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ARTICLE |

Ear, Nose, and Throat Operations in the United States, 1979 to 1984 FREE

Ira M. Rutkow, MD, MPH, DrPH
[+] Author Affiliations

Accepted for publication Dec 4, 1985.

Reprint requests to 7 Pamela St, Marlboro, NJ 07746 (Dr Rutkow).


Arch Otolaryngol Head Neck Surg. 1986;112(8):873-876. doi:10.1001/archotol.1986.03780080073017
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• Using data from the National Center for Health Statistics for 1979 to 1984, I found a 5% decrease in total ear, nose, and throat (ENT) operations, the largest decline of any surgical specialty. For the same five-year period, the number of ENT surgeons increased 15%. In 1983, ENT surgeons performed 478 000 operations on tonsils and adenoids, an 18% decrease from the 1979 total (584 000). The removal of tonsils and adenoids is the eighth most common operation performed in the United States. The second most common ENT operation, nose repair and plastic operations (263 000), is the country's 14th most frequent operation. The 20 most common ENT operations constitute 87% of all ENT operations. In 1983, ENT operations represented 9% of all surgery in this country. These figures show that numbers of ENT surgical operations have decreased over the last five years, despite a constantly increasing number of ENT surgeons.

(Arch Otolaryngol Head Neck Surg 1986;112:873-876)

REFERENCES

Bunker JP:  A comparison of operations and surgeons in the United States and in England and Wales . N Engl J Med 1970;;282:135-140.
McCarthy E, Widmer GW:  Effects of screening by consultants on recommended elective surgical procedures . N Engl J Med 1974;; 291:1331-1337.
Rutkow IM, Zuidema GD:  'Unnecessary surgery': An update . Surgery 1978;;84:671-700.
Bloom BS, Peterson OL:  Changing the number of surgeons . N Engl J Med 1980;;303:1227-1230.
Rutkow IM:  Delivery of surgical health care in the United States . Arch Surg 1981;;116:963-969.
McPherson K, Wennberg JE, Hovind OB, et al:  Small-area variations in the use of common surgical procedures: An international comparison of New England, England, and Norway . N Engl J Med 1982;;307:1310-1314.
National Center for Health Statistics: Development and Maintenance of a National Inventory of Hospitals and Institutions: Vital and Health Statistics , Public Health Service publication (PHS) 1000, series 1, No (3) . Public Health Service, February 1965;.
National Center for Health Statistics: Detailed Diagnoses and Surgical Procedures for Patients Discharged From Short-stay Hospitals: United States, 1979 , US Dept of Health and Human Services publication (PHS) 82-1274-1. US Dept of Health and Human Services, (January) 1982;.
Detmer DE, Buchanan-Davidson DJ:  Ambulatory surgery . Surg Clin North Am 1982;;62:685-704.
Lubitz J:  Different data systems, different conclusions? Comparing hospital use data for the aged from four data systems . Health Care Finance Rev , (spring) 1981;, pp 41-56.
Rutkow IM, Zuidema GD:  Surgical rates in the United States: 1966 to 1978 . Surgery 1981;; 89:151-162.
Rutkow IM:  Rates of surgery in the United States: The decade of the 1970s . Surg Clin North Am 1982;;62:559-578.
Vayda E, Mindell WR, Rutkow IM:  A decade of surgery in Canada, England, and Wales, and the United States . Arch Surg 1982;; 117:846-853.
Rutkow IM, Starfield BH:  Surgical decision making and operative rates . Arch Surg 1984;;119:899-905.
Rutkow IM, Ernst CB:  Vascular surgical manpower: Too much? Enough? Too little? Unknown? Arch Surg 1982;;117:1537-1542.
Freeman JL:  Changes in age and sex specific tonsillectomy rates: United States, 1970-1977 . Am J Public Health 1982;;72:488-491.

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Bunker JP:  A comparison of operations and surgeons in the United States and in England and Wales . N Engl J Med 1970;;282:135-140.
McCarthy E, Widmer GW:  Effects of screening by consultants on recommended elective surgical procedures . N Engl J Med 1974;; 291:1331-1337.
Rutkow IM, Zuidema GD:  'Unnecessary surgery': An update . Surgery 1978;;84:671-700.
Bloom BS, Peterson OL:  Changing the number of surgeons . N Engl J Med 1980;;303:1227-1230.
Rutkow IM:  Delivery of surgical health care in the United States . Arch Surg 1981;;116:963-969.
McPherson K, Wennberg JE, Hovind OB, et al:  Small-area variations in the use of common surgical procedures: An international comparison of New England, England, and Norway . N Engl J Med 1982;;307:1310-1314.
National Center for Health Statistics: Development and Maintenance of a National Inventory of Hospitals and Institutions: Vital and Health Statistics , Public Health Service publication (PHS) 1000, series 1, No (3) . Public Health Service, February 1965;.
National Center for Health Statistics: Detailed Diagnoses and Surgical Procedures for Patients Discharged From Short-stay Hospitals: United States, 1979 , US Dept of Health and Human Services publication (PHS) 82-1274-1. US Dept of Health and Human Services, (January) 1982;.
Detmer DE, Buchanan-Davidson DJ:  Ambulatory surgery . Surg Clin North Am 1982;;62:685-704.
Lubitz J:  Different data systems, different conclusions? Comparing hospital use data for the aged from four data systems . Health Care Finance Rev , (spring) 1981;, pp 41-56.
Rutkow IM, Zuidema GD:  Surgical rates in the United States: 1966 to 1978 . Surgery 1981;; 89:151-162.
Rutkow IM:  Rates of surgery in the United States: The decade of the 1970s . Surg Clin North Am 1982;;62:559-578.
Vayda E, Mindell WR, Rutkow IM:  A decade of surgery in Canada, England, and Wales, and the United States . Arch Surg 1982;; 117:846-853.
Rutkow IM, Starfield BH:  Surgical decision making and operative rates . Arch Surg 1984;;119:899-905.
Rutkow IM, Ernst CB:  Vascular surgical manpower: Too much? Enough? Too little? Unknown? Arch Surg 1982;;117:1537-1542.
Freeman JL:  Changes in age and sex specific tonsillectomy rates: United States, 1970-1977 . Am J Public Health 1982;;72:488-491.

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