The socioeconomic determinants for transsphenoidal pituitary surgery: a review of New York State from 1995 to 2015

International Forum of Allergy & Rhinology
Sean McKeeAlfred Iloreta

Abstract

Prolonged length of stay (pLOS), disease-related complications, and 30-day readmissions are important quality metrics under the Affordable Care Act. The purpose of our study was to investigate the effect of patient-level and hospital-level factors on these outcomes for patients admitted for transsphenoidal pituitary surgery. The Statewide Planning and Research Cooperative System (SPARCS) database was queried to investigate 30-day readmissions and pLOS for transsphenoidal pituitary surgery in New York from 1995 to 2015. Multivariate logistic regression, adjusting for patient and hospital characteristics, was performed to assess the effect of these variables on the outcomes of interest. A total of 9950 patients underwent transsphenoidal pituitary surgery; 7122 (72%), 2394 (24%), and 434 (4%) patients were treated at high-volume, medium-volume, and low-volume centers, respectively. Patient factors associated with treatment at high-volume centers (HVCs) included: top income quartile, private insurance, urban residence, and white or Asian race (p < 0.05). Patient variables associated with treatment at low-volume centers (LVCs) included: age >65 years, elevated Charlson comorbidity index (CCI) scores, bottom income quartile, Medicaid...Continue Reading

References

Oct 15, 2003·The Journal of Clinical Endocrinology and Metabolism·Fred G BarkerBrooke Swearingen
Mar 31, 2004·Journal of the American College of Surgeons·John D BirkmeyerNancy J O Birkmeyer
Nov 15, 2005·Neurosurgery·Brian T BatemanMitchell F Berman
Dec 6, 2005·Pituitary·Patricia Fainstein DayMallea Gil
Aug 19, 2007·The New England Journal of Medicine·Julie M DonohueMeredith B Rosenthal
Jun 11, 2010·The Journal of Clinical Endocrinology and Metabolism·Antti RaappanaTapio Pirilä
Feb 18, 2012·The Journal of Clinical Endocrinology and Metabolism·Brooke Swearingen
Aug 21, 2012·Neurosurgery·Nancy McLaughlinDaniel F Kelly
Oct 23, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Debraj MukherjeeMaxwell Boakye
Dec 18, 2012·Journal of Neurology, Neurosurgery, and Psychiatry·Mario AmmiratiIvan Ciric
Sep 28, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Philip M AlbertiDarrell G Kirch
Mar 7, 2014·The American Journal of Bioethics : AJOB·Yael SchenkerAlex John London
Aug 26, 2014·International Forum of Allergy & Rhinology·Jennifer A VillwockParul Goyal
Sep 25, 2014·Handbook of Clinical Neurology·Mark E Molitch
Oct 31, 2014·The Journal of Clinical Endocrinology and Metabolism·Laurence KatznelsonJohn A H Wass
Oct 6, 2015·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Arthur S CarminucciPamela U Freda
Nov 19, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Brian L HendricksLee A Zimmer
Feb 5, 2016·The Laryngoscope·Erden GoljoSatish Govindaraj
Mar 11, 2017·Journal of the American College of Surgeons·David J CoteEdward R Laws

❮ Previous
Next ❯

Citations

Mar 14, 2020·Journal of Neurosurgery·Khodayar GoshtasbiEdward C Kuan
Jan 12, 2022·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Matthew J UrbanAshok A Jagasia

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.