Journal article
The Effect of Race and Socioeconomic Status on Outcomes Following Adrenal Operations
Journal of surgical oncology, Vol.112(8), pp.822-827
12/15/2015
DOI: 10.1002/jso.24082
PMID: 26525638
Abstract
Background: Disparities following different operations exist. We seek to measure the effects of race/ethnicity and socioeconomic status on outcomes following adrenal surgery.
Methods: Cross-sectional analysis of adrenal operations identified in the Nationwide Inpatient Sample (NIS) from 2003 to 2009.
Results: A total of 7,537 procedures were included. Operations by high-volume surgeons had shorter length of stay (LOS) (3.4 days vs. 5.2 days, P < 0.001) and fewer complications (11.6% vs. 16.7%, P < 0.001). Hispanics were more likely to be operated on by low-volume surgeons [OR: 2.17, 95% CI: (1.33, 3.55)]. There were significant differences in LOS and cost among races/ethnicities, income categories, and insurance types (P < 0.05). Hispanics had longer LOS compared to Whites (P = 0.002) and their management was associated with a higher cost ($20,754.00 +/- 1,478.40). Patients with either Medicaid [OR: 1.70, 95% CI: (1.30, 2.22)] or Medicare [OR: 1.86, 95% CI: (1.36, 2.54)] were more likely to have a LOS > 5 days.
Conclusions: Racial and socioeconomic disparities exist; however, they are not solely related to access. A complex interplay between various racial, cultural, and socioeconomic factors likely influence outcomes in adrenal surgery. (C) 2015 Wiley Periodicals, Inc.
Details
- Title: Subtitle
- The Effect of Race and Socioeconomic Status on Outcomes Following Adrenal Operations
- Creators
- Adam Hauch - Tulane UniversityZaid Al-Qurayshi - Tulane UniversityEmad Kandil - Tulane University
- Resource Type
- Journal article
- Publication Details
- Journal of surgical oncology, Vol.112(8), pp.822-827
- Publisher
- Wiley
- DOI
- 10.1002/jso.24082
- PMID
- 26525638
- ISSN
- 0022-4790
- eISSN
- 1096-9098
- Number of pages
- 6
- Language
- English
- Date published
- 12/15/2015
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702946702771
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