The impact of socioeconomic status on presentation and treatment of diverticular disease

Nicholas G. Csikesz, Anand Singla, Jessica P. Simons, Jennifer F. Tseng, Shimul A. Shah

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Introduction Diverticular disease is a common medical problem, but it is unknown if lower socioeconomic status (SES) affects patient outcomes in diverticular disease. Material and methods The New York (NY) State Inpatient Database was used to query 8,117 cases of diverticular disease occurring in patients aged 65-85 in 2006. Race and SES were assessed by creating a composite score based on race, primary insurance payer, and median income bracket. Results Primary outcomes were differences in disease presentation, use of elective surgery, complication rates when surgery was performed, and overall mortality and length of stay. Patients of lower SES were younger, more likely to be female, to have multiple co-morbid conditions, to present as emergent/urgent admissions, and to present with diverticulitis complicated by hemorrhage (p<0.0001). Discussion Overall, patients of low SES were less likely to receive surgical intervention, while rates of surgery were similar in elective cases. When surgery was performed, patients of lower SES had similar complication rates (25.4% vs. 20.2%, p=0.06)andhigheroverallmortality (9.0% vs.4.4%, p=0.003). Conclusion Patients of low SES who are admitted with diverticular disease have an increased likelihood to present emergently, have worse disease on admission, and are less likely to receive surgery.

Original languageEnglish (US)
Pages (from-to)1993-2002
Number of pages10
JournalJournal of Gastrointestinal Surgery
Volume13
Issue number11
DOIs
StatePublished - 2009

Keywords

  • Access
  • Disparities
  • Diverticulitis
  • NIS
  • Propensity scores
  • Race
  • Socioeconomic status
  • Surgery

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Fingerprint

Dive into the research topics of 'The impact of socioeconomic status on presentation and treatment of diverticular disease'. Together they form a unique fingerprint.

Cite this