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Demographic and Socioeconomic Factors Associated with Urinary Stone Disease Management in a Large Urban US Population
- Source :
- Urology. 153:93-100
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- To determine the influence of socioeconomic parameters on urinary stone surgeries.A retrospective cohort study analyzed patients undergoing urolithiasis surgery in our community network hospital in North Carolina from 2005-2018.Of 7731 patients, 2160 (28%), 5,174 (67%), and 397 (5%) underwent SWL, URS, and PCNL, respectively. A higher proportion of Whites underwent URS (67%) and SWL (74%) than PCNL (56%); whereas a larger percentage of Blacks underwent PCNL (24%) than URS (20%) and SWL (15%) groups (P.001). Private insurance payers were greater in the SWL (95%) group than URS (80%) and PCNL (81%) (P.001). The distribution of median income was significantly different amongst the 3 surgeries with higher income classes overutilizing SWL and underutilizing PCNL compared to lower income classes (P.001). In linear regression modeling, the proportion of SWL in a postal code was positively associated with median income (ROur study suggests that socioeconomic status impacts urolithiasis surgical management, underscoring disparity recognition importance in endourologic care and ensuring appropriate surgical care regardless of socioeconomic status.
- Subjects :
- Male
medicine.medical_specialty
Social Determinants of Health
Urology
Urinary stone
Population
030232 urology & nephrology
Insurance Claim Review
03 medical and health sciences
0302 clinical medicine
Urolithiasis
Lithotripsy
Internal medicine
North Carolina
medicine
Humans
Healthcare Disparities
education
Socioeconomic status
Demography
Health Services Needs and Demand
education.field_of_study
business.industry
Surgical care
Urban Health
Retrospective cohort study
Middle Aged
Patient Acceptance of Health Care
Patient Care Management
Socioeconomic Factors
030220 oncology & carcinogenesis
Urologic Surgical Procedures
Female
business
Urinary stone disease
Subjects
Details
- ISSN :
- 00904295
- Volume :
- 153
- Database :
- OpenAIRE
- Journal :
- Urology
- Accession number :
- edsair.doi.dedup.....b09b7d67be560e8013417981dd5ea3e2
- Full Text :
- https://doi.org/10.1016/j.urology.2021.01.036