Major ambulatory surgery among US adults with inflammatory bowel disease, 2017.
<h4>Background</h4>Patients with inflammatory bowel disease (IBD) have higher health services use than those without IBD. We investigated patient and hospital characteristics of major ambulatory surgery encounters for Crohn's disease (CD) or ulcerative colitis (UC) vs non-IBD patien...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0264372 |
| _version_ | 1818314748499853312 |
|---|---|
| author | Fang Xu Anne G Wheaton Yong Liu Kurt J Greenlund |
| author_facet | Fang Xu Anne G Wheaton Yong Liu Kurt J Greenlund |
| author_sort | Fang Xu |
| collection | DOAJ |
| description | <h4>Background</h4>Patients with inflammatory bowel disease (IBD) have higher health services use than those without IBD. We investigated patient and hospital characteristics of major ambulatory surgery encounters for Crohn's disease (CD) or ulcerative colitis (UC) vs non-IBD patients.<h4>Methods</h4>We conducted a cross-sectional study using 2017 Nationwide Ambulatory Surgery Sample. Major ambulatory surgery encounters among patients aged ≥18 years with CD (n = 20,635) or UC (n = 9,894) were compared to 9.4 million encounters among non-IBD patients. Weighted percentages of patient characteristics (age, sex, median household income, primary payers, patient location, selected comorbidities, discharge destination, type of surgeries) and hospital-related characteristics (hospital size, ownership, location and teaching status, region) were compared by IBD status (CD, UC, and no IBD). Linear regression was used to estimate mean total charges, controlling for these characteristics.<h4>Results</h4>Compared with non-IBD patients, IBD patients were more likely to have private insurance, reside in urban areas and higher income zip codes, and undergo surgeries in hospitals that were private not-for-profit, urban teaching, and in the Northeast. Gastrointestinal surgeries were more common among IBD patients. Some comorbidities associated with increased risk of surgical complications were more prevalent among IBD patients. Total charges were 9% lower for CD patients aged <65 years (Median: $16,462 vs $18,106) and 6% higher for UC patients aged ≥65 years (Median: $16,909 vs $15,218) compared to their non-IBD patient counterparts.<h4>Conclusions</h4>Differences in characteristics of major ambulatory surgery encounters by IBD status may identify opportunities for efficient resource allocation and positive surgical outcomes among IBD patients. |
| first_indexed | 2024-12-13T08:54:34Z |
| format | Article |
| id | doaj.art-236d847ae73842d0af982a5c93433941 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-13T08:54:34Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-236d847ae73842d0af982a5c934339412022-12-21T23:53:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01172e026437210.1371/journal.pone.0264372Major ambulatory surgery among US adults with inflammatory bowel disease, 2017.Fang XuAnne G WheatonYong LiuKurt J Greenlund<h4>Background</h4>Patients with inflammatory bowel disease (IBD) have higher health services use than those without IBD. We investigated patient and hospital characteristics of major ambulatory surgery encounters for Crohn's disease (CD) or ulcerative colitis (UC) vs non-IBD patients.<h4>Methods</h4>We conducted a cross-sectional study using 2017 Nationwide Ambulatory Surgery Sample. Major ambulatory surgery encounters among patients aged ≥18 years with CD (n = 20,635) or UC (n = 9,894) were compared to 9.4 million encounters among non-IBD patients. Weighted percentages of patient characteristics (age, sex, median household income, primary payers, patient location, selected comorbidities, discharge destination, type of surgeries) and hospital-related characteristics (hospital size, ownership, location and teaching status, region) were compared by IBD status (CD, UC, and no IBD). Linear regression was used to estimate mean total charges, controlling for these characteristics.<h4>Results</h4>Compared with non-IBD patients, IBD patients were more likely to have private insurance, reside in urban areas and higher income zip codes, and undergo surgeries in hospitals that were private not-for-profit, urban teaching, and in the Northeast. Gastrointestinal surgeries were more common among IBD patients. Some comorbidities associated with increased risk of surgical complications were more prevalent among IBD patients. Total charges were 9% lower for CD patients aged <65 years (Median: $16,462 vs $18,106) and 6% higher for UC patients aged ≥65 years (Median: $16,909 vs $15,218) compared to their non-IBD patient counterparts.<h4>Conclusions</h4>Differences in characteristics of major ambulatory surgery encounters by IBD status may identify opportunities for efficient resource allocation and positive surgical outcomes among IBD patients.https://doi.org/10.1371/journal.pone.0264372 |
| spellingShingle | Fang Xu Anne G Wheaton Yong Liu Kurt J Greenlund Major ambulatory surgery among US adults with inflammatory bowel disease, 2017. PLoS ONE |
| title | Major ambulatory surgery among US adults with inflammatory bowel disease, 2017. |
| title_full | Major ambulatory surgery among US adults with inflammatory bowel disease, 2017. |
| title_fullStr | Major ambulatory surgery among US adults with inflammatory bowel disease, 2017. |
| title_full_unstemmed | Major ambulatory surgery among US adults with inflammatory bowel disease, 2017. |
| title_short | Major ambulatory surgery among US adults with inflammatory bowel disease, 2017. |
| title_sort | major ambulatory surgery among us adults with inflammatory bowel disease 2017 |
| url | https://doi.org/10.1371/journal.pone.0264372 |
| work_keys_str_mv | AT fangxu majorambulatorysurgeryamongusadultswithinflammatoryboweldisease2017 AT annegwheaton majorambulatorysurgeryamongusadultswithinflammatoryboweldisease2017 AT yongliu majorambulatorysurgeryamongusadultswithinflammatoryboweldisease2017 AT kurtjgreenlund majorambulatorysurgeryamongusadultswithinflammatoryboweldisease2017 |