Community Income, Healthy Food Access, and Repeat Surgery for Kidney Stones
| Autor: | Kirsten Bibbins-Domingo, Manuel Armas-Phan, Thomas Chi, David Bayne, Cameron R. Hicks, Hilary K. Seligman, Sudarshan Srirangapatanam, Amy Showen, Anne M. Suskind, Marshall L. Stoller |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Urologic Diseases
Adult Male Reoperation Multivariate statistics Kidney Disease Urology Clinical Sciences Repeat Surgery Basic Behavioral and Social Science Article Kidney Calculi Healthy food Clinical Research Behavioral and Social Science Medicine Humans business.industry Proportional hazards model Prevention Significant difference Hazard ratio Urology & Nephrology Census medicine.disease United States Income Zero Hunger Kidney stones Female Patient Safety business Demography |
| Zdroj: | Urology |
| ISSN: | 1527-9995 |
| Popis: | ObjectiveTo determine if limited food access census tracts and food swamp census tracts are associated with increased risk for repeat kidney stone surgery. And to elucidate the relationship between community-level food retail environment relative to community-level income on repeat stone surgery over time.MethodsData were abstracted from the University of California, San Francisco Information Commons. Adult patients were included if they underwent at least one urologic stone procedure. Census tracts from available geographical data were mapped using Food Access Research Atlas data from the United States Department of Agriculture Economic Research Service. Kaplan-Meier curves were employed to illustrate time to a second surgical procedure over 5 years, and log-rank tests were used to test for statistically significant differences. A multivariate Cox regression model was used to generate hazard ratios for undergoing second surgery by group.ResultsA total of 1496 patients were included in this analysis. Repeat stone surgery occurred in 324 patients. Kaplan-Meier curves demonstrated a statistically significant difference in curves depicting patients living in low income census tracts (LICTs) vs those not living in LICTs (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect