ArticleJournal of clinical anesthesia2017
Medicaid insurance as primary payer predicts increased mortality after total hip replacement in the state inpatient databases of California, Florida and New York.
Article in Journal of clinical anesthesia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed.
- Socioeconomic Disparities in Outcomes After Primary Total Hip Arthroplasty: A Propensity-Matched Multi-Institutional Study.Arthroplasty today · 2026Article
- Article
- Barriers to Care for Total Joint Arthroplasty Patients With Medicaid Insurance: A Survey Study of the Surgeon Perspective.Arthroplasty today · 2026Article
- Medicare and Medicaid patients undergoing total joint arthroplasty have more complications and healthcare utilization than privately insured patients.Journal of orthopaedics · 2025Article
- Incidence and Clinical Risk Factors of Post-Operative Complications following Primary Total Hip Arthroplasty: A 10-Year Population-Based Cohort Study.Journal of clinical medicine · 2023Article
- The Impact of Isolated Preoperative Cannabis Use on Outcomes Following Cervical Spinal Fusion: A Propensity Score-Matched Analysis.The Iowa orthopaedic journal · 2023Article
- Impact of a Standardized, Pharmacist-Initiated "Test-Claim" Workflow for Anticipating Barriers to Accessing Discharge Antimicrobials.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2023Article
- Identifying the origin of socioeconomic disparities in outcomes of major elective operations.Surgery open science · 2023Article
- Socioeconomic factors affecting outcomes in total knee and hip arthroplasty: a systematic review on healthcare disparities.Arthroplasty (London, England) · 2022Review
- Access to care for low trauma hip fractures in South Africa.Archives of osteoporosis · 2022Observational
- Medicaid Payer Status Is Associated With Increased 90-Day Resource Utilization, Reoperation, and Infection Following Aseptic Revision Total Hip Arthroplasty.The Iowa orthopaedic journal · 2022Article
- The impact of nurse practitioner and physician assistant workforce supply on Medicaid-related emergency department visits and hospitalizations.Journal of the American Association of Nurse Practitioners · 2021Article
- Imaging Analysis of Prosthesis Angle after Hip Replacement with Direct Anterior Approach in Lateral Position.Journal of healthcare engineering · 2021Article
- Contemporary treatment utilization among women diagnosed with symptomatic uterine fibroids in the United States.BMC women's health · 2020Article
- An Electronic Medical Record-Derived Individualized Performance Metric to Measure Risk-Adjusted Adherence with Perioperative Prophylactic Bundles for Health Care Disparity Research and Implementation Science.Applied clinical informatics · 2020Article
- Insurance Payer Type and Patient Income Are Associated with Outcomes after Total Shoulder Arthroplasty.The Journal of rheumatology · 2020Article
- Disparities in length of stay for hip fracture treatment between patients treated in safety-net and non-safety-net hospitals.BMC health services research · 2020Article
- Traumatic spinal cord injury in West Virginia: Disparities by insurance and discharge disposition from an acute care hospital.The journal of spinal cord medicine · 2020Article
- Medicaid insurance status predicts postoperative mortality after total knee arthroplasty in state inpatient databases.Journal of comparative effectiveness research · 2019Article
- Readmission Rates and Diagnoses Following Total Hip Replacement in Relation to Insurance Payer Status, Race and Ethnicity, and Income Status.Journal of racial and ethnic health disparities · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
STUDY
objectiveTo confirm the relationship between primary payer status as a predictor of increased perioperative risks and post-operative outcomes after total hip replacements.
designRetrospective cohort study.
settingAdministrative database study using 2007-2011 data from California, Florida, and New York from the State Inpatient Databases (SID), Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. PATIENTS: 295,572 patients age≥18years old who underwent total hip replacement with non-missing insurance data were collected, using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnoses and procedures code (ICD-9-CM code 81.51).
interventionsPatients underwent total hip replacement. MEASUREMENTS: Patients were cohorted by insurance type as either Medicare, Medicaid, Uninsured, Other, and Private Insurance. Demographic characteristics and comorbidities were compared. Unadjusted rates of in-hospital mortality, postoperative complications, LOS, 30-day, and 90-day readmission status were compared. Adjusted odds ratios were calculated for our outcomes using multivariate linear and logistic regression models fitted to our data. MAIN
resultsMedicaid patients incurred a 125% increase in the odds of in-hospital mortality compared to those with Private Insurance (OR 2.25, 99% CI 1.01-5.01). Medicaid payer status was associated with the highest statistically significant adjusted odds of mortality, any complication (OR, 1.26), cardiovascular complications (OR, 1.37), and infectious complications (OR, 1.66) when compared with Private Insurance. Medicaid patients had the highest statistically significant adjusted odds of 30-day (OR, 1.63) and 90-day readmission (OR, 1.58) and the longest adjusted LOS.
conclusionsWe found higher unadjusted rates and risk adjusted odds ratios of postoperative mortality, morbidity, LOS, and readmissions for patients with Medicaid insurance as compared to patients with Private Insurance. Our study shows that primary payer status serves as a predictor of perioperative risks and that primary payer status should be viewed as a peri-operative risk factor.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.