Interaction of Insurance and Neighborhood Income on Operative Colorectal Cancer Outcomes Within a National Database.

ABSTRACT:

Introduction

Sociodemographic disparities in colorectal cancer (CRC) surgical patients are known. Few studies, however, have examined the intersection of insurance type and median household income (MHI).

Methods

In this retrospective analysis of the National Inpatient Sample from 2000 to 2019, all CRC surgery patients between 50 and 64 y old were included. Patients were further stratified based on insurance type (commercial, Medicaid, and uninsured) as well as county-level MHI quartiles. Outcomes included nonelective surgery (primary outcome), inpatient mortality, complications, and blood transfusions. Multivariate logistic regression adjusted for sociodemographic variables, medical comorbidities, and hospital-level factors.

Results

Of 108,606 patients, 80.5% of patie

SUBMITTER: Allar BG 

PROVIDER: S-EPMC11602359 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature