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National trends in utilization of inferior vena cava filters in the United States, 2000-2009. J Vasc Surg Venous Lymphat Disord 2014 Jan;2(1):15-20



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OBJECTIVE: To characterize national trends over a decade in utilization of inferior vena cava (IVC) filters in the U.S. by year, indication, hospital, and patient demographics.

METHODS: Retrospective cross-sectional study utilizing the Nationwide Inpatient Sample Database, 2000 to 2009. IVC filter placement was identified with International Classification of Disease, Ninth Edition codes. Survey weighting, bivariate, and multivariate analysis was performed.

RESULTS: The number of IVC filters placed in the U.S. increased by 234% over a decade, from 56,380 in 2000 to 132,049 in 2009. A total of 84.7% of patients had a pulmonary embolism or deep venous thrombosis. A total of 94.6% of IVC filters were placed in urban hospitals. The largest number of IVC filters was placed in the South, followed by the Northeast, Midwest, and Western regions (38.7%, 25.8%, 22.4%, and 13%, respectively). Adjusting for other patient and hospital factors, independent predictors of IVC filter placement were year, hospital size, location, teaching status, patient age group 50 to 79 years, insurance status, and urgency of admission.

CONCLUSIONS: The use of IVC filters has dramatically increased over the last decade in the U.S., with variation in utilization based on patient and hospital characteristics. The largest utilization of IVC filters was among patients aged 50 to 79 years, Medicare recipients, and the Southern region of the U.S. The majority of patients receiving IVC filters have a diagnosis of pulmonary embolism or deep venous thrombosis.

Author List

Kuy S, Dua A, Lee CJ, Patel B, Desai SS, Dua A, Szabo A, Patel PJ


Parag J. Patel MD, MS, FSIR Professor in the Radiology department at Medical College of Wisconsin
Aniko Szabo PhD Professor in the Institute for Health and Equity department at Medical College of Wisconsin

jenkins-FCD Prod-482 91ad8a360b6da540234915ea01ff80e38bfdb40a