Disparities in insurance status negatively affect patients with infantile hypertrophic pyloric stenosis
Purpose Infantile hypertrophic pyloric stenosis (IHPS) is suspected to have worse outcomes when length of illness prior to presentation is prolonged. Our objective was to evaluate how social determinants of health influence medical care and outcomes for babies with IHPS. Methods A retrospective revi...
Gespeichert in:
| Veröffentlicht in: | Pediatric surgery international 2024-05, Vol.40 (1), p.127, Article 127 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 1 |
| container_start_page | 127 |
| container_title | Pediatric surgery international |
| container_volume | 40 |
| creator | Reich, Daniel A. Giraldo, Genesys Canty, William Herremans, Kelly M. Taylor, Janice A. Larson, Shawn D. Petroze, Robin Islam, Saleem |
| description | Purpose
Infantile hypertrophic pyloric stenosis (IHPS) is suspected to have worse outcomes when length of illness prior to presentation is prolonged. Our objective was to evaluate how social determinants of health influence medical care and outcomes for babies with IHPS.
Methods
A retrospective review was performed over 10 years. Census data were used as proxy for socioeconomic status via Geo-Identification codes and correlated with food access and social vulnerability variables. The cohort was subdivided to understand the impact of Medicaid Managed Care (MMC).
Results
The cohort (279 cases) was divided into two groups; early group from 2011 to 2015 and late from 2016 to 2021. Cases in the late group were older at the time of presentation (41.5 vs. 36.5 days;
p
= 0.022) and presented later in the disease course (12.8 vs. 8.9 days;
p
= 0.021). There was no difference in race (
p
= 0.282), gender (
p
= 0.874), or length of stay.
Conclusions
Patients who presented with IHPS after implementation of phased MMC were older, had a longer symptomatic course, and shorter pylorus measurements. Patients with public insurance after the implementation of MMC were more likely to follow-up with an outpatient pediatrician within a month of hospitalization. These results suggest that MMC may have improved access to care for infants with IHPS. |
| doi_str_mv | 10.1007/s00383-024-05645-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3052595074</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3052246845</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-9a6c31925a2260895892f17d9ae65191e98f14cea7e0e01b0ace75669cdd7dd63</originalsourceid><addsrcrecordid>eNp9kU9r3DAQxUVpadIkXyCHYuilF7cjyZKsY0j_QqCX9iwUebyr4JUdjdyy375qNmlCD4WBGaHfeyP0GDvn8I4DmPcEIHvZguhaULpTrX3GjnknTWt7Lp8_mY_YK6IbAOilti_ZkewNN4aLY7b5EGnxOZaI1MRUi9bsU8CGii8rNQk3vsSfOO0bP44YSrPUM6ZCza9YtlUw-lTihM12v2AueV62MTTLfppz7VQwzRTplL0Y_UR4dt9P2I9PH79ffmmvvn3-enlx1QYpdGmt10FyK5QXQkNvVW_FyM1gPWrFLUfbj7wL6A0CAr8GH9AorW0YBjMMWp6wtwffJc-3K1Jxu0gBp8knnFdyEpRQVoHpKvrmH_RmXnOqr7ujRKf7TlVKHKiQZ6KMo1ty3Pm8dxzcnxjcIQZXY3B3MThbRa_vrdfrHQ5_JQ__XgF5AKhepQ3mx93_sf0Nu7uUgw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3052246845</pqid></control><display><type>article</type><title>Disparities in insurance status negatively affect patients with infantile hypertrophic pyloric stenosis</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Reich, Daniel A. ; Giraldo, Genesys ; Canty, William ; Herremans, Kelly M. ; Taylor, Janice A. ; Larson, Shawn D. ; Petroze, Robin ; Islam, Saleem</creator><creatorcontrib>Reich, Daniel A. ; Giraldo, Genesys ; Canty, William ; Herremans, Kelly M. ; Taylor, Janice A. ; Larson, Shawn D. ; Petroze, Robin ; Islam, Saleem</creatorcontrib><description>Purpose
Infantile hypertrophic pyloric stenosis (IHPS) is suspected to have worse outcomes when length of illness prior to presentation is prolonged. Our objective was to evaluate how social determinants of health influence medical care and outcomes for babies with IHPS.
Methods
A retrospective review was performed over 10 years. Census data were used as proxy for socioeconomic status via Geo-Identification codes and correlated with food access and social vulnerability variables. The cohort was subdivided to understand the impact of Medicaid Managed Care (MMC).
Results
The cohort (279 cases) was divided into two groups; early group from 2011 to 2015 and late from 2016 to 2021. Cases in the late group were older at the time of presentation (41.5 vs. 36.5 days;
p
= 0.022) and presented later in the disease course (12.8 vs. 8.9 days;
p
= 0.021). There was no difference in race (
p
= 0.282), gender (
p
= 0.874), or length of stay.
Conclusions
Patients who presented with IHPS after implementation of phased MMC were older, had a longer symptomatic course, and shorter pylorus measurements. Patients with public insurance after the implementation of MMC were more likely to follow-up with an outpatient pediatrician within a month of hospitalization. These results suggest that MMC may have improved access to care for infants with IHPS.</description><identifier>ISSN: 1437-9813</identifier><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-024-05645-9</identifier><identifier>PMID: 38717712</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Female ; Health care access ; Healthcare Disparities - statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Insurance Coverage - statistics & numerical data ; Male ; Medicaid - statistics & numerical data ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Pyloric Stenosis, Hypertrophic - surgery ; Retrospective Studies ; Social Determinants of Health - statistics & numerical data ; Surgery ; United States</subject><ispartof>Pediatric surgery international, 2024-05, Vol.40 (1), p.127, Article 127</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024 Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>Copyright Springer Nature B.V. Dec 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-9a6c31925a2260895892f17d9ae65191e98f14cea7e0e01b0ace75669cdd7dd63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-024-05645-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-024-05645-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38717712$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reich, Daniel A.</creatorcontrib><creatorcontrib>Giraldo, Genesys</creatorcontrib><creatorcontrib>Canty, William</creatorcontrib><creatorcontrib>Herremans, Kelly M.</creatorcontrib><creatorcontrib>Taylor, Janice A.</creatorcontrib><creatorcontrib>Larson, Shawn D.</creatorcontrib><creatorcontrib>Petroze, Robin</creatorcontrib><creatorcontrib>Islam, Saleem</creatorcontrib><title>Disparities in insurance status negatively affect patients with infantile hypertrophic pyloric stenosis</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
Infantile hypertrophic pyloric stenosis (IHPS) is suspected to have worse outcomes when length of illness prior to presentation is prolonged. Our objective was to evaluate how social determinants of health influence medical care and outcomes for babies with IHPS.
Methods
A retrospective review was performed over 10 years. Census data were used as proxy for socioeconomic status via Geo-Identification codes and correlated with food access and social vulnerability variables. The cohort was subdivided to understand the impact of Medicaid Managed Care (MMC).
Results
The cohort (279 cases) was divided into two groups; early group from 2011 to 2015 and late from 2016 to 2021. Cases in the late group were older at the time of presentation (41.5 vs. 36.5 days;
p
= 0.022) and presented later in the disease course (12.8 vs. 8.9 days;
p
= 0.021). There was no difference in race (
p
= 0.282), gender (
p
= 0.874), or length of stay.
Conclusions
Patients who presented with IHPS after implementation of phased MMC were older, had a longer symptomatic course, and shorter pylorus measurements. Patients with public insurance after the implementation of MMC were more likely to follow-up with an outpatient pediatrician within a month of hospitalization. These results suggest that MMC may have improved access to care for infants with IHPS.</description><subject>Female</subject><subject>Health care access</subject><subject>Healthcare Disparities - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Insurance Coverage - statistics & numerical data</subject><subject>Male</subject><subject>Medicaid - statistics & numerical data</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Pyloric Stenosis, Hypertrophic - surgery</subject><subject>Retrospective Studies</subject><subject>Social Determinants of Health - statistics & numerical data</subject><subject>Surgery</subject><subject>United States</subject><issn>1437-9813</issn><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9r3DAQxUVpadIkXyCHYuilF7cjyZKsY0j_QqCX9iwUebyr4JUdjdyy375qNmlCD4WBGaHfeyP0GDvn8I4DmPcEIHvZguhaULpTrX3GjnknTWt7Lp8_mY_YK6IbAOilti_ZkewNN4aLY7b5EGnxOZaI1MRUi9bsU8CGii8rNQk3vsSfOO0bP44YSrPUM6ZCza9YtlUw-lTihM12v2AueV62MTTLfppz7VQwzRTplL0Y_UR4dt9P2I9PH79ffmmvvn3-enlx1QYpdGmt10FyK5QXQkNvVW_FyM1gPWrFLUfbj7wL6A0CAr8GH9AorW0YBjMMWp6wtwffJc-3K1Jxu0gBp8knnFdyEpRQVoHpKvrmH_RmXnOqr7ujRKf7TlVKHKiQZ6KMo1ty3Pm8dxzcnxjcIQZXY3B3MThbRa_vrdfrHQ5_JQ__XgF5AKhepQ3mx93_sf0Nu7uUgw</recordid><startdate>20240508</startdate><enddate>20240508</enddate><creator>Reich, Daniel A.</creator><creator>Giraldo, Genesys</creator><creator>Canty, William</creator><creator>Herremans, Kelly M.</creator><creator>Taylor, Janice A.</creator><creator>Larson, Shawn D.</creator><creator>Petroze, Robin</creator><creator>Islam, Saleem</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20240508</creationdate><title>Disparities in insurance status negatively affect patients with infantile hypertrophic pyloric stenosis</title><author>Reich, Daniel A. ; Giraldo, Genesys ; Canty, William ; Herremans, Kelly M. ; Taylor, Janice A. ; Larson, Shawn D. ; Petroze, Robin ; Islam, Saleem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-9a6c31925a2260895892f17d9ae65191e98f14cea7e0e01b0ace75669cdd7dd63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Female</topic><topic>Health care access</topic><topic>Healthcare Disparities - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Insurance Coverage - statistics & numerical data</topic><topic>Male</topic><topic>Medicaid - statistics & numerical data</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Pyloric Stenosis, Hypertrophic - surgery</topic><topic>Retrospective Studies</topic><topic>Social Determinants of Health - statistics & numerical data</topic><topic>Surgery</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reich, Daniel A.</creatorcontrib><creatorcontrib>Giraldo, Genesys</creatorcontrib><creatorcontrib>Canty, William</creatorcontrib><creatorcontrib>Herremans, Kelly M.</creatorcontrib><creatorcontrib>Taylor, Janice A.</creatorcontrib><creatorcontrib>Larson, Shawn D.</creatorcontrib><creatorcontrib>Petroze, Robin</creatorcontrib><creatorcontrib>Islam, Saleem</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reich, Daniel A.</au><au>Giraldo, Genesys</au><au>Canty, William</au><au>Herremans, Kelly M.</au><au>Taylor, Janice A.</au><au>Larson, Shawn D.</au><au>Petroze, Robin</au><au>Islam, Saleem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disparities in insurance status negatively affect patients with infantile hypertrophic pyloric stenosis</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2024-05-08</date><risdate>2024</risdate><volume>40</volume><issue>1</issue><spage>127</spage><pages>127-</pages><artnum>127</artnum><issn>1437-9813</issn><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
Infantile hypertrophic pyloric stenosis (IHPS) is suspected to have worse outcomes when length of illness prior to presentation is prolonged. Our objective was to evaluate how social determinants of health influence medical care and outcomes for babies with IHPS.
Methods
A retrospective review was performed over 10 years. Census data were used as proxy for socioeconomic status via Geo-Identification codes and correlated with food access and social vulnerability variables. The cohort was subdivided to understand the impact of Medicaid Managed Care (MMC).
Results
The cohort (279 cases) was divided into two groups; early group from 2011 to 2015 and late from 2016 to 2021. Cases in the late group were older at the time of presentation (41.5 vs. 36.5 days;
p
= 0.022) and presented later in the disease course (12.8 vs. 8.9 days;
p
= 0.021). There was no difference in race (
p
= 0.282), gender (
p
= 0.874), or length of stay.
Conclusions
Patients who presented with IHPS after implementation of phased MMC were older, had a longer symptomatic course, and shorter pylorus measurements. Patients with public insurance after the implementation of MMC were more likely to follow-up with an outpatient pediatrician within a month of hospitalization. These results suggest that MMC may have improved access to care for infants with IHPS.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38717712</pmid><doi>10.1007/s00383-024-05645-9</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1437-9813 |
| ispartof | Pediatric surgery international, 2024-05, Vol.40 (1), p.127, Article 127 |
| issn | 1437-9813 0179-0358 1437-9813 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3052595074 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Female Health care access Healthcare Disparities - statistics & numerical data Humans Infant Infant, Newborn Insurance Coverage - statistics & numerical data Male Medicaid - statistics & numerical data Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Pyloric Stenosis, Hypertrophic - surgery Retrospective Studies Social Determinants of Health - statistics & numerical data Surgery United States |
| title | Disparities in insurance status negatively affect patients with infantile hypertrophic pyloric stenosis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T19%3A08%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Disparities%20in%20insurance%20status%20negatively%20affect%20patients%20with%20infantile%20hypertrophic%20pyloric%20stenosis&rft.jtitle=Pediatric%20surgery%20international&rft.au=Reich,%20Daniel%20A.&rft.date=2024-05-08&rft.volume=40&rft.issue=1&rft.spage=127&rft.pages=127-&rft.artnum=127&rft.issn=1437-9813&rft.eissn=1437-9813&rft_id=info:doi/10.1007/s00383-024-05645-9&rft_dat=%3Cproquest_cross%3E3052246845%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3052246845&rft_id=info:pmid/38717712&rfr_iscdi=true |