Disparities in postoperative complications and perioperative events based on insurance status following elective spine surgery: A systematic review and meta-analysis

Autor: Neerav Kumar, AB, Izzet Akosman, BS, Richard Mortenson, BS, Grace Xu, BSE, Abhinav Kumar, BS, Evan Mostafa, MD, Jessica Rivlin, BS, Rafael De La Garza Ramos, MD, Jonathan Krystal, MD, Ananth Eleswarapu, MD, Reza Yassari, MD, Mitchell S. Fourman, MD, MPhil
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: North American Spine Society Journal, Vol 17, Iss , Pp 100315- (2024)
Druh dokumentu: article
ISSN: 2666-5484
DOI: 10.1016/j.xnsj.2024.100315
Popis: Background: Increasing evidence demonstrates disparities among patients with differing insurance statuses in the field of spine surgery. However, no pooled analyses have performed a robust review characterizing differences in postoperative outcomes among patients with varying insurance types. Methods: A comprehensive literature search of the PUBMED, MEDLINE(R), ERIC, and EMBASE was performed for studies comparing postoperative outcomes in patients with private insurance versus government insurance. Pooled incidence rates and odds ratios were calculated for each outcome and meta-analyses were conducted for 3 perioperative events and 2 types of complications. In addition to pooled analysis, sub-analyses were performed for each outcome in specific government payer statuses. Results: Thirty-eight studies (5,018,165 total patients) were included. Compared with patients with private insurance, patients with government insurance experienced greater risk of 90-day re-admission (OR 1.84, p
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