Use and Safety of Per-Oral Endoscopic Myotomy for Achalasia in the US.

ABSTRACT:

Importance

Several professional practice guidelines recommend per-oral endoscopic myotomy (POEM) as a potential first-line therapy for the management of achalasia, yet payers remain hesitant to reimburse for the procedure owing to unanswered questions regarding safety.

Objective

To evaluate the use, safety, health care utilization, and costs associated with the use of POEM for treatment of achalasia relative to laparoscopic Heller myotomy (LHM) and pneumatic dilation (PD).

Design, setting, and participants

This was a retrospective national cohort study of commercially insured patients, aged 18 to 63 years, who underwent index intervention for achalasia with either LHM, PD, or POEM in the US between July 1, 2010, and December 31, 2017. Patient data were obtained from a

SUBMITTER: Lois AW 

PROVIDER: S-EPMC9021980 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature