학술논문
Race, Insurance, and Socioeconomic Influences on Outcomes Following Roux-En-Y Gastric Bypass.
Document Type
Academic Journal
Author
Akinyemi OA; Department of Surgery Outcomes Research Center, Howard University College of Medicine, Washington, DC, USA.; Weldeslase TA; Department of Surgery Outcomes Research Center, Howard University College of Medicine, Washington, DC, USA.; Andine TF; Department of Surgery Outcomes Research Center, Howard University College of Medicine, Washington, DC, USA.; Fasokun M; Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA.; Griffiths Y; Department of Surgery Outcomes Research Center, Howard University College of Medicine, Washington, DC, USA.; Odusanya E; Department of Surgery Outcomes Research Center, Howard University College of Medicine, Washington, DC, USA.; Williams M; Department of Surgery, Howard University Hospital, Washington, DC, USA.; Hughes K; Department of Surgery, Howard University Hospital, Washington, DC, USA.; Cornwell E 3rd; Department of Surgery, Howard University Hospital, Washington, DC, USA.; Fullum T; Department of Surgery, Howard University Hospital, Washington, DC, USA.
Source
Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE
Subject
Language
English
Abstract
The effectiveness of Roux-en-Y gastric bypass (RYGB) might be shadowed by disparities in outcomes related to patient race and insurance type. We determine the influence of patient race/ethnicity and insurance types on complications following RYGB. We performed a retrospective analysis using data sourced from the National Inpatient Sample Database (2010 to 2019). A multivariate analysis was employed to determine the relationship between patient race/ethnicity and insurance type on RYGB complications. The analysis determined the interaction between race/ethnicity and insurance type on RYGB outcomes. We analyzed 277714 patients who underwent RYGB. Most of these patients were White (64.5%) and female (77.3%), with a median age of 46 years (IQR 36-55). Medicaid beneficiaries displayed less favorable outcomes than those under private insurance: Extended hospital stay (OR = 1.68; 95% CI 1.58-1.78), GIT Leak (OR = 1.83; 95% CI 1.35-2.47), postoperative wound infection (OR = 1.88; 95% CI 1.38-2.55), and in-hospital mortality (OR = 2.74; 95% CI 1.90-3.95).