Medicaid Payer Status Is a Predictor of Early Postoperative Pain Following Upper Extremity Procedures
| Autor: | Allison L. Boden, Stephanie A. Boden, Michael T Scott, Michael B. Gottschalk, Lauren M. Boden, Kevin X. Farley |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale Postoperative pain Medicare Upper Extremity 03 medical and health sciences 0302 clinical medicine Postoperative pain relief Insurance types Medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Patient Reported Outcome Measures Aged Surgery Articles 030222 orthopedics Pain Postoperative business.industry Medicaid Single surgeon United States Insurance status Ambulatory Physical therapy Surgery business |
| Zdroj: | Hand (N Y) |
| Popis: | Background: The purpose of this study was to investigate the relationship between insurance status and patient-reported pain both before and after upper extremity surgical procedures. We hypothesized that patients with Medicaid payer status would report higher levels of pre- and postoperative pain and report less postoperative pain relief. Methods: In all, 376 patients who underwent upper extremity procedures by a single surgeon at an academic ambulatory surgery center were identified. Patient information, including insurance status and Visual Analog Scale pain score (VAS-pain) at baseline, 2 weeks, and 1, 3, and 6 months, were collected. VAS-pain scores were compared with t-tests and linear regression. Results: Preoperatively and at 2-week, 1-month, and 3-month follow-up, Medicaid patients reported statistically significant higher pain levels than patients with Private insurance, finding a mean adjusted increase of 0.51 preoperatively, 0.39 at 1 month, and 0.79 at 3 months. Preoperatively and at 3-month follow-up, Medicaid patients reported statistically significant higher pain than patients with Medicare, finding increases in VAS-pain of 0.99 preoperatively and 0.94 at 3 months. There was no difference in pain improvement between any insurance types at any time point (all P values > .05). Conclusions: Patients with Medicaid report higher levels of preoperative pain and early postoperative pain, but reported the same improvement in pain as patients with other types of insurance. As healthcare systems are becoming increasingly dependent on patient-reported outcomes, including pain, it is important to consider that differences may exist in subjective pain depending on insurance status. |
| Databáze: | OpenAIRE |
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