MP6-12 DIRECT MEDICAL FACILITY COSTS AND LENGTH OF STAY IN UROLOGIC SURGERIES: DOES DISTANCE TRAVELED TO RECEIVE CARE MATTER?
| Autor: | Donna Watson, John C. Gore, Spencer Schulte, Kenneth P. Roberts, Daniel J. Olson, Kenneth Daratha |
|---|---|
| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Journal of Urology. 191 |
| ISSN: | 1527-3792 0022-5347 |
| Popis: | INTRODUCTION AND OBJECTIVES: The objective of this study was to determine if the distance a patient travels to receive urologic surgical procedures, including transurethral resection of the prostate (TURP), radical prostatectomy (RP) and radical cystectomy (RC), influences their medical care costs or their length of hospitalization. METHODS: This was a retrospective observational cohort study of 10,345 male patients over 50 years of age. Patients were hospitalized in Washington State hospitals between 2009-2012 for TURP (N1⁄43,856), RP (N1⁄45,898) or RC (N1⁄4591). “Extended stay” and “high payer” dichotomous variables were defined as the upper quartile of each distribution. Age, comorbid conditions, hospital procedure volume and payer mix were all controlled for in our multivariable analysis using binary logistic regression. RESULTS: Surgical treatment facilities for TURP had the greatest geographic distribution (55 facilities), followed by RP (46 facilities) and RC, which displayed the greatest concentration of care (28 facilities). Patients traveled the greatest distances to undergo RC (median 24 miles), intermediate distances for RP (16 miles) and the shortest distances for TURP (9 miles). For all three procedures, patients traveling greater distances to receive the same procedures were at no greater risk for increased costs (TURP: OR1⁄41.000; 95%CI1⁄40.9991.001; p1⁄40.77, RP: OR1⁄40.998; 95%CI1⁄40.997-0.999; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|