Hispanic Ethnicity Is Associated With Increased Hospital Charges After Radical Cystectomy in the United States

Authors

Mark D. Tyson, Mayo Clinic ArizonaFollow
Erik P. Castle, Mayo Clinic ArizonaFollow

Keywords

Hospital Charges; Cystectomy; Surgery Outcomes; Race; Ethnicity

Disciplines

Clinical Epidemiology | Health Services Research

Abstract

Objective: To examine the impact of race and ethnicity on financial charges associated with radical cystectomy (RC).

Data Sources/Study Setting: The Nationwide Inpatient Sample was used to identify patients who underwent RC for bladder cancer between 1998 and 2010.

Study Design: The primary outcome was total hospital charges adjusted for inflation. Multivariate analysis was performed using a generalized linear model on the logarithmically transformed outcome variable (total hospital charges) after adjusting for age, sex, race, Elixhauser comorbidities, surgical approach, year, primary payer, hospital and surgeon annual RC volume, hospital characteristics, and postoperative complications.

Principle findings: A total of 14,873 patients were identified. Hispanic and black patients were more likely to be treated by low-volume surgeons and/or institutions (both P=.07).

Conclusions: Hispanic ethnicity but not black race predicts higher hospital charges after RC.

Recommended Citation

Tyson, Mark D. and Castle, Erik P. (2014) "Hispanic Ethnicity Is Associated With Increased Hospital Charges After Radical Cystectomy in the United States," Journal of Health Disparities Research and Practice: Vol. 8: Iss. 3, Article 6.
Available at: https://digitalscholarship.unlv.edu/jhdrp/vol8/iss3/6