The Inequity of Bariatric Surgery: Publicly Insured Patients Undergo Lower Rates of Bariatric Surgery with Worse Outcomes
| Autor: | Rachel L. Moore, Emad Kandil, Maria Baimas-George, Zaid Al-Quarayshi, Dietric L. Hennings, Christopher DuCoin |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Endocrinology Diabetes and Metabolism Bariatric Surgery 030209 endocrinology & metabolism Comorbidity Overweight Medicare Logistic regression 03 medical and health sciences Postoperative Complications 0302 clinical medicine Weight loss Weight Loss medicine Humans Healthcare Disparities Private insurance Aged Retrospective Studies Nutrition and Dietetics Medicaid business.industry Insurance Benefits Middle Aged medicine.disease Obesity United States Obesity Morbid Surgery Treatment Outcome Increased risk Case-Control Studies Female 030211 gastroenterology & hepatology medicine.symptom business Body mass index |
| Zdroj: | Obesity Surgery. 28:44-51 |
| ISSN: | 1708-0428 0960-8923 |
| Popis: | Bariatric surgery has been shown to be the most effective method of achieving weight loss and alleviating obesity-related comorbidities. Yet, it is not being used equitably. This study seeks to identify if there is a disparity in payer status of patients undergoing bariatric surgery and what factors are associated with this disparity. We performed a case-control analysis of National Inpatient Sample. We identified adults with body mass index (BMI) greater than or equal to 25 kg/m2 who underwent bariatric surgery and matched them with overweight inpatient adult controls not undergoing surgery. The sample was analyzed using multivariate logistic regression. We identified 132,342 cases, in which the majority had private insurance (72.8%). Bariatric patients were significantly more likely to be privately insured than any other payer status; Medicare- and Medicaid-covered patients accounted for a low percentage of cases (Medicare 5.1%, OR 0.33, 95% CI 0.29–0.37, p |
| Databáze: | OpenAIRE |
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