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Social determinants of health and their impact on postcolectomy surgery readmissions: a multistate analysis, 2009-2014.
- Source :
-
Journal of comparative effectiveness research [J Comp Eff Res] 2019 Dec; Vol. 8 (16), pp. 1365-1379. Date of Electronic Publication: 2019 Dec 04. - Publication Year :
- 2019
-
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.
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 2042-6313
- Volume :
- 8
- Issue :
- 16
- Database :
- MEDLINE
- Journal :
- Journal of comparative effectiveness research
- Publication Type :
- Academic Journal
- Accession number :
- 31797679
- Full Text :
- https://doi.org/10.2217/cer-2019-0114