Abstract
Purpose: To compare 1-year outcomes and costs between severely obese Medicaid and non-Medicaid patients who underwent laparoscopic Roux-en-Y gastric bypass surgery. Methods: This is a single-institution retrospective review comparing 33 Medicaid patients to 99 randomly selected non-Medicaid patients (1:3 case-control). Ninety-day and 1-year outcomes were extracted from the electronic health record. Costs were obtained from the UW information technology division. Bivariate analyses were used to compare study variables. Results: Emergency department visits (48.2% vs. 27.4%; P=0.06) and readmissions (37.0% vs. 14.7%; P=0.01) were more common for Medicaid patients. Medicaid patients had less excess body weight loss (50.7% vs. 65.6%; P=0.001) but similar comorbidity resolution and complication rates. One-year median costs were similar between Medicaid and non-Medicaid patients ($21,160 vs. $24,215; P=0.92). Conclusions: One-year comorbidity resolution, complications, and costs following laparoscopic Roux-en-Y gastric bypass were similar between Medicaid and non-Medicaid patients. Focusing on reducing emergency department presentations and readmissions would be a high-impact area for future quality improvement initiatives.
Original language | English (US) |
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Pages (from-to) | 38-43 |
Number of pages | 6 |
Journal | Surgical Laparoscopy, Endoscopy and Percutaneous Techniques |
Volume | 26 |
Issue number | 1 |
DOIs | |
State | Published - 2016 |
Externally published | Yes |
Keywords
- Laparoscopic Roux-en-Y gastric bypass
- Medicaid patients
- Surgical outcomes
ASJC Scopus subject areas
- Surgery