{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:57Z","timestamp":1783509297294,"version":"3.55.0"},"reference-count":19,"publisher":"MDPI AG","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Nail excisions are indicated for onychocryptosis and nail spicules. They are technically demanding and require a refined skill set. We aimed to characterize practice patterns of US providers performing nail excisions.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    We conducted a retrospective analysis of Medicare provider use and payment data, part D, for all claims of partial or complete nail\/nail matrix excision with\/without nail plate removal\/destruction (current procedural terminology code 11750). High performers were defined as providers performing annual nail excisions 2 standard deviations above the mean. We analyzed demographic risk factors for nail excision high performers, including practice location, years of experience, household median income, practice type, and provider gender. Statistical analysis was conducted in SAS v9.4, with values of\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .05 considered statistically significant.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Providers (n = 32,279) and high performers (n = 942) performed mean 34.7 and 173 nail excisions annually. Unsurprisingly, podiatrists constituted 99.7% of all nail excision performers. Providers in the South versus Midwest and Northeast were more often nail excision high performers (odds ratio [OR], 1.95;\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .0001, and OR, 1.46;\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .0001). Solo versus group practitioners were more likely, respectively, to be nail excision high performers (OR, 2.15;\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .0001). With linear regression analysis, for every 10-year increase in years of provider experience, there was an increase of 1.2 nail excisions annually per provider (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .0001). For every $100,000 increase in household median income of practice location, there was a decrease of 9.9 nail excisions annually per provider.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Southern podiatrists, podiatrists with more years of experience, solo practitioners, and those practicing in regions with lower household median incomes were more likely to perform higher numbers of nail excisions. Identifying performance trends among podiatrists can help podiatrists understand how their performance of nail excisions compares to other podiatrists across the country.\n                  <\/jats:p>","DOI":"10.7547\/22-063","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T08:38:58Z","timestamp":1721983138000},"source":"Crossref","is-referenced-by-count":0,"title":["Senior Podiatrists in Solo Practice are High Performers of Nail Excisions"],"prefix":"10.3390","volume":"114","author":[{"given":"Gabrielle M.","family":"Rivin","sequence":"first","affiliation":[{"name":"College of Medicine, University of Cincinnati, Cincinnati, OH. Dr. Rivin is now with the Department of Dermatology, University of Cincinnati, Cincinnati, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey C.","family":"Vlahovic","sequence":"additional","affiliation":[{"name":"Department of Podiatric Medicine, Temple University, Philadelphia, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel C.","family":"Hill","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan B.","family":"Fleischer","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University of Cincinnati, Cincinnati, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari R.","family":"Lipner","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Weill Cornell Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Am Fam Physician","first-page":"303","article-title":"Management of the ingrown toenail","volume":"79","author":"Heidelbaugh JJ","year":"2009","unstructured":"Heidelbaugh JJ, Lee H: Management of the ingrown toenail. Am Fam Physician 79: 303, 2009."},{"key":"B2","series-title":"Dermatol Online J","first-page":"13030","article-title":"Review of onychocryptosis: epidemiology, pathogenesis, risk factors, diagnosis and treatment","volume":"25","author":"Geizhals S","year":"2019","unstructured":"Geizhals S, Lipner SR: Review of onychocryptosis: epidemiology, pathogenesis, risk factors, diagnosis and treatment. Dermatol Online J 25: 13030, 2019."},{"key":"B3","series-title":"Skin Appendage Disord","first-page":"272","article-title":"Patient satisfaction with treatment for onychocryptosis: a systematic review","volume":"6","author":"Stewart CR","year":"2020","unstructured":"Stewart CR, Algu L, Kamran R, et al: Patient satisfaction with treatment for onychocryptosis: a systematic review. 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Available at: https:\/\/www.kff.org\/medicare\/state-indicator\/total-medicare-beneficiaries\/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D. Accessed January 25, 2022."},{"key":"B17","article-title":"2018 podiatric practice survey findings report","year":"2022","unstructured":"American Podiatric Medical Association: 2018 podiatric practice survey findings report. Available at: https:\/\/apma.cms-plus.com\/files\/2018%20Practice%20Survey%20Results_FINAL.pdf. Accessed October 18, 2022."},{"key":"B18","year":"2022","unstructured":"Data USA: Podiatrists. Available at: https:\/\/datausa.io\/profile\/soc\/podiatrists. Accessed February 21, 2022."},{"key":"B19","series-title":"J Foot Ankle Surg","first-page":"997","article-title":"The podiatric medical profession: a gender comparison","volume":"59","author":"Brower BA","year":"2020","unstructured":"Brower BA, Butterworth ML, Crawford ME, et al: The podiatric medical profession: a gender comparison. J Foot Ankle Surg 59: 997, 2020."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/114\/3\/22-063.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/3\/22-063.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/3\/22-063.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:41Z","timestamp":1783505981000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/114\/3\/22063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":19,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.7547\/22-063","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}