1. Social determinants of health and their impact on postcolectomy surgery readmissions: a multistate analysis, 2009-2014.
- Author
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Park HS, White RS, Ma X, Lui B, and Pryor KO
- Subjects
- Adolescent, Adult, Black or African American, Aged, California epidemiology, Cross-Sectional Studies, Female, Florida epidemiology, Health Status Disparities, Hispanic or Latino statistics & numerical data, Humans, Income, Insurance Coverage, Laparoscopy statistics & numerical data, Male, Maryland epidemiology, Medicaid statistics & numerical data, Medicare statistics & numerical data, Middle Aged, New York epidemiology, Postoperative Complications epidemiology, Retrospective Studies, Robotic Surgical Procedures statistics & numerical data, United States epidemiology, White People statistics & numerical data, Young Adult, Colectomy statistics & numerical data, Patient Readmission statistics & numerical data, Social Determinants of Health
- Abstract
Aim: To examine the effect of race/ethnicity, insurance status and median household income on postoperative readmissions following colectomy. Patients & methods: Multivariate analysis of hospital discharge data from California, Florida, Maryland and New York from 2009 to 2014. Primary outcomes included adjusted odds of 30- and 90-day readmissions following colectomy by race, insurance status and median income quartile. Results: Total 330,840 discharges included. All 30-day readmissions were higher for black patients (adjusted odds ratio [aOR]: 1.07). Both 30- and 90-day readmissions were higher for Medicaid (aOR: 1.30 and 1.26) and Medicare (aOR: 1.30 and 1.29). The 30- and 90-day readmissions were lower in the highest income quartiles. Conclusion: Race, insurance status and median household income are all independent predictors of disparity in readmissions following colectomy.
- Published
- 2019
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