Association of persistent poverty and U.S. News and World Report hospital rankings among patients undergoing major surgery

We sought to determine the association of persistent poverty on patient outcomes relative to US News World Report (USNWR) rankings among individuals undergoing common major surgical procedures. Medicare beneficiaries who underwent AAA repair, CABG, colectomy, or lung resection were identified. Multi...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of surgery 2024-02, Vol.228, p.11-19
Main Authors: Shaikh, Chanza Fahim, Munir, Muhammad Musaab, Woldesenbet, Selamawit, Endo, Yutaka, Azap, Lovette, Yang, Jason, Katayama, Erryk, Dawood, Zaiba, Pawlik, Timothy M.
Format: Article
Language:English
Subjects:
Aged
Colectomy
Comorbidity
Ethnicity
Government programs
Health maintenance organizations
HMOs
Hospitals
Humans
Medicaid
Medicare
Mortality
Optimal outcomes
Patients
Persistent poverty
Poverty
Quality healthcare
Risk factors
Surgery
Surgical care
Teaching hospitals
United States
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We sought to determine the association of persistent poverty on patient outcomes relative to US News World Report (USNWR) rankings among individuals undergoing common major surgical procedures. Medicare beneficiaries who underwent AAA repair, CABG, colectomy, or lung resection were identified. Multivariable logistic regression was used to evaluate the relationship between care at USNWR hospitals, county-level duration of poverty (never-high poverty (NHP); intermittent high poverty (IHP): persistent-poverty (PP)) and 30-day mortality. Among 916,164 beneficiaries, individuals residing in PP neighborhoods who received surgical care at ranked hospitals had lower risk-adjusted 30-day mortality (5.89% vs 8.89%; p ​
ISSN:0002-9610
1879-1883
1879-1883
DOI:10.1016/j.amjsurg.2023.08.003