Does socioeconomic status predict outcomes after cholecystectomy?

被引：22

作者：

Ambur, Vishnu ^{[1
]}

Taghavi, Sharven ^{[2
]}

Kadakia, Sagar ^{[1
]}

Jayarajan, Senthil ^{[2
]}

Gaughan, John ^{[3
]}

Sjoholm, Lars Ola ^{[1
]}

Pathak, Abhijit ^{[1
]}

Santora, Thomas ^{[1
]}

Rappold, Joseph ^{[1
]}

Goldberg, Amy J. ^{[1
]}

机构：

[1] Temple Univ Hosp & Med Sch, Dept Surg, Philadelphia, PA 19140 USA

[2] Washington Univ, Dept Surg, Barnes Jewish Hosp, St Louis, MO USA

[3] Temple Univ, Sch Med, Biostat Consulting Ctr, Philadelphia, PA 19122 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2017年 / 213卷 / 01期

关键词：

Socioeconomic status; Cholecystectomy; Income; Medicaid; National inpatient sample; PAYER STATUS; MORTALITY; SURGERY; PATIENT; DISPARITIES;

D O I：

10.1016/j.amjsurg.2016.04.012

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: This study was performed to evaluate the effect of socioeconomic status (SES) on outcomes after cholecystectomy. METHODS: The National Inpatient Sample (NIS) database (2005 to 2011) was queried for patients undergoing cholecystectomy. Clinically relevant variables were used to examine clinical characteristics, postoperative complications, and mortality. SES was investigated by examining income quartile. RESULTS: More than 2 million patients underwent cholecystectomy during this period. They were divided into quartiles by SES. The lowest cohort was younger (50 years, P<.001) and had the lowest Charlson Comorbidity Index (2.08, P<.001). This cohort was more likely African American (15.8%, P<.001) and more likely to have Medicaid (19.2%, P<.001). Using split-sample validation and multivariate analysis, lower SES, Charlson comorbidity Index, and Medicaid recipients were associated with increased mortality. CONCLUSIONS: Patients with Medicaid and lower SES had poorer outcomes after cholecystectomy. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：100 / 104

页数：5

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