TY - JOUR
T1 - When Benchmarks Fail Us
T2 - A Case Study in Cytoreductive Surgery
AU - RVU Writing Group
AU - PSM Consortium Group
AU - Bansal, Varun V.
AU - Witmer, Hunter D.D.
AU - Childers, Christopher P.
AU - Su, David G.
AU - Turaga, Kiran K.
AU - Woo, Yanghee
AU - Keutgen, Xavier
AU - Morano, William
AU - Bowne, Wilbur Bo
AU - Strong, Vivian
AU - Gushchin, Vadim
AU - Sarpel, Umut
AU - Maduekwe, Ugwuji
AU - Grotz, Travis
AU - Nguyen, Trang
AU - Kennedy, Timothy
AU - Lwin, Thinzar
AU - Gamblin, TClark
AU - Ahrendt, Steven
AU - Greco, Stephanie
AU - Abdel-Misih, Sherif
AU - Concors, Seth
AU - Gholami, Sepideh
AU - Dineen, Sean
AU - Sherman, Scott
AU - Bagaria, Sanjay
AU - Naffouje, Samer
AU - Patel, Sameer
AU - Pappas, Sam
AU - Ganai, Sabha
AU - Merkow, Ryan
AU - Shah, Rupen
AU - Sticca, Robert
AU - Barone, Robert
AU - Royal, Richard
AU - Hoehn, Richard
AU - Berri, Richard
AU - Alexander, Richard
AU - Wiatrek, Rebecca
AU - Chokshi, Ravi
AU - Zuckerman, Randall
AU - Pandalai, Prakash
AU - Mansfield, Paul
AU - Sugarbaker, Paul H.
AU - Wagner, Patrick
AU - Polanco, Patricio
AU - Eng, Oliver
AU - Gusani, Niraj
AU - Kitano, Mio
AU - Court, Colin
N1 - Publisher Copyright:
© Society of Surgical Oncology 2024.
PY - 2025/1
Y1 - 2025/1
N2 - Introduction: Relative Value Units (RVUs) are utilized to measure physician work effort and create national benchmarks. Physicians are often measured against national benchmarks to determine compensation. Using a case study in cytoreductive surgery, we explored variability in coding that can impact national benchmarks. Methods: A survey was conducted amongst surgeons in the peritoneal surface malignancies consortium (PSM). Data was collected on clinical experience, clinical full time equivalent, wRVUS and institutional coding practice. Results: Coding of the same procedure resulted in significantly varying RVUs (IQR 60-101) across institutions. Higher volume (> 50% practice) appeared to have better coding practices with higher wRVU/case (Median 102 vs 62, p = 0.04). Conclusions: There is significant variability in the measurement of similar effort across institutions due to coding variability. Such variability creates flaws in measurement necessary for benchmarks.
AB - Introduction: Relative Value Units (RVUs) are utilized to measure physician work effort and create national benchmarks. Physicians are often measured against national benchmarks to determine compensation. Using a case study in cytoreductive surgery, we explored variability in coding that can impact national benchmarks. Methods: A survey was conducted amongst surgeons in the peritoneal surface malignancies consortium (PSM). Data was collected on clinical experience, clinical full time equivalent, wRVUS and institutional coding practice. Results: Coding of the same procedure resulted in significantly varying RVUs (IQR 60-101) across institutions. Higher volume (> 50% practice) appeared to have better coding practices with higher wRVU/case (Median 102 vs 62, p = 0.04). Conclusions: There is significant variability in the measurement of similar effort across institutions due to coding variability. Such variability creates flaws in measurement necessary for benchmarks.
KW - Cytoreductive surgical procedures
KW - Organization and administration
KW - Peritoneal neoplasms
KW - Peritoneal surface malignancies
UR - http://www.scopus.com/inward/record.url?scp=85207593066&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85207593066&partnerID=8YFLogxK
U2 - 10.1245/s10434-024-16191-y
DO - 10.1245/s10434-024-16191-y
M3 - Editorial
C2 - 39460818
AN - SCOPUS:85207593066
SN - 1068-9265
VL - 32
SP - 19
EP - 23
JO - Annals of Surgical Oncology
JF - Annals of Surgical Oncology
IS - 1
ER -