Disparities in minimally invasive surgery for colorectal cancer in Florida
Copyright © 2018 Elsevier Inc. All rights reserved..
BACKGROUND: The cost of minimally invasive surgery (MIS) raises potential for racial and social disparities. The aim of this study was to identify the racial, socioeconomic and geographic disparities associated with MIS for colorectal cancer (CRC) in Florida.
METHODS: Using the Florida Inpatient Discharge Dataset, we examined the clinical data of patients who underwent elective resections for CRC during 2013-2015. Multivariable analysis was performed to identify differences in gender, age, race, urbanization, region, insurance and clinical characteristics associated with the surgical approach.
RESULTS: Of the 10,224 patients identified, 5308 (52%) had open surgery and 4916 (48%) had MIS. Females (p = 0.012), Medicare-insured patients (p = 0.001) and residents of South Florida were more likely to undergo MIS. Patients with Medicaid (p = 0.008), metastasis (p < 0.001) or 3-5 comorbidities (p = 0.004) had reduced likelihood of MIS. Hispanic patients in Southwest Florida had reduced likelihood of receiving MIS than whites (p < 0.017). Patients who underwent MIS had significantly reduced LOS (p < 0.001).
CONCLUSIONS: Consistent with national studies, MIS for CRC in Florida is associated with insurance status and geographic location. There are patient-level regional differences for racial disparities in MIS for CRC in Florida.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:218 |
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| Enthalten in: |
American journal of surgery - 218(2019), 2 vom: 12. Aug., Seite 293-301 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Osagiede, Osayande [VerfasserIn] |
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| Links: |
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| Themen: |
Colorectal cancer |
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| Anmerkungen: |
Date Completed 22.01.2020 Date Revised 22.01.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.amjsurg.2018.11.019 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM29134402X |
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| 245 | 1 | 0 | |a Disparities in minimally invasive surgery for colorectal cancer in Florida |
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| 500 | |a Date Completed 22.01.2020 | ||
| 500 | |a Date Revised 22.01.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2018 Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: The cost of minimally invasive surgery (MIS) raises potential for racial and social disparities. The aim of this study was to identify the racial, socioeconomic and geographic disparities associated with MIS for colorectal cancer (CRC) in Florida | ||
| 520 | |a METHODS: Using the Florida Inpatient Discharge Dataset, we examined the clinical data of patients who underwent elective resections for CRC during 2013-2015. Multivariable analysis was performed to identify differences in gender, age, race, urbanization, region, insurance and clinical characteristics associated with the surgical approach | ||
| 520 | |a RESULTS: Of the 10,224 patients identified, 5308 (52%) had open surgery and 4916 (48%) had MIS. Females (p = 0.012), Medicare-insured patients (p = 0.001) and residents of South Florida were more likely to undergo MIS. Patients with Medicaid (p = 0.008), metastasis (p < 0.001) or 3-5 comorbidities (p = 0.004) had reduced likelihood of MIS. Hispanic patients in Southwest Florida had reduced likelihood of receiving MIS than whites (p < 0.017). Patients who underwent MIS had significantly reduced LOS (p < 0.001) | ||
| 520 | |a CONCLUSIONS: Consistent with national studies, MIS for CRC in Florida is associated with insurance status and geographic location. There are patient-level regional differences for racial disparities in MIS for CRC in Florida | ||
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Colorectal cancer | |
| 650 | 4 | |a Florida | |
| 650 | 4 | |a Health disparities | |
| 650 | 4 | |a Minimally invasive surgery | |
| 650 | 4 | |a Retrospective study | |
| 700 | 1 | |a Spaulding, Aaron C |e verfasserin |4 aut | |
| 700 | 1 | |a Cochuyt, Jordan J |e verfasserin |4 aut | |
| 700 | 1 | |a Naessens, James M |e verfasserin |4 aut | |
| 700 | 1 | |a Merchea, Amit |e verfasserin |4 aut | |
| 700 | 1 | |a Kasi, Pashtoon M |e verfasserin |4 aut | |
| 700 | 1 | |a Crandall, Marie |e verfasserin |4 aut | |
| 700 | 1 | |a Colibaseanu, Dorin T |e verfasserin |4 aut | |
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