1. Race/Ethnicity and Insurance-Specific Disparities in In-Hospital Mortality Among Adults with Primary Biliary Cholangitis: Analysis of 2007-2014 National Inpatient Sample
- Author
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Courtney Hanlon, Michele M. Tana, Artin Galoosian, Robert J. Wong, and Ramsey Cheung
- Subjects
Adult ,Male ,Race ethnicity ,medicine.medical_specialty ,Cirrhosis ,Physiology ,Esophageal and Gastric Varices ,Severity of Illness Index ,White People ,Odds ,03 medical and health sciences ,Liver disease ,Young Adult ,0302 clinical medicine ,Internal medicine ,Hypertension, Portal ,medicine ,Ethnicity ,Humans ,Hospital Mortality ,Healthcare Disparities ,Autoimmune liver disease ,Insurance, Health ,In hospital mortality ,Asian ,business.industry ,Liver Cirrhosis, Biliary ,Medicaid ,Gastroenterology ,Age Factors ,Hispanic or Latino ,Hepatology ,Middle Aged ,medicine.disease ,Hospital Charges ,digestive system diseases ,United States ,Black or African American ,Hospitalization ,030220 oncology & carcinogenesis ,Multivariate Analysis ,030211 gastroenterology & hepatology ,Female ,business ,Gastrointestinal Hemorrhage - Abstract
Primary biliary cholangitis (PBC) is a progressive autoimmune liver disease that can result in cirrhosis and end-stage liver disease. We aim to evaluate hospitalization burden and in-hospital mortality among PBC patients in the USA. Using data from the Nationwide Inpatient Sample from 2007 to 2014, hospitalizations among US adults with PBC were stratified by sex, age, and race/ethnicity. Overall in-hospital mortality was stratified by these variables and adjusted multivariate regression models evaluated for predictors of in-hospital mortality. From 2007 to 2014, there were 18,279 hospitalizations among adults with PBC (15.0% male, mean age 63.8 years, 41.3% cirrhosis). Among non-Hispanic whites, the proportion of total PBC hospitalizations increased from 57.8% in 2007 to 71.2% in 2014, compared to 4.1–6.3% for African-Americans, 8.6–10.9% for Hispanics, and 1.7–2.8% for Asians (p
- Published
- 2019