National health disparities in incisional hernia repair outcomes: An analysis of the Healthcare Cost and Utilization Project National Inpatient Sample (HCUP-NIS) 2012-2014.

摘要: Abstract Background Incisional hernias represent an acquired defect from failed healing of abdominal facial incision and are therefore distinct primary hernias. While literature regarding incisional hernia incidence, risk factors, treatment abundant, no study has examined national health disparities specific to repair. The objective this was analyze unique surgical repair procedures. Methods Patient data queried the Healthcare Cost Utilization Project National Inpatient Sample 2012 2014 using International Classification Diseases 9th revision procedure codes for were used generate univariate multivariate models including demographics, socioeconomic admission status, hospital characteristics. Primary outcomes nonelective in-hospital mortality, complications, extended duration stay. Results We estimated that 89,258 procedures occurred annually 2014, incurring $6.3 billion in charges. By analysis, multiple factors contribute significantly increased odds These include age over 65, female sex, non-White race, nonprivate insurance, obesity, Charlson comorbidity index. Nonelective strongly correlated with worse mortality (odds ratio [95% confidence interval] 3.01 [2.51, 3.61]), postoperative complications 1.2 [1.14, 1.25]), stay 2.96 [2.81, 3.12]). After controlling other persisted Black individuals 1.21 (1.12, 1.31]). Conclusion Providers should be aware these significant status especially elderly, non-White, obese/comorbid patients. Management strategies increase access elective prevent expanded address disparities.