Effect of Insurance Type on Postoperative Tympanostomy Tube Follow‐up

Autor: Terral A. Patel, Jennifer L. McCoy, Michael A. Belsky, Edward S. Sim, Anisha Konanur, Annie Yan, Noel Jabbour, Reema Padia
Rok vydání: 2021
Předmět:
Zdroj: Otolaryngology–Head and Neck Surgery. 166:1078-1084
ISSN: 1097-6817
0194-5998
DOI: 10.1177/01945998211067504
Popis: Bilateral myringotomy with tube insertion (BMT) is a common procedure performed in children. Appropriate follow-up is necessary to ensure management of postoperative sequalae. The objectives are to investigate (1) the relationship between insurance type and postoperative follow-up attendance and (2) the effect of follow-up on need for further care after BMT.Retrospective cohort study.The study included patients3 years of age undergoing BMT for recurrent acute otitis media at a tertiary care children's hospital within a single year and followed for 3 years. Patients were excluded if they had received a prior BMT; underwent a concurrent otolaryngologic procedure; or had a syndromic diagnosis, craniofacial abnormality, or any significant cardiac or respiratory comorbidity.Number of follow-up appointments, demographics, socioeconomic status, and postoperative outcomes were analyzed.A total of 734 patients were included with mean (SD) age of 1.4 years (0.50). The majority of patients had private insurance (520/734, 70.8%). Patients with public insurance attended fewer postoperative appointments (1.5 vs 1.8,Insurance type is related to outcomes after the treatment of recurrent acute otitis media with BMT. Future studies that survey individuals will help identify barriers that contribute to patient absence at follow-ups and need for subsequent ED visits.
Databáze: OpenAIRE
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