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Characterization of combined endoscopies and aerodigestive care: An analysis of utilization and financial feasibility
BACKGROUND: Aerodigestive care is one model of multi-disciplinary care, which is a valuable tool for both providers and patients. Aerodigestive care models are associated with improved outcomes, reduced anesthesia exposure, reduction in hospital admissions, and fewer days of missed work or school. T...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482277/ https://www.ncbi.nlm.nih.gov/pubmed/37672547 http://dx.doi.org/10.1371/journal.pone.0291179 |
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author | Brinkmeier, Jennifer Al-Hammadi, Noor Shashidhar, Sumana Hinyard, Leslie Patel, Dhiren |
author_facet | Brinkmeier, Jennifer Al-Hammadi, Noor Shashidhar, Sumana Hinyard, Leslie Patel, Dhiren |
author_sort | Brinkmeier, Jennifer |
collection | PubMed |
description | BACKGROUND: Aerodigestive care is one model of multi-disciplinary care, which is a valuable tool for both providers and patients. Aerodigestive care models are associated with improved outcomes, reduced anesthesia exposure, reduction in hospital admissions, and fewer days of missed work or school. This is the first study to explore national usage and cost trends in combined endoscopy utilization to identify gaps in care and the potential for financial resource optimization. METHODS: Data from the Healthcare Cost and Utilization Project (HCUP) Kid’s Inpatient Sample (KID) was used from 2016 and 2019. Diagnoses and procedures were identified using ICD-10 codes, for patients with hospital length of stay less than 1 day. Demographic data were identified, and survey-weighted means and proportions were computed. Bivariate comparisons were made using Rao Scott Chi-Square tests. National estimates of charges were computed with discharge weights, developed using the American Hospital Association (AHA) universe. KEY RESULTS: White, high-income patients, and those at urban teaching hospitals received the greatest proportion of combined endoscopic procedures. The cost/charges associated with combined endoscopies are less than for separate gastrointestinal (GI) or airway only endoscopies combined. However, combined procedures comprise a smaller share of national aggregate cost. CONCLUSIONS: National utilization trends highlight racial and socioeconomic disparities and suggest differences in access based on hospital characteristics, despite the reduced cost/charges of the combined procedure. For patients with a need for combined aerodigestive procedures, there appears to be a cost-savings opportunity to increase efforts for combined procedures at the level of the clinician or hospital. |
format | Online Article Text |
id | pubmed-10482277 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-104822772023-09-07 Characterization of combined endoscopies and aerodigestive care: An analysis of utilization and financial feasibility Brinkmeier, Jennifer Al-Hammadi, Noor Shashidhar, Sumana Hinyard, Leslie Patel, Dhiren PLoS One Research Article BACKGROUND: Aerodigestive care is one model of multi-disciplinary care, which is a valuable tool for both providers and patients. Aerodigestive care models are associated with improved outcomes, reduced anesthesia exposure, reduction in hospital admissions, and fewer days of missed work or school. This is the first study to explore national usage and cost trends in combined endoscopy utilization to identify gaps in care and the potential for financial resource optimization. METHODS: Data from the Healthcare Cost and Utilization Project (HCUP) Kid’s Inpatient Sample (KID) was used from 2016 and 2019. Diagnoses and procedures were identified using ICD-10 codes, for patients with hospital length of stay less than 1 day. Demographic data were identified, and survey-weighted means and proportions were computed. Bivariate comparisons were made using Rao Scott Chi-Square tests. National estimates of charges were computed with discharge weights, developed using the American Hospital Association (AHA) universe. KEY RESULTS: White, high-income patients, and those at urban teaching hospitals received the greatest proportion of combined endoscopic procedures. The cost/charges associated with combined endoscopies are less than for separate gastrointestinal (GI) or airway only endoscopies combined. However, combined procedures comprise a smaller share of national aggregate cost. CONCLUSIONS: National utilization trends highlight racial and socioeconomic disparities and suggest differences in access based on hospital characteristics, despite the reduced cost/charges of the combined procedure. For patients with a need for combined aerodigestive procedures, there appears to be a cost-savings opportunity to increase efforts for combined procedures at the level of the clinician or hospital. Public Library of Science 2023-09-06 /pmc/articles/PMC10482277/ /pubmed/37672547 http://dx.doi.org/10.1371/journal.pone.0291179 Text en © 2023 Brinkmeier et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Brinkmeier, Jennifer Al-Hammadi, Noor Shashidhar, Sumana Hinyard, Leslie Patel, Dhiren Characterization of combined endoscopies and aerodigestive care: An analysis of utilization and financial feasibility |
title | Characterization of combined endoscopies and aerodigestive care: An analysis of utilization and financial feasibility |
title_full | Characterization of combined endoscopies and aerodigestive care: An analysis of utilization and financial feasibility |
title_fullStr | Characterization of combined endoscopies and aerodigestive care: An analysis of utilization and financial feasibility |
title_full_unstemmed | Characterization of combined endoscopies and aerodigestive care: An analysis of utilization and financial feasibility |
title_short | Characterization of combined endoscopies and aerodigestive care: An analysis of utilization and financial feasibility |
title_sort | characterization of combined endoscopies and aerodigestive care: an analysis of utilization and financial feasibility |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482277/ https://www.ncbi.nlm.nih.gov/pubmed/37672547 http://dx.doi.org/10.1371/journal.pone.0291179 |
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