the working population aged 35–44. Results: Seven of 10 Canadian provinces reimburse laser BPH surgery equally to TURP. The average provincial TURP reimbursement is $545, ranging from $451 in Ontario to $688 in Saskatchewan. Since 2010, TURP reimbursement has varied by province from a 0% net change in Ontario to an increase of 21% in Nova Scotia. Reimbursement for TURP has increased at a slower pace than the local CPI, and for half of the provinces at a slower pace than the annual salary for people aged 35–44. Conclusions: The compensation model for endoscopic BPH surgery does not have a unified structure in Canada that is consistent across provinces, nor does it keep up with inflation, possibly impacting future recruitment, increasing geographic disparities, and most importantly, limiting the adoption of new BPH therapies.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.5489/cuaj.8638
- https://cuaj.ca/index.php/journal/article/download/8638/6048
- OA Status
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- Cited By
- 2
- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4393858279Canonical identifier for this work in OpenAlex
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https://doi.org/10.5489/cuaj.8638Digital Object Identifier
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An analysis of benign prostatic hyperplasia surgical treatment reimbursement trends across CanadaWork title
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articleOpenAlex work type
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enPrimary language
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2024Year of publication
- Publication date
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2024-04-02Full publication date if available
- Authors
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Anindyo Chakraborty, Dean Elterman, Nicholas Corsi, David Bouhadana, G Bailly, Premal Patel, Rowen McLellan, Liam Hickey, Daniel Costa, Matthew Andrews, Howard Evans, Connor M. Forbes, Hazem Elmansy, Malek Meskawi, Naeem Bhojani, Bilal Chugtai, Kevin C. ZornList of authors in order
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https://cuaj.ca/index.php/journal/article/download/8638/6048Direct link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://cuaj.ca/index.php/journal/article/download/8638/6048Direct OA link when available
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Reimbursement, Medicine, Salary, Population, General surgery, Family medicine, Health care, Environmental health, Economic growth, Political science, Economics, LawTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2025: 2Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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