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A Florida-Based Analysis of Bowel Surgery Outcomes: Does Income Predict Recovery?
Heather Lumley1, Benjamin S Crooks2, Suzanne I Riskin2
1General Surgery, Keesler Air Force Base, Biloxi, USA.
Cureus
|July 31, 2026
Summary
County median household income did not significantly correlate with hospital length of stay or 15-day readmission rates for major bowel surgeries in Florida. Further research should explore additional socioeconomic factors for a clearer understanding.
Area of Science:
- Surgical outcomes research
- Health services research
- Socioeconomic determinants of health
Background:
- Major small and large bowel surgeries are common in the U.S. for various conditions.
- Hospital length of stay (LOS) and readmission rates are key outcome measures for surgical effectiveness.
- Socioeconomic status (SES) is a known predictor of postoperative outcomes, but its relationship with LOS and readmissions needs further clarification.
Purpose of the Study:
- To evaluate the correlation between county median household income (as a measure of SES) and hospital LOS.
- To assess the relationship between county median household income and 15-day potentially preventable readmission rates after major bowel procedures in Florida.
Main Methods:
- Analysis of publicly available data for major small- and large-bowel procedures across 48 Florida counties.
- Stratification of county median household income into quintiles for comparison.
- Regression analysis for LOS and Kruskal-Wallis test for readmission rates.
Main Results:
- No significant relationship was found between county median income and hospital LOS.
- No statistically significant differences in readmission rates were observed across different median income categories.
- The majority of Florida counties fell into the second and third income quintiles.
Conclusions:
- County median household income alone showed a limited association with hospital LOS and readmission rates following major bowel surgery.
- Median annual household income may not fully capture the complex socioeconomic factors influencing surgical recovery.
- Future research should incorporate broader SES markers and patient-level data for a more refined understanding.
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