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Your search keyword '"Gaber-Baylis, Licia K."' showing total 28 results
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28 results on '"Gaber-Baylis, Licia K."'

17. Racial/Ethnic and Socioeconomic Disparities in Total Knee Arthroplasty 30- and 90-Day Readmissions: A Multi-Payer and Multistate Analysis, 2007–2014.

Author

Arroyo, Noelle S., Gaber-Baylis, Licia K., White, Robert S., La, Melvin, Fisher, Andrew D., and Samaru, Mahendranauth

Subjects
*CHI-squared test, *COMPARATIVE studies, *CONFIDENCE intervals, *ETHNIC groups, *HEALTH services accessibility, *HEALTH status indicators, *MULTIVARIATE analysis, *RACE, *STATISTICS, *TOTAL knee replacement, *LOGISTIC regression analysis, *HEALTH insurance reimbursement, *SOCIOECONOMIC factors, *RETROSPECTIVE studies, *PATIENT readmissions, *DATA analysis software, *DESCRIPTIVE statistics, *ODDS ratio, *KRUSKAL-Wallis Test
Abstract

Previous studies have addressed racial/ethnic and socioeconomic disparities in total knee arthroplasty (TKA) within the Medicare population. However, there is limited research examining these disparities across racial/ethnic and socioeconomic groups in the general population. This study used administrative data from the State Inpatient Databases from the Healthcare Cost and Utilization Project for the years 2007–2014 from California (2007–2011 only), Florida, New York, and Maryland (2012–2014 only). In all, 739,857 TKA readmission-eligible patients aged ≥8 years were included in the analysis. Black patients and patients with Medicaid had a higher likelihood of 30- and 90-day readmissions compared to white patients and patients with private insurance, respectively. Patients living in higher median income areas and patients treated at higher volume hospitals had lower likelihoods of 30- and 90-day readmissions compared to patients in the lowest median income quartile and patients treated at the lowest volume hospitals, respectively. These results confirmed racial/ethnic and socioeconomic disparities in TKA readmissions across 4 geographically diverse states, identified public insurance status as the salient factor across subpopulations, and raise awareness of the existence of these disparities outside of the Medicare population. [ABSTRACT FROM AUTHOR]

Published
2019
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28. Pre-existing opioid use disorder and postoperative outcomes after appendectomy or cholecystectomy: A multi-state analysis, 2007-2014.

Author

Boltunova A, White RS, Noori S, Chen SA, Gaber-Baylis LK, and Weinberg R

Subjects
Cholecystectomy, Hospital Mortality, Humans, Length of Stay, Postoperative Complications epidemiology, Retrospective Studies, Analgesics, Opioid administration & dosage, Appendectomy, Opioid-Related Disorders complications, Pain, Postoperative prevention & control
Abstract

Introduction and Objectives: Opioid use disorder has become increasingly prevalent in recent years. Previous studies have shown that patients with opioid use disorder undergoing orthopedic, elective abdominopelvic, and cardiac procedures have poorer postoperative outcomes. The aim of this study was to examine the effect of pre-existing opioid use disorder on postoperative outcomes including in-hospital mortality, hospital length of stay (LOS), hospital readmission, and postoperative complications in patients undergoing appendectomy or cholecystectomy., Methods: The authors used administrative data from the State Inpatient Databases of the Healthcare Cost and Utilization Project for the years 2007-2014 from California, Florida, Kentucky, Maryland, and New York. The authors compared unadjusted rates of in-hospital mortality, postoperative complications, LOS, and 30-day and 90-day readmission status. The authors calculated the adjusted odds ratio (OR) for their outcomes using logistic regression models., Results: In all, 488,981 appendectomy patients and 790,491 cholecystectomy patients aged ≥ 18 years were included in the analysis. Appendectomy (OR 2.26) but not cholecystectomy patients with opioid use disorder had statistically significant adjusted odds of in-hospital death. Patients with opioid use disorder (overall reported, and by each procedure separately) had higher adjusted odds of postoperative complication (OR 1.46), 30-day readmission (OR 1.80), 90-day readmission (OR 1.98), and longer LOS (OR 1.37)., Conclusions: The authors found higher unadjusted rates and adjusted ORs of in-patient mortality, hospital readmission, and postoperative complications in patients with opioid use disorder undergoing common abdominal surgeries. The authors' study shows that opioid use disorder is a risk factor for poorer postoperative outcomes in this surgical patient population.

Published
2019
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