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Economic Disparities in Patients Undergoing Sigmoidectomy
Sean Neifert1, Nicole Ilonzo2, Jeanie L Gribben1
1Icahn School of Medicine at Mount Sinai, New York, New York.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 5, 2019
Summary
Socioeconomic status impacts hospital charges but not outcomes for sigmoid colectomy patients. Higher income patients incur greater total charges, despite similar health outcomes after the procedure.
Area of Science:
- Colorectal Surgery
- Health Services Research
- Socioeconomic Disparities
Background:
- Healthcare disparities exist across various medical conditions.
- Targeted improvements are needed to address these inequities.
- Sigmoid colectomy outcomes and resource utilization vary by patient income.
Purpose of the Study:
- To analyze differences in outcomes and total hospital charges for sigmoid colectomy.
- To compare the highest and lowest income quartiles of patients undergoing this procedure.
Main Methods:
- Retrospective cohort study using the National Inpatient Sample Database (2013-2014).
- Patients undergoing sigmoid colectomy were categorized into income quartiles based on ZIP code income.
- In-hospital complications were the primary outcome measure.
Main Results:
- Unadjusted analysis revealed disparities in outcomes between income quartiles.
- Adjusted analysis showed no significant difference in overall complications or mortality.
- Patients in the highest income quartile had significantly higher total hospital charges.
Conclusions:
- Socioeconomic status influences hospital resource utilization in sigmoid colectomy.
- While unadjusted outcomes differed, adjusted analyses indicated no significant disparity in patient outcomes.
- Further research is needed to elucidate the reasons behind observed resource utilization differences.
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