Ethnic, socioeconomic factors impact scoliosis tx, outcome

Ethnic, socioeconomic factors impact scoliosis tx, outcome
For hospitalized patients with idiopathic scoliosis, ethnic and socioeconomic variables influence treatment and outcomes, according to a study published in the February issue of The Spine Journal.

(HealthDay)—For hospitalized patients with idiopathic scoliosis, ethnic and socioeconomic variables influence treatment and outcomes, according to a study published in the February issue of The Spine Journal.

Miriam Nuño, Ph.D., from the Cedars-Sinai Medical Center in Los Angeles, and colleagues assessed potential disparities in the selection of treatments and outcomes using administrative data from the nationwide inpatient sample from 1998 to 2007 for patients with idiopathic scoliosis. Cases included 9,077 patients treated surgically and 1,098 treated nonsurgically.

In univariate analysis, the researchers found that patient- and hospital-level variables correlated strongly with surgical versus and outcomes. In multivariate analysis, even after adjustment for comorbidities, Caucasians and patients with private insurance were significantly more likely to undergo surgical treatment. Compared with non-Caucasians, Caucasians had a significantly reduced risk of non-routine discharge. The surgery rates were higher (P = 0.08) and mortality risks were significantly lower in large hospitals compared to small- or medium-sized facilities. Large more commonly admitted Caucasians (65.1 percent) than African-American (59.8 percent) or (41.8 percent)

"This study captures trends in the selection of surgical and nonsurgical treatments for idiopathic scoliosis patients during a nine-year period in the United States and identified disparities in the surgical treatment and outcomes for hospitalized scoliosis patients based on ethnic and socioeconomic variables," the authors write.

One author disclosed to the medical technology industry.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

InteguSeal does not reduce scoliosis surgery infections

Jul 26, 2012

(HealthDay) -- Preoperative cyanoacrylate sealant (InteguSeal) application does not reduce the risk of surgical site infection for patients undergoing scoliosis surgery, according to a study published online ...

Recommended for you

UN says Syria vaccine deaths was an NGO 'mistake'

8 hours ago

The recent deaths of Syrian children after receiving measles vaccinations was the result of a "mistake" by a non-governmental partner who mixed in a muscle relaxant meant for anesthesia, a spokesman for the U.N. secretary-general ...

First US child dies from enterovirus D68

9 hours ago

A child in the northeastern US state of Rhode Island has become the first to die from an ongoing outbreak of a respiratory virus, enterovirus D68, health officials said Wednesday.

US Ebola patient had contact with kids: governor

9 hours ago

A man who was diagnosed with Ebola in virus in Texas came in contact with young children, and experts are monitoring them for any signs of disease, governor Rick Perry said Wednesday.

UN worker dies of suspected Ebola in Liberia

9 hours ago

The United Nations mission in Liberia announced on Wednesday the first suspected victim among its employees of the deadly Ebola epidemic ravaging the impoverished west African nation.

User comments