Social determinants of health and their impact on postcolectomy surgery readmissions: a multistate analysis, 2009–2014
Publication: Journal of Comparative Effectiveness Research
Abstract
Aim: To examine the effect of race/ethnicity, insurance status and median household income on postoperative readmissions following colectomy. Patients & methods: Multivariate analysis of hospital discharge data from California, Florida, Maryland and New York from 2009 to 2014. Primary outcomes included adjusted odds of 30- and 90-day readmissions following colectomy by race, insurance status and median income quartile. Results: Total 330,840 discharges included. All 30-day readmissions were higher for black patients (adjusted odds ratio [aOR]: 1.07). Both 30- and 90-day readmissions were higher for Medicaid (aOR: 1.30 and 1.26) and Medicare (aOR: 1.30 and 1.29). The 30- and 90-day readmissions were lower in the highest income quartiles. Conclusion: Race, insurance status and median household income are all independent predictors of disparity in readmissions following colectomy.
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PubMed: 31797679
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© 2019 Future Medicine Ltd.
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Received: 5 August 2019
Accepted: 4 October 2019
Published online: 4 December 2019
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Social determinants of health and their impact on postcolectomy surgery readmissions: a multistate analysis, 2009–2014. (2019) Journal of Comparative Effectiveness Research. DOI: 10.2217/cer-2019-0114
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