Acute clinical and financial outcomes of esophagectomy at safety-net hospitals in the United States.

ABSTRACT:

Background

While safety-net hospitals (SNH) play a critical role in the care of underserved communities, they have been associated with inferior postoperative outcomes. This study evaluated the association of hospital safety-net status with clinical and financial outcomes following esophagectomy.

Methods

All adults (≥18 years) undergoing elective esophagectomy for benign and malignant gastroesophageal disease were identified in the 2010-2019 Nationwide Readmissions Database. Centers in the highest quartile for the proportion of uninsured/Medicaid patients were classified as SNH (others: non-SNH). Regression models were developed to evaluate adjusted associations between SNH status and outcomes, including in-hospital mortality, perioperative complications, and resource use. R

SUBMITTER: Sakowitz S 

PROVIDER: S-EPMC10208475 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature