One-year surgical outcomes and costs for Medicaid versus non-Medicaid patients undergoing laparoscopic Roux-en-Y gastric bypass: A single-center study

Ellie Y. Chen, Benjamin T. Fox, Andrew Suzo, Jacob A. Greenberg, Guilherme M. Campos, Michael J. Garren, Luke M. Funk

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

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 languageEnglish (US)
Pages (from-to)38-43
Number of pages6
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume26
Issue number1
DOIs
StatePublished - 2016
Externally publishedYes

Keywords

  • Laparoscopic Roux-en-Y gastric bypass
  • Medicaid patients
  • Surgical outcomes

ASJC Scopus subject areas

  • Surgery

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