Disparities in Diabetes-Related Hospitalizations: Relationship of Age, Sex, and Race/Ethnicity with Hospital Discharges, Lengths of Stay, and Direct Inpatient Charges
To identify any differences in hospitalization rates of diabetes patients by age, sex, or race/ethnicity. A cross-sectional study of Georgia hospital discharge data between 1998 and 2001. Patients with a principal discharge diagnosis of diabetes. Adjusted hospitalization data (discharge rates, lengt...
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| Veröffentlicht in: | Ethnicity & disease 2006, Vol.16 (1), p.126-131 |
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| container_title | Ethnicity & disease |
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| creator | Cook, Curtiss B. Naylor, Dorothy B. Hentz, Joseph G. Miller, William J. Tsui, Circe Ziemer, David C. Waller, Lance A. |
| description | To identify any differences in hospitalization rates of diabetes patients by age, sex, or race/ethnicity.
A cross-sectional study of Georgia hospital discharge data between 1998 and 2001.
Patients with a principal discharge diagnosis of diabetes.
Adjusted hospitalization data (discharge rates, length of stay, direct charges) reported as standardized rates per 10,000 person-years, standardized rate differences, and standardized rate ratios, compared by age, sex, and race/ethnicity.
Diabetes was the principal diagnosis in 50,301 discharges (average age, 51 years; length of stay, 5.1 days; median total charge, $5893). Persons > or = 60 years old had higher discharge rates, longer stays, and higher charges than persons 18-29 years old. Women had fewer hospitalizations, shorter stays, and lower charges than men. Non-Hispanic Blacks had more than three times as many hospitalizations, markedly longer stays, and higher charges than non-Hispanic Whites. Hispanics with diabetes had lower hospitalization rates, shorter stays, and lower charges than Whites.
Differences by age, sex, and race/ethnicity in hospital discharge rates, lengths of stay, and charges exist for diabetes inpatients. Further study should examine potential causes (severity of disease, comorbidity, and differential access to preventive care) of these disparities. |
| format | Article |
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A cross-sectional study of Georgia hospital discharge data between 1998 and 2001.
Patients with a principal discharge diagnosis of diabetes.
Adjusted hospitalization data (discharge rates, length of stay, direct charges) reported as standardized rates per 10,000 person-years, standardized rate differences, and standardized rate ratios, compared by age, sex, and race/ethnicity.
Diabetes was the principal diagnosis in 50,301 discharges (average age, 51 years; length of stay, 5.1 days; median total charge, $5893). Persons > or = 60 years old had higher discharge rates, longer stays, and higher charges than persons 18-29 years old. Women had fewer hospitalizations, shorter stays, and lower charges than men. Non-Hispanic Blacks had more than three times as many hospitalizations, markedly longer stays, and higher charges than non-Hispanic Whites. Hispanics with diabetes had lower hospitalization rates, shorter stays, and lower charges than Whites.
Differences by age, sex, and race/ethnicity in hospital discharge rates, lengths of stay, and charges exist for diabetes inpatients. Further study should examine potential causes (severity of disease, comorbidity, and differential access to preventive care) of these disparities.</description><identifier>ISSN: 1049-510X</identifier><identifier>PMID: 16599360</identifier><language>eng</language><publisher>United States: Ethnicity & Disease, Inc</publisher><subject>Adolescent ; Adult ; Cross-Sectional Studies ; Diabetes Mellitus ; Ethnic Groups ; Female ; Georgia ; Hospital Charges ; Humans ; Length of Stay ; Male ; Middle Aged ; Original Reports: Cardiovascular Disease and Risk Factors ; Patient Discharge</subject><ispartof>Ethnicity & disease, 2006, Vol.16 (1), p.126-131</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48666805$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48666805$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,4024,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16599360$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cook, Curtiss B.</creatorcontrib><creatorcontrib>Naylor, Dorothy B.</creatorcontrib><creatorcontrib>Hentz, Joseph G.</creatorcontrib><creatorcontrib>Miller, William J.</creatorcontrib><creatorcontrib>Tsui, Circe</creatorcontrib><creatorcontrib>Ziemer, David C.</creatorcontrib><creatorcontrib>Waller, Lance A.</creatorcontrib><title>Disparities in Diabetes-Related Hospitalizations: Relationship of Age, Sex, and Race/Ethnicity with Hospital Discharges, Lengths of Stay, and Direct Inpatient Charges</title><title>Ethnicity & disease</title><addtitle>Ethn Dis</addtitle><description>To identify any differences in hospitalization rates of diabetes patients by age, sex, or race/ethnicity.
A cross-sectional study of Georgia hospital discharge data between 1998 and 2001.
Patients with a principal discharge diagnosis of diabetes.
Adjusted hospitalization data (discharge rates, length of stay, direct charges) reported as standardized rates per 10,000 person-years, standardized rate differences, and standardized rate ratios, compared by age, sex, and race/ethnicity.
Diabetes was the principal diagnosis in 50,301 discharges (average age, 51 years; length of stay, 5.1 days; median total charge, $5893). Persons > or = 60 years old had higher discharge rates, longer stays, and higher charges than persons 18-29 years old. Women had fewer hospitalizations, shorter stays, and lower charges than men. Non-Hispanic Blacks had more than three times as many hospitalizations, markedly longer stays, and higher charges than non-Hispanic Whites. Hispanics with diabetes had lower hospitalization rates, shorter stays, and lower charges than Whites.
Differences by age, sex, and race/ethnicity in hospital discharge rates, lengths of stay, and charges exist for diabetes inpatients. Further study should examine potential causes (severity of disease, comorbidity, and differential access to preventive care) of these disparities.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Georgia</subject><subject>Hospital Charges</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Reports: Cardiovascular Disease and Risk Factors</subject><subject>Patient Discharge</subject><issn>1049-510X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9z0tLAzEUBeAsFFurP0Hpyt1AMnk0WUqrVigIouBuuEluIcO8nJtZ6K-30NbVWZyPA-eCzQVXrtCCf83YNVHNeam1UldsJox2Tho-Z3yTaIAx5YS0TN1yk8BjRiresYGMcbntaUgZmvQLOfUd3bDLPTSEt6dcsM_np4_1tti9vbyuH3dFXUqRC-f3llsVQIfAnZRerIx1VkK0gaP1CLIMJgSjjQahpJJextJEAB1B8CgX7OG4O4z994SUqzZRwKaBDvuJKrOyUjurDvD-BCffYqyGMbUw_lTnjwdwdwQ15X7875U1xliu5R9N-lX0</recordid><startdate>2006</startdate><enddate>2006</enddate><creator>Cook, Curtiss B.</creator><creator>Naylor, Dorothy B.</creator><creator>Hentz, Joseph G.</creator><creator>Miller, William J.</creator><creator>Tsui, Circe</creator><creator>Ziemer, David C.</creator><creator>Waller, Lance A.</creator><general>Ethnicity & Disease, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2006</creationdate><title>Disparities in Diabetes-Related Hospitalizations</title><author>Cook, Curtiss B. ; Naylor, Dorothy B. ; Hentz, Joseph G. ; Miller, William J. ; Tsui, Circe ; Ziemer, David C. ; Waller, Lance A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j231t-9bf8084ca5cc0933b1768983ad8c0e8bea32c6cc6565a14343b3d26daa5da10d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus</topic><topic>Ethnic Groups</topic><topic>Female</topic><topic>Georgia</topic><topic>Hospital Charges</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Reports: Cardiovascular Disease and Risk Factors</topic><topic>Patient Discharge</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cook, Curtiss B.</creatorcontrib><creatorcontrib>Naylor, Dorothy B.</creatorcontrib><creatorcontrib>Hentz, Joseph G.</creatorcontrib><creatorcontrib>Miller, William J.</creatorcontrib><creatorcontrib>Tsui, Circe</creatorcontrib><creatorcontrib>Ziemer, David C.</creatorcontrib><creatorcontrib>Waller, Lance A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Ethnicity & disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cook, Curtiss B.</au><au>Naylor, Dorothy B.</au><au>Hentz, Joseph G.</au><au>Miller, William J.</au><au>Tsui, Circe</au><au>Ziemer, David C.</au><au>Waller, Lance A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disparities in Diabetes-Related Hospitalizations: Relationship of Age, Sex, and Race/Ethnicity with Hospital Discharges, Lengths of Stay, and Direct Inpatient Charges</atitle><jtitle>Ethnicity & disease</jtitle><addtitle>Ethn Dis</addtitle><date>2006</date><risdate>2006</risdate><volume>16</volume><issue>1</issue><spage>126</spage><epage>131</epage><pages>126-131</pages><issn>1049-510X</issn><abstract>To identify any differences in hospitalization rates of diabetes patients by age, sex, or race/ethnicity.
A cross-sectional study of Georgia hospital discharge data between 1998 and 2001.
Patients with a principal discharge diagnosis of diabetes.
Adjusted hospitalization data (discharge rates, length of stay, direct charges) reported as standardized rates per 10,000 person-years, standardized rate differences, and standardized rate ratios, compared by age, sex, and race/ethnicity.
Diabetes was the principal diagnosis in 50,301 discharges (average age, 51 years; length of stay, 5.1 days; median total charge, $5893). Persons > or = 60 years old had higher discharge rates, longer stays, and higher charges than persons 18-29 years old. Women had fewer hospitalizations, shorter stays, and lower charges than men. Non-Hispanic Blacks had more than three times as many hospitalizations, markedly longer stays, and higher charges than non-Hispanic Whites. Hispanics with diabetes had lower hospitalization rates, shorter stays, and lower charges than Whites.
Differences by age, sex, and race/ethnicity in hospital discharge rates, lengths of stay, and charges exist for diabetes inpatients. Further study should examine potential causes (severity of disease, comorbidity, and differential access to preventive care) of these disparities.</abstract><cop>United States</cop><pub>Ethnicity & Disease, Inc</pub><pmid>16599360</pmid><tpages>6</tpages></addata></record> |
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| ispartof | Ethnicity & disease, 2006, Vol.16 (1), p.126-131 |
| issn | 1049-510X |
| language | eng |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Cross-Sectional Studies Diabetes Mellitus Ethnic Groups Female Georgia Hospital Charges Humans Length of Stay Male Middle Aged Original Reports: Cardiovascular Disease and Risk Factors Patient Discharge |
| title | Disparities in Diabetes-Related Hospitalizations: Relationship of Age, Sex, and Race/Ethnicity with Hospital Discharges, Lengths of Stay, and Direct Inpatient Charges |
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