Journal article
Community health indicators associated with outcomes of pancreatectomy
The American journal of surgery, Vol.215(1), pp.120-124
01/01/2018
DOI: 10.1016/j.amjsurg.2017.02.010
PMID: 28335987
Abstract
This study evaluates the association of environmental, social and health risk factors in relation to outcomes of pancreatic surgery.
Patients who underwent pancreatectomy with a 30 day postoperative follow up in Florida, New York and Washington states were identified using the State Inpatient Databases (SID) from 2010 to 2011. This data was merged with community health indicators complied from the County Health Ranking database. Fourteen community health indicators were used to determine higher risk communities. Communities were then divided into low and high risk communities based on a scoring system using accumulative community risk.
Among 3494 patients included recipients in high-risk communities were more likely African American (p < 0.001), younger (age 40–59; p = 0.001), and had Medicaid as primary insurance (p = 0.001). Management of patients in high-risk communities was associated with increased risk of postoperative complications (p < 0.001), ICU admissions (p < 0.001), increased length of stay (p < 0.001).
Health indicators from patients' communities are predictors of increased risk of perioperative complications for individuals undergoing pancreas surgery.
•Ecological factors and community health factors may be associated with poor outcomes after pancreatic surgery regardless of quality of care delivered by an institution, surgeon and ancillary staff.•Increased ICU admission, hospital length of stay and post-operative complications seem to be linked to community heath factors.•More research should be done in order to determine how to use this information to improve disparities in care, but for now recognizing that this is an important issue in delivery and management of healthcare is an important step.
Details
- Title: Subtitle
- Community health indicators associated with outcomes of pancreatectomy
- Creators
- Lauren Slakey Pointer - Tulane UniversityZaid Al-Qurayshi - Tulane UniversityDavid Taylor Pointer - Tulane UniversityEmad Kandil - Tulane UniversityDouglas Philip Slakey - Tulane University
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.215(1), pp.120-124
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.amjsurg.2017.02.010
- PMID
- 28335987
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Number of pages
- 5
- Language
- English
- Date published
- 01/01/2018
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702818902771
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