Evidence map›Paper›PMID 38717712›Full record

ArticlePediatric surgery international2024

Disparities in insurance status negatively affect patients with infantile hypertrophic pyloric stenosis.

Daniel A Reich, Genesys Giraldo, William Canty, Kelly M Herremans, Janice A Taylor, Shawn D Larson, Robin Petroze, Saleem Islam

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Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Daniel A ReichCollege of Medicine, University of Florida, 1142 SW 9th Rd. Unit 401, Gainesville, FL, 32601, USA. Daniel.reich@ufl.edu.
Genesys GiraldoCollege of Medicine, University of Florida, 1142 SW 9th Rd. Unit 401, Gainesville, FL, 32601, USA.
William CantyCollege of Medicine, University of Florida, 1142 SW 9th Rd. Unit 401, Gainesville, FL, 32601, USA.
Kelly M HerremansDivision of Pediatric Surgery, Department of Surgery, Pediatric Surgery, University of Florida, Gainesville, FL, USA.
Janice A TaylorDivision of Pediatric Surgery, Department of Surgery, Pediatric Surgery, University of Florida, Gainesville, FL, USA.
Shawn D LarsonDivision of Pediatric Surgery, Department of Surgery, Pediatric Surgery, University of Florida, Gainesville, FL, USA.
Robin PetrozeDivision of Pediatric Surgery, Department of Surgery, Pediatric Surgery, University of Florida, Gainesville, FL, USA.
Saleem IslamDivision of Pediatric Surgery, Department of Surgery, Pediatric Surgery, University of Florida, Gainesville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInfantile hypertrophic pyloric stenosis (IHPS) is suspected to have worse outcomes when length of illness prior to presentation is prolonged. Our objective was to evaluate how social determinants of health influence medical care and outcomes for babies with IHPS.

methodsA retrospective review was performed over 10 years. Census data were used as proxy for socioeconomic status via Geo-Identification codes and correlated with food access and social vulnerability variables. The cohort was subdivided to understand the impact of Medicaid Managed Care (MMC).

resultsThe cohort (279 cases) was divided into two groups; early group from 2011 to 2015 and late from 2016 to 2021. Cases in the late group were older at the time of presentation (41.5 vs. 36.5 days; p = 0.022) and presented later in the disease course (12.8 vs. 8.9 days; p = 0.021). There was no difference in race (p = 0.282), gender (p = 0.874), or length of stay.

conclusionsPatients who presented with IHPS after implementation of phased MMC were older, had a longer symptomatic course, and shorter pylorus measurements. Patients with public insurance after the implementation of MMC were more likely to follow-up with an outpatient pediatrician within a month of hospitalization. These results suggest that MMC may have improved access to care for infants with IHPS.

Indexed as

Insurance CoveragePyloric Stenosis, HypertrophicFemaleHealthcare DisparitiesHumansInfantInfant, NewbornMaleMedicaidRetrospective StudiesSocial Determinants of HealthUnited StatesHypertrophic pyloric stenosisMedicaidMedicaid Managed Care disparityPublic insuranceSocial determinants of health

Identifiers

PMID38717712

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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.