Original articleSocioeconomic and Racial Predictors of Undergoing Laparoscopic Hysterectomy for Selected Benign Diseases: Analysis of 341 487 Hysterectomies
Section snippets
Materials and Methods
We performed a retrospective cohort study using data from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample (HCUP-NIS), 1998 to 2002. Each annual data set contains approximately 7 million records of patient in hospital including demographic data, discharge diagnoses, procedure codes, and vital status at discharge for respective admission. Records included in the data sets are representative samples of approximately 20% of admissions to United States hospitals. Diagnostic
Results
Age and other baseline characteristics of patients are depicted in Table 1, Table 2. Most women were older than 40 years, Caucasian, with median household income of $25 000 or more, and had private insurance. The patient population did not have comorbid diseases, and most procedures were performed in an urban setting on an elective basis.
Table 3 shows adjusted effect of race, median household income, and insurance provider on laparoscopic hysterectomy. Compared with Caucasians,
Discussion
Differences in access between racial and socioeconomic groups are well-established barriers to health care [1, 2, 3, 5, 12, 13, 14]. In a study evaluating use of selected surgical procedures in California, the authors reported that residents of South Central Los Angeles were less likely to undergo percutaneous transluminal coronary angioplasty, coronary artery bypass grafting, carotid endarterectomy, and cesarean sections [12]. Differential access to surgical procedures was thought to be, in
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The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.
Funded partially by the Society of Reproductive Surgeons.