• J Comp Eff Res · Dec 2019

    Multicenter Study Observational Study

    Social determinants of health and their impact on postcolectomy surgery readmissions: a multistate analysis, 2009-2014.

    • Hyun S Park, Robert S White, Xiaoyue Ma, Briana Lui, and Kane O Pryor.
    • Weill Cornell Medicine/New York Presbyterian Hospital, Department of Anesthesiology, 525 East 68th Street, Box 124, New York, NY 10065, USA.
    • J Comp Eff Res. 2019 Dec 1; 8 (16): 1365-1379.

    AbstractAim: 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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