National health disparities in incisional hernia repair outcomes: An analysis of the Healthcare Cost and Utilization Project National Inpatient Sample (HCUP-NIS) 2012-2014
Surgery Jan 09, 2021
Hoffman RD, et al. - Via this study, researchers sought to analyze national health disparities unique to surgical incisional hernia repair procedures. Using International Classification of Diseases 9th revision procedure codes for incisional hernia repair, they retrieved patient data from the Healthcare Cost and Utilization Project National Inpatient Sample from 2012 to 2014. Estimates suggest an occurrence of 89,258 incisional hernia repair procedures annually from 2012 to 2014, incurring $6.3 billion in hospital charges. Multivariate analysis suggested the following risk factors to be contributing to significantly raised odds of nonelective repair: age over 65, female gender, non-White race, nonprivate insurance, obesity, and increased Charlson comorbidity index. They identified strong correlation of nonelective incisional hernia repair with worse outcomes including in-hospital mortality, postoperative complications, and extended duration of stay. After controlling for admission status, Black individuals had persistence of other disparities including extended duration of stay. They emphasize addressing these disparities in management strategies that increase access to elective repair and that prevent incisional hernia.
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