The Impact of the Affordable Care Act on Urogynecologic Surgery Cancelation Rates

Female Pelvic Medicine & Reconstructive Surgery
Alexander A BergerJonathan P Shepherd

Abstract

We examined the impact of the implementation of the Affordable Care Act (ACA) on female pelvic medicine and reconstructive surgery (FPMRS) surgical cancelation rates. A retrospective cohort study was performed on patients scheduling FPMRS procedures 1 year before and after ACA implementation at a regional academic medical center. We compared cancelation rates as well as sociodemographic, surgical, and medical history data. Analysis included χ test, t test, and univariable and multivariable logistic regression. We included 746 subjects, 373 each before and after ACA implementation (January 2014). Subjects were 59.2 ± 14.0 years old, predominantly white (94.9%), employed (45.8%), and married (66.6%), with a body mass index of 28.8 ± 6.2. Subjects lived a median of 24 miles from the hospital. None of these were significant predictors of cancelations. Surgery cancelation rate was 17.1% and occurred 9 days before surgery.On univariable analysis, cancelation rates did not differ relative to the ACA (15.5% before vs 18.6% after; mean difference, 3.16%; 95% confidence interval [CI], -2.29% to 8.69%; P = 0.254). Only 3 variables impacted cancelation rate on univariable analysis: women whose surgery was scheduled for later in the week, l...Continue Reading

References

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Jul 6, 2014·JAMA Surgery·Chandy EllimoottilDavid C Miller

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Citations

Oct 17, 2018·Female Pelvic Medicine & Reconstructive Surgery·Danielle Lynn TaylorMichael K Flynn

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