Primary payer status is associated with mortality and resource utilization for coronary artery bypass grafting

Circulation

Volumn 126, Issue 11 SUPPL.1, 2012, Pages

  Lapar, Damien J ^a   Stukenborg, George J ^b   Guyer, Richard A ^a   Stone, Matthew L ^a   Bhamidipati, Castigliano M ^a   Lau, Christine L ^a   Kron, Irving L ^a   Ailawadi, Gorav ^a  

^a UNIVERSITY OF VIRGINIA   (United States)

^b UNIVERSITY OF VIRGINIA HEALTH SYSTEM   (United States)

Author keywords

CABG; insurance; mortality; outcomes; payer status

Indexed keywords

ADULT; AGED; ARTICLE; CARDIOVASCULAR MORTALITY; CARDIOVASCULAR RISK; CORONARY ARTERY BYPASS GRAFT; ETHNIC DIFFERENCE; FEMALE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE UTILIZATION; HUMAN; INCOME; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICARE; OUTCOME ASSESSMENT; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PRIVATE HEALTH INSURANCE; RACE DIFFERENCE; REFERENCE DATABASE; UNITED STATES;

AGED; COMORBIDITY; CORONARY ARTERY BYPASS; ETHNIC GROUPS; FEMALE; HEALTH RESOURCES; HOSPITAL COSTS; HOSPITAL MORTALITY; HUMANS; INSURANCE, HEALTH; LENGTH OF STAY; MALE; MEDICAID; MEDICALLY UNINSURED; MEDICARE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; POVERTY AREAS; PROGNOSIS; RISK FACTORS; TREATMENT OUTCOME; UNITED STATES;

EID: 84866467279     PISSN: 00097322     EISSN: 15244539     Source Type: Journal    
DOI: 10.1161/CIRCULATIONAHA.111.083782     Document Type: Article

References (44)

1. United States Census Bureau. Income, poverty, and health insurance coverage in the United States: 2008. http://www.census.gov/prod/2009pubs/p60- 236.pdf. Accessed February 1, 2011.
2. Lantz PM, House JS, Lepkowski JM, Williams DR, Mero RP, Chen J. Socioeconomic factors, health behaviors, and mortality: results from a nationally representative prospective study of US adults. JAMA. 1998; 279:1703-1708.
3. Committee on the Consequences of Uninsurance. I: Care Without Coverage: Too Little, Too Late. Washington, DC: National Academy Press; 2002.
4. National Adult Cardiac Surgery Database Executive Summary. Society of Thoracic Surgeons. 2009. http://www.sts.org/sts-national-database/database- managers/executive-summaries. Accessed February 1, 2011.
5. Giacovelli JK, Egorova N, Nowygrod R, Gelijns A, Kent KC, Morrissey NJ. Insurance status predicts access to care and outcomes of vascular disease. J Vasc Surg. 2008;48:905-911.
6. Vogel TR, Cantor JC, Dombrovskiy VY, Haser PB, Graham AM. AAA repair: sociodemographic disparities in management and outcomes. Vasc Endovasc Surg. 2008;42:555-560.
7. Wallace AE, Young-Xu Y, Hartley D, Weeks WB. Racial, socioeconomic, and rural-urban disparities in obesity-related bariatric surgery. Obes Surg. 2010;20:1354-1360.
8. Haider AH, Chang DC, Efron DT, Haut ER, Crandall M, Cornwell EE III. Race and insurance status as risk factors for trauma mortality. Arch Surg. 2008;143:945-949.
9. Rosen H, Saleh F, Lipsitz SR, Meara JG, Rogers SO Jr. Lack of insurance negatively affects trauma mortality in US children. J Pediatr Surg. 2009; 44:1952-1957.
10. Salim A, Ottochian M, DuBose J, Inaba K, Teixeira P, Chan LS, Margulies DR. Does insurance status matter at a public, level I trauma center? J Trauma. 2010;68:211-216.
11. Healthcare Cost and Utilization Project Nationwide Inpatient Sample. Rockville, MD: Agency for Health Care Research and Quality; 2003-2007.
12. LaPar DJ, Bhamidipati CM, Mery CM, Stukenborg GJ, Jones DR, Schirmer BD, Kron IL, Ailawadi G. Primary payer status affects mortality for major surgical operations. Ann Surg. 2010;252:544-550.
13. Whalen D, Houchens R, Elixhauser A. 2004 HCUP Nationwide Inpatient Sample (NIS) Comparison Report. HCUP Methods Series Report No. 2007-03 online. US Agency for Healthcare Research and Quality. http://www.hcup-us.ahrq.gov/reports/ methods/jsp. Accessed December 15, 2010.
14. Public Health Service, Health Care Financing Administration International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). Washington, DC: United States Department of Health and Human Services; 1991.
15. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36:8-27.
16. Southern DA, Quan H, Ghali WA. Comparison of the Elixhauser and Charlson/Deyo methods of comorbidity measurement in administrative data. Med Care. 2004;42:355-360.
17. Stukenborg GJ, Wagner DP, Connors AF Jr. Comparison of the performance of two comorbidity measures, with and without information from prior hospitalizations. Med Care. 2001;39:727-739.
18. Rao JNK, Shao J. Modified balanced repeated replication for complex survey data. Biometrika. 1999;86:403-415.
19. Lin DY, Psaty BM, Kronmal RA. Assessing the sensitivity of regression results to unmeasured confounders in observational studies. Biometrics. 1998;54:948-963.
20. Higgins RS, Paone G, Borzak S, Jacobsen G, Peterson E, Silverman NA. Effect of payer status on outcomes of coronary artery bypass surgery in blacks. Circulation. 1998;98:II46-II49.
21. Zacharias A, Schwann TA, Riordan CJ, Durham SJ, Shah A, Habib RH. Operative and late coronary artery bypass grafting outcomes in matched African-American versus Caucasian patients: evidence of a late survival-Medicaid association. J Am Coll Cardiol. 2005;46:1526-1535.
22. Lapar DJ, Bhamidipati CM, Walters DM, Stukenborg GJ, Lau CL, Kron IL, Ailawadi G. Primary payer status affects outcomes for cardiac valve operations. J Am Coll Surg. 2011;212:759-767.
23. Canto JG, Rogers WJ, French WJ, Gore JM, Chandra NC, Barron HV. Payer status and the utilization of hospital resources in acute myocardial infarction: a report from the National Registry of Myocardial Infarction 2. Arch Intern Med. 2000;160:817-823.
24. Horne BD, Muhlestein JB, Lappe DL, Renlund DG, Bair TL, Bunch TJ, Anderson JL, Intermountain Heart Collaborative Study G. Less affluent area of residence and lesser-insured status predict an increased risk of death or myocardial infarction after angiographic diagnosis of coronary disease. Ann Epidemiol. 2004;14:143-150.
25. Vidovich MI, Vasaiwala S, Cannon CP, Peterson ED, Dai D, Hernandez AF, Fonarow GC, Get With The Guidelines Steering Committee, Investigators. Association of insurance status with inpatient treatment for coronary artery disease: findings from the Get With The Guidelines program. Am Heart J. 2010;159:1026-1036.
26. Calvin JE, Roe MT, Chen AY, Mehta RH, Brogan GX Jr, Delong ER, Fintel DJ, Gibler WB, Ohman EM, Smith SC Jr, Peterson ED. Insurance coverage and care of patients with non-ST-segment elevation acute coronary syndromes. Ann Intern Med. 2006;145:739-748.
27. Nicolau JC, Baracioli LM, Serrano CV Jr, Giraldez RR, Kalil Filho R, Lima FG, Franken M, Ganem F, Lage RL, Truffa R. The influence of health insurance plans on the long term outcome of patients with acute myocardial infarction. Arquivos Brasileiros de Cardiologia. 2008;91: 347-351.
28. Pilote L, Joseph L, Belisle P, Penrod J. Universal health insurance coverage does not eliminate inequities in access to cardiac procedures after acute myocardial infarction. Am Heart J. 2003;146:1030-1037.
29. Pilote L, Tu JV, Humphries K, Behouli H, Belisle P, Austin PC, Joseph L. Socioeconomic status, access to health care, and outcomes after acute myocardial infarction in Canada's universal health care system. Med Care. 2007;45:638-646.
30. James PD, Wilkins R, Detsky AS, Tugwell P, Manuel DG. Avoidable mortality by neighbourhood income in Canada: 25 years after the establishment of universal health insurance. J Epidemiol Commun Health. 2007;61:287-296.
31. Quatromoni J, Jones R. Inequalities in socio-economic status and invasive procedures for coronary heart disease: a comparison between the USA and the UK. Int J Clin Pract. 2008;62:1910-1919.
32. Smolderen KG, Spertus JA, Nallamothu BK, Krumholz HM, Tang F, Ross JS, Ting HH, Alexander KP, Rathore SS, Chan PS. Health care insurance, financial concerns in accessing care, and delays to hospital presentation in acute myocardial infarction. JAMA. 2010;303:1392-1400.
33. Chernew M, Gowrisankaran G, Fendrick AM. Payer type and the returns to bypass surgery: evidence from hospital entry behavior. J Health Econ. 2002;21:451-474.
34. Pamboukian SV, Funkhouser E, Child IG, Allison JJ, Weissman NW, Kiefe CI. Disparities by insurance status in quality of care for elderly patients with unstable angina. Ethnicity Dis. 2006;16:799-807.
35. Wenneker MB, Weissman JS, Epstein AM. The association of payer with utilization of cardiac procedures in Massachusetts. JAMA. 1990;264: 1255-1260.
36. Cho L, Bhatt DL, Brennan D, Wilcox RG, Topol EJ. Relation of insurance status to performance of coronary angiography in patients with unstable angina pectoris or acute myocardial infarction. Am J Cardiol. 2003;91:721-723.
37. Shen JJ, Wan TT, Perlin JB. An exploration of the complex relationship of socioecologic factors in the treatment and outcomes of acute myocardial infarction in disadvantaged populations. Health Serv Res. 2001; 36:711-732.
38. Alter DA, Oh PI, Chong A. Relationship between cardiac rehabilitation and survival after acute cardiac hospitalization within a universal health care system. Eur J Cardiovasc Prev Rehabil. 2009;16:102-113.
39. Wallace LS, Cassada DC, Rogers ES, Freeman MB, Grandas OH, Stevens SL, Goldman MH. Can screening items identify surgery patients at risk of limited health literacy? J Surg Res. 2007;140:208-213.
40. Cohen JW. Medicaid policy and the substitution of hospital outpatient care for physician care. Health Serv Res. 1989;24:33-66.
41. Cornelius L, Beauregard K, Cohen J. Usual Sources of Medical Care and Their Characteristics. AHCPR Publication No. 91-0042. Rockville, MD: Agency for Health Care Policy and Research; 1991.
42. White FA, French D, Zwemer FL Jr, Fairbanks RJ. Care without coverage: is there a relationship between insurance and ED care? J Emerg Med. 2007;32:159-165.
43. de Bosset V, Atashili J, Miller W, Pignone M. Health insurance-related disparities in colorectal cancer screening in Virginia. Cancer Epidemiol Biomarkers Prev. 2008;17:834-837.
44. Roetzheim RG, Pal N, Gonzalez EC, Ferrante JM, Van Durme DJ, Krischer JP. Effects of health insurance and race on colorectal cancer treatments and outcomes. Am J Public Health. 2000;90:1746-1754.