Comparing outcomes of cholecystectomies in white vs. minority patients

Olivia Tsai¹, Navid Fakourfar², Omaer Muttalib³, Cesar Figueroa⁴, Katharine A Kirby⁵, Sebastian Schubl⁶, Cristobal Barrios⁷

Affiliations

¹ Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: tsaio@uci.edu.
² Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: fakourfn@uci.edu.
³ Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: omuttali@hs.uci.edu.
⁴ Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: figuerc1@hs.uci.edu.
⁵ Department of Statistics, University of California, Irvine, USA. Electronic address: kathark@uci.edu.
⁶ Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: sschubl@hs.uci.edu.
⁷ Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: cbarrios@hs.uci.edu.

PMID: 36008169
PMCID: PMC10076044
DOI: 10.1016/j.amjsurg.2022.08.006

Comparing outcomes of cholecystectomies in white vs. minority patients

Olivia Tsai et al. Am J Surg. 2022 Dec.

. 2022 Dec;224(6):1468-1472.

doi: 10.1016/j.amjsurg.2022.08.006. Epub 2022 Aug 18.

Authors

Olivia Tsai¹, Navid Fakourfar², Omaer Muttalib³, Cesar Figueroa⁴, Katharine A Kirby⁵, Sebastian Schubl⁶, Cristobal Barrios⁷

Affiliations

¹ Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: tsaio@uci.edu.
² Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: fakourfn@uci.edu.
³ Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: omuttali@hs.uci.edu.
⁴ Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: figuerc1@hs.uci.edu.
⁵ Department of Statistics, University of California, Irvine, USA. Electronic address: kathark@uci.edu.
⁶ Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: sschubl@hs.uci.edu.
⁷ Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 3800 W. Chapman Ave, Suite 6200, Orange, CA 92868, USA. Electronic address: cbarrios@hs.uci.edu.

PMID: 36008169
PMCID: PMC10076044
DOI: 10.1016/j.amjsurg.2022.08.006

Abstract

Background: This study aimed to investigate the disparity between white and minority patients undergoing cholecystectomies, including presentation, outcomes, and financial burden.

Methods: This was an IRB approved retrospective review of all cholecystectomies at an academic medical center from 2013 to 2018. Data collected include demographics, insurance type, charge of admission, and clinical outcomes.

Results: 1539 patients underwent cholecystectomies. Of those, 36.9% were white and 63.1% were minority. Minority patients presented at a younger age than white patients (45.5 vs 53.9, p < 0.01) and required emergent admission (76.2% vs 68.4%, p < 0.01). No significant difference was found for clinical outcomes between white and minority. Minority patients were more commonly uninsured (32.1%). Among the uninsured, self-pay had a higher charge than emergency MediCal (by 5.46 per 1000 dollars).

Conclusion: Minority patients are more commonly disadvantaged at presentation and charged more due to insurance status despite similar outcomes after cholecystectomies.

Keywords: Charge; Cholecystectomy; Insurance; Socioeconomic status.

PubMed Disclaimer

Conflict of interest statement

Declaration of competing interest The authors of this study certify that they have NO affiliations with or involvement in any organization or entity with any financial interest in the subject matter or materials discussed in this manuscript.

References

1. Riall TS, Zhang D, Townsend CM, Kuo YF, Goodwin JS. Failure to Perform Cholecystectomy for Acute Cholecystitis in Elderly Patients Is Associated with Increased Morbidity, Mortality, and Cost. J Am Coll Surg. 2010;210(5):668–677. doi:10.1016/j.jamcollsurg.2009.12.031 - DOI - PMC - PubMed
1. Shaffer EA. Epidemiology and Risk Factors for Gallstone Disease: Has the Paradigm Changed in the 21st Century? Curr Gastroenterol Rep. 2005;7:132–140. - PubMed
1. Stinton LM, Shaffer EA. Epidemiology of Gallbladder Disease: Cholelithiasis and Cancer. Gut Liver. 2012;6(2):172–187. doi:10.5009/gnl.2012.6.2.172 - DOI - PMC - PubMed
1. Lu P, Yang N-P, Chang N-T, Lai KR, Lin K-B, Chan C-L. Effect of socioeconomic inequalities on cholecystectomy outcomes: a 10-year population-based analysis. doi:10.1186/s12939-018-0739-7 - DOI - PMC - PubMed
1. Diehl AK, Rosenthal M, Hazuda HP, Comeaux PJ, Stern MP. Socioeconomic status and the prevalence of clinical gallbladder disease. J Chronic Dis. 1985;38(12):1019–1026. doi:10.1016/0021-9681(85)90100-6 - DOI - PubMed

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

UL1 TR001414/TR/NCATS NIH HHS/United States

LinkOut - more resources

Full Text Sources

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Comparing outcomes of cholecystectomies in white vs. minority patients

Affiliations

Comparing outcomes of cholecystectomies in white vs. minority patients

Authors

Affiliations

Abstract

Conflict of interest statement

References

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources