Abstract
A5135 - Is Bariatric Surgery a Luxury? Privately-Insured and Self-Pay Patients Undergo More and Safer Bariatric Surgery
Surgery for obesity and related diseases, Vol.12(7), pp.S137-S137
08/2016
DOI: 10.1016/j.soard.2016.08.253
Abstract
Background
One third of adults in the United States are affected by obesity. Bariatricsurgery has been shown to be the most effective method of achieving weight loss anddiminishing the comorbidities of obesity. Despite these positive outcomes, there may bedisparities that exist within the patient population. This study seeks to identify possibledisparity in the payer status of patients undergoing bariatric surgery.
Materials and Methods
We performed a retrospective, cross-sectional analysis of theNational Inpatient Sample database, the largest all-payer inpatient database, from 2003-2010. We identified adults who underwent bariatric surgery and matched them withappropriate controls. Our primary objective was to examine patients' demographic andeconomic characteristics, including payer status, hospital region, rural or urban hospitaland academic or community practice. The sample was analyzed using Chi-squared tests,linear regression analysis, and multivariate logistical regression analysis.
Results
A total of 132,342 cases and 636,320 controls were studied. The majority of thestudy sample was female (66.5%), white (70.0%), and had private insurance (42.0%).Medicare (5.1% (OR 0.33, 95% CI 0.29-0.37, p<0.001) and Medicaid (8.7%, OR 0.21, CI 95%0.18-0.25, p<0.001) patients account for a lower percentage of bariatric cases aftercontrolling for demographic factors. Additionally, public payer status conferred highercomplication rates; Medicare OR 1.54 (95% CI: 1.33, 1.78; p<0.001) and Medicaid OR 1.31(95% CI: 1.08, 1.60; p=0.007).
Conclusions
Public payer status is associated with disparity in delivery of bariatric surgery.This population is also more likely to experience a complication after bariatric surgery.
Details
- Title: Subtitle
- A5135 - Is Bariatric Surgery a Luxury? Privately-Insured and Self-Pay Patients Undergo More and Safer Bariatric Surgery
- Creators
- Dietric Hennings - Tulane UniversityChristopher DuCoin - University Medical Center New OrleansZaid Al-Qurayshi
- Resource Type
- Abstract
- Publication Details
- Surgery for obesity and related diseases, Vol.12(7), pp.S137-S137
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.soard.2016.08.253
- ISSN
- 1550-7289
- eISSN
- 1878-7533
- Language
- English
- Date published
- 08/2016
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702898402771
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