{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:32:42Z","timestamp":1777426362916,"version":"3.51.4"},"reference-count":55,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aims to analyze trends in utilization and reimbursement of soft palate surgery for OSA using the Medicare national database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis of the 2000 to 2021 Part B National Summery datafiles using current Procedural Terminology (CPT) codes 42145 (uvulopalatopharyngoplasty [UPPP]), 42950 (pharyngoplasty [PP]), and 42140 (uvulectomy [UVU]) was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Between 2000 and 2021, the number of OSA surgeries fell 65.7% from 4208 to 1443. UPPP fell 87.6% from 3455 in 2000 to 428 in 2021 ( P\u2009&lt;\u2009.001). UVU also fell in popularity, from 568 to 376 (33.8%; P\u2009&lt;\u2009.001). In contrast, the performance of PP rose 245.4% over time, from 185 to 639 ( P\u2009&lt;\u2009.001). When comparing 2000 to 2009, both PP and UVU rose in relative use (from 4.4% to 12.3% and from 13.5% to 20.4% of all soft palate OSA surgeries, respectively), while UPPP fell (82.1% to 67.3%; P\u2009&lt;\u2009.001). Total Medicare payments for all 3 procedures fell 57.2% from $1\u2009658\u2009844 to $633\u2009091 ( P\u2009&lt;\u2009.001). Adjusted total UPPP payments fell 88.7% ( P\u2009&lt;\u2009.001). Adjusted total PP payment rose 137.5% to $262\u2009538 in 2021 ( P\u2009&lt;\u2009.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Soft palate surgery for OSA has declined amongst the Medicare population over 21\u2009years (2000-2021). The more individualized and tissue sparing PP has risen in popularity but did not overcome the large decline of the traditional UPPP. Accordingly, there was a 75.7% fall in inflation-adjusted reimbursements. Overall, our data indicates a decline in soft palate surgery in the management of geriatric OSA, with modest relative increase in pharyngoplasty procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894241288435","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T05:17:24Z","timestamp":1729747044000},"page":"49-57","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Trends in Soft Palate Surgery and Reimbursements for Obstructive Sleep Apnea Among the Medicare Population"],"prefix":"10.1177","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1964-7109","authenticated-orcid":false,"given":"Sina J.","family":"Torabi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of California, Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madelyn I.","family":"Frank","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California, Irvine, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0916-6923","authenticated-orcid":false,"given":"Rahul A.","family":"Patel","sequence":"additional","affiliation":[{"name":"Frank H. 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