在骨关节损伤的手术固定中的差异:对保险状况的分析
Daniel B Calem1, Matthew Weintraub1, Tej Joshi1
1Department of Orthopaedic Surgery, Rutgers Health New Jersey Medical School, Newark, NJ, USA.
Journal of shoulder and elbow surgery
|January 11, 2025
概括
与私人保险患者相比,有医疗补助保险的患者接受AC关节脱手术的可能性较低. 更高的收入水平也与 AC 关节损伤外科手术干预的可能性增加有关.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 关节 (AC) 关节损伤的管理传统上依赖于损伤的严重程度.
- 最近的辩论质疑了对AC关节损伤进行手术的必要性.
- 在整形外科疾病中,在手术治疗中注意到保险差异.
研究的目的:
- 调查保险覆盖对AC关节位移手术固定率的影响.
- 确定影响AC关节损伤手术治疗决策的社会经济因素.
主要方法:
- 国家再接收数据库 (2016-2021) 的回顾性分析.
- 使用ICD-10代码识别孤立的交流关节位移.
- 统计分析包括千平方测试和多变量后勤回归.
主要成果:
- 与私人保险患者相比,接受医疗补助的患者接受手术的可能性明显低 (或0.51).
- 在最高收入四分位数邮政编码中的个人更有可能接受手术 (OR 1.91).
- 调整分析对年龄,性别,收入和并发症进行控制.
结论:
- 医疗补助保险患者和来自较低收入地区的患者在AC关节受伤时接受的手术治疗较少.
- 调查结果强调了AC关节损伤管理中的潜在保险和社会经济偏见.
- 在正在进行的关于手术与非手术护理的辩论中,需要标准化的治疗指南.
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