One Year Surgical Outcomes and Costs For Medicaid vs. non-Medicaid Patients Undergoing Laparoscopic Roux-en-Y Gastric Bypass: A Single Center Study
| Autor: | Ellie Y. Chen, Guilherme M. Campos, Andrew Suzo, Luke M. Funk, Jacob A. Greenberg, Michael J. Garren, Benjamin Fox |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Reoperation Pediatrics medicine.medical_specialty Gastric Bypass 030209 endocrinology & metabolism Single Center medicine.disease_cause Article 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Humans 030212 general & internal medicine Laparoscopy health care economics and organizations Retrospective Studies medicine.diagnostic_test business.industry Gastric bypass surgery Medicaid Retrospective cohort study Emergency department Length of Stay Middle Aged medicine.disease Roux-en-Y anastomosis Comorbidity United States Obesity Morbid Treatment Outcome Case-Control Studies Costs and Cost Analysis Surgery Female business Emergency Service Hospital |
| Popis: | Purpose To compare 1-year outcomes and costs between severely obese Medicaid and non-Medicaid patients who underwent laparoscopic Roux-en-Y gastric bypass surgery. Methods This is a single-institution retrospective review comparing 33 Medicaid patients to 99 randomly selected non-Medicaid patients (1:3 case-control). Ninety-day and 1-year outcomes were extracted from the electronic health record. Costs were obtained from the UW information technology division. Bivariate analyses were used to compare study variables. Results Emergency department visits (48.2% vs. 27.4%; P=0.06) and readmissions (37.0% vs. 14.7%; P=0.01) were more common for Medicaid patients. Medicaid patients had less excess body weight loss (50.7% vs. 65.6%; P=0.001) but similar comorbidity resolution and complication rates. One-year median costs were similar between Medicaid and non-Medicaid patients ($21,160 vs. $24,215; P=0.92). Conclusions One-year comorbidity resolution, complications, and costs following laparoscopic Roux-en-Y gastric bypass were similar between Medicaid and non-Medicaid patients. Focusing on reducing emergency department presentations and readmissions would be a high-impact area for future quality improvement initiatives. |
| Databáze: | OpenAIRE |
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