Hospital Charges; Cystectomy; Surgery Outcomes; Race; Ethnicity


Clinical Epidemiology | Health Services Research


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.