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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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ACCESS TO HEALTHCARE INSURANCE INCREASES THE RATES OF SURGERY FOR DIVERTICULITIS.

Emanuel Eguia1, Timothy Classen2, Mashkoor Choudhry3

  • 1Department of Surgery, Colorectal Surgery Service, Loyola University Medical Center, Maywood, Illinois, USA.

International Journal of Healthcare Management
|January 10, 2022
PubMed
Summary
This summary is machine-generated.

The Affordable Care Act

Keywords:
Affordable Care ActColorectal surgeryMedicaid expansiondiverticulitis

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Surgical Outcomes

Background:

  • Diverticulitis is a common condition requiring surgical intervention.
  • Access to healthcare, particularly insurance coverage, may influence surgical utilization.
  • The Affordable Care Act's Medicaid expansion aimed to increase insurance coverage.

Purpose of the Study:

  • To evaluate the impact of the Affordable Care Act's Medicaid expansion on diverticulitis surgery rates.
  • To compare surgical rates in expansion versus non-expansion states.
  • To analyze changes in surgery rates for different patient payment groups.

Main Methods:

  • Retrospective cohort study using Healthcare Cost and Utilization Project (HCUP) data (2010-2014).
  • Analysis of adult patients undergoing surgery for diverticulitis.
  • Comparison of pre- (2010-2013) and post- (2014) Medicaid expansion periods in expansion and non-expansion states.

Main Results:

  • A total of 159,419 patients were included in the analysis.
  • In expansion states, surgery rates for diverticular disease increased significantly among Medicaid patients (IRR 1.80; p<.01).
  • Conversely, surgery rates for self-pay patients decreased in expansion states (IRR 0.67; p<.01) compared to non-expansion states.

Conclusions:

  • Medicaid expansion under the Affordable Care Act was associated with increased surgical rates for diverticular disease among Medicaid patients.
  • Increased healthcare access through legislation may lead to greater utilization of surgical care for diverticular disease.
  • Findings highlight the influence of insurance expansion on surgical care patterns for specific conditions.