tci Part B Insider - 2003 Issue 10

LUNG-VOLUME REDUCTION: Study Suggests Who Gains From Disputed Surgery

The Centers for Medicare & Medicaid Services opened a national coverage determination process on lung-volume reduction surgery in the wake of a five-year study that showed some useful results for the procedure. The five-year National Emphysema Treatment Trial was a historic attempt by the federal government to obtain evidence regarding the effectiveness of LVRS, whose costs had threatened to overwhelm the Medicare budget. So far, the study has found that patients with emphysema in the upper lobes of their lungs and limited capacity to exercise may live longer and healthier as a result of LVRS. Among emphysema patients...

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