Abstract
Differences in health care represent a major health policy issue. Despite increasing evidence on the mediating role of anesthesia type used for surgery on perioperative outcome, there is a lack of data on potential care differences in this field. The authors aimed to determine whether anesthesia practice (use of neuraxial anesthesia [NA] or peripheral nerve block [PNB]) differs by patient and hospital factors. The authors extracted data on n = 1,062,152 hip and knee arthroplasty procedures from the Premier Perspective database (2006 to 2013). Multilevel multivariable logistic regression models measured associations (odds ratios [ORs] and 95% CIs) between patient/hospital factors and NA or PNB use. Of all patients, 22.2% (n = 236,083) received NA and 17.9% (n = 189,732) received PNB. Lower adjusted odds for receiving NA were seen for black patients (OR, 0.88; 95% CI, 0.86 to 0.91) and those on Medicaid (OR, 0.78; 95% CI, 0.74 to 0.82) or without insurance (OR, 0.89; 95% CI, 0.81 to 0.98). Furthermore, teaching hospitals (compared with nonteaching hospitals) had lower adjusted odds for NA utilization (OR, 0.35; 95% CI, 0.14 to 0.89). Although generally similar patterns were seen for PNB utilization, the main difference was that p...Continue Reading
References
Apr 1, 1990·Anesthesia and Analgesia·H LybeckerH K Nielsen
Dec 16, 2000·BMJ : British Medical Journal·A RodgersS MacMahon
Sep 27, 2001·JAMA : the Journal of the American Medical Association·J N Katz
Nov 7, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·David Johnson, Corrine Truman
Jan 16, 2004·The New England Journal of Medicine·Kimary KuligLarry L Steele
Apr 24, 2004·Anesthesia and Analgesia·Matthew OldmanVincent W S Chan
Sep 3, 2004·American Journal of Obstetrics and Gynecology·George RustRobert Mayberry
Jul 28, 2005·European Journal of Anaesthesiology·A PapaioannouH Askitopoulou
Oct 15, 2005·Medical Care·Hude QuanWilliam A Ghali
Aug 15, 2006·Journal of Clinical Anesthesia·Stavros G MemtsoudisCephas P Swamidoss
Apr 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Steven KurtzMichael Halpern
Oct 22, 2008·Archives of Surgery·Adil H HaiderEdward E Cornwell
Jan 9, 2009·Clinical Orthopaedics and Related Research·Alan J R MacfarlaneRichard Brull
Jul 27, 2010·Anesthesiology·Chuen-Chau ChangHerng-Ching Lin
Oct 23, 2010·Anesthesiology·James E PaulYamini Murthy
Jun 28, 2011·Regional Anesthesia and Pain Medicine·Paris DoveGraham Hocking
Nov 15, 2011·Anesthesia and Analgesia·Paloma ToledoRomana Hasnain-Wynia
Jan 14, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Salimah H MeghaniRollin M Gallagher
May 29, 2012·Anesthesiology·Stavros G MemtsoudisMadhu Mazumdar
Aug 24, 2012·The New England Journal of Medicine·Mark A SchusterStephen W Banspach
Nov 8, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·P SanjayA Woodward
Nov 23, 2012·The Journal of Bone and Joint Surgery. American Volume·Benjamin E SteinJohn H Wilckens
Dec 28, 2012·The Journal of Bone and Joint Surgery. American Volume·Andrew J PugelyJohn J Callaghan
Apr 12, 2013·Journal of General Internal Medicine·Elizabeth N ChapmanMolly Carnes
Sep 12, 2013·Anesthesia and Analgesia·Jiabin LiuMark D Neuman
Sep 21, 2013·Annals of the Rheumatic Diseases·Jasvinder A SinghPeter Cram
Nov 5, 2013·Clinical Orthopaedics and Related Research·Michael G ZywielRajiv Gandhi
Jan 8, 2014·Chest·Joseph R BetancourtMatthew R Bondaryk
Feb 11, 2014·Regional Anesthesia and Pain Medicine·Stavros G MemtsoudisVassilios Vougioukas
Feb 19, 2014·Anesthesiology·Stavros G MemtsoudisMadhu Mazumdar
Mar 15, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Peter M FleischutStavros G Memtsoudis
May 23, 2014·Urologic Oncology·Brandon A MahalPaul L Nguyen
Aug 28, 2014·The Journal of Trauma and Acute Care Surgery·Adil H HaiderLisa A Cooper
Sep 5, 2014·JAMA Otolaryngology-- Head & Neck Surgery·Adam HauchEmad Kandil
Nov 8, 2014·The Journal of Bone and Joint Surgery. American Volume·James A BrowneMichele R D'Apuzzo
Jun 23, 2015·Journal of Pain & Palliative Care Pharmacotherapy· U S Department Of Health And Human Services
Citations
Sep 20, 2016·Pain·Stavros G MemtsoudisMadhu Mazumdar
May 16, 2017·Paediatric Anaesthesia·Olubukola O NafiuPaul I Reynolds
Sep 12, 2017·Pain·Crispiana CozowiczStavros G Memtsoudis
Aug 6, 2017·Journal of Racial and Ethnic Health Disparities·Ahmad ElsharydahGirish P Joshi
Aug 11, 2018·European Journal of Anaesthesiology·Alexander SchnabelChristine H Meyer-Frießem
Oct 1, 2019·Anesthesia and Analgesia·Michael R KingT Anthony Anderson
Jun 24, 2019·Regional Anesthesia and Pain Medicine·Stavros Memtsoudis, Ottokar Stundner
Jul 16, 2019·Regional Anesthesia and Pain Medicine·Stavros MemtsoudisJashvant Poeran
Jun 14, 2020·Journal of Racial and Ethnic Health Disparities·Julia M RosenbloomMargarita Alegria
Mar 28, 2020·Journal of Comparative Effectiveness Research·Rohan JotwaniRobert S White
Jul 6, 2020·Journal of Racial and Ethnic Health Disparities·Christine G JetteT Anthony Anderson
Aug 2, 2017·European Journal of Anaesthesiology·Alexander SchnabelChristine H Meyer-Frießem
Jun 24, 2019·Regional Anesthesia and Pain Medicine·Melvin LaRobert S White
Nov 12, 2020·Regional Anesthesia and Pain Medicine·Alexander BeletskyRodney Allanigue Gabriel
Jan 12, 2021·Anaesthesia·D F Johnston, L R Turbitt
Jan 1, 2021·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Kathryn DelPizzoStavros G Memtsoudis
Feb 26, 2021·Current Opinion in Anaesthesiology·Odinakachukwu EhieAlexandra Bastien
Apr 1, 2021·Journal of Comparative Effectiveness Research·Briana LuiRobert S White
May 16, 2021·Regional Anesthesia and Pain Medicine·Deirdre Clare KelleherRobert S White
Jun 5, 2021·The Journal of Surgical Research·Jennie MeierCourtney J Balentine
Jun 6, 2021·Mayo Clinic Proceedings·Natalie H StrandAmy C S Pearson
Jul 6, 2021·Journal of Clinical Anesthesia·Haoyan ZhongStavros G Memtsoudis
Aug 27, 2021·Regional Anesthesia and Pain Medicine·Stavros G MemtsoudisNigel E Sharrock
Jun 20, 2017·Journal of Clinical Anesthesia·Robert B SchonbergerMatthew M Burg