Outcomes in the utilization of single percutaneous cholecystostomy in a low-income population
Journal
International Journal of Environmental Research and Public Health
Journal Volume
14
Journal Issue
12
Pages
1601
ISSN
1661-7827
Date Issued
2017-12-19
Author(s)
Abstract
© 2017 by the authors. Licensee MDPI, Basel, Switzerland. Numerous studies have investigated the applicable populations for percutaneous cholecystostomy (PC) procedures, but the outcomes of PC in low-income populations (LIPs) have been insufficiently studied. Data for 11,184 patients who underwent PC were collected from the National Health Insurance Research Database of Taiwan during 2003 and 2012. The overall crude rate of single PC for the LIP was 64% higher than that for the general population (GP). After propensity score matching for the LIP and GP at a ratio of 1:5, the outcome analysis of patients who underwent PC showed that in-hospital mortality was significantly higher in the LIP group than in the GP group, but one-year recurrence was lower. The rates of 30-day mortality and in-hospital complications were higher for the LIP patients than for the GP patients, and the rate of routine discharge was lower, but the differences were not significant. In conclusion, LIP patients undergoing PC exhibit poor prognoses relative to GP patients, indicating that a low socioeconomic status has an adverse impact on the outcome of PC.We suggest that surgeons fully consider the patient’s financial situation during the operation and further consider the possible poor post-surgical outcomes for LIP patients.
Subjects
health insurance
percutaneous cholecystostomy
acute cholecystitis
low-income population
socioeconomic status
Other Subjects
disease treatment; health insurance; low income population; morality; public health; socioeconomic status; adult; aged; ambulatory care; Article; cholecystitis; cholecystostomy; controlled study; Elixhauser comorbidity index; female; general anesthesia; health care cost; health care utilization; hospital mortality; human; local anesthesia; lowest income group; major clinical study; male; malignant neoplasm; national health insurance; outcome assessment; population; poverty; prescription; prognosis; recurrent disease; single percutaneous cholecystostomy; social status; acute cholecystitis; case control study; cholecystostomy; hospital discharge; hospital mortality; middle aged; propensity score; statistics and numerical data; Taiwan; utilization; very elderly; young adult; Taiwan; Adult; Aged; Aged, 80 and over; Case-Control Studies; Cholecystitis, Acute; Cholecystostomy; Female; Hospital Mortality; Humans; Male; Middle Aged; Patient Discharge; Poverty; Propensity Score; Recurrence; Taiwan; Young Adult
Type
journal article