ArticleHealth services research1995
Geographic variation in rates of selected surgical procedures within Los Angeles County.
Article in Health services research, 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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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.
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Who cites it
23 citing papers in PubMed, 78 citations in OpenAlex.
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- Appendicectomies in Albanians in Greece: outcomes in a highly mobile immigrant patient population.BMC health services research · 2001Article
- Racial and ethnic differences in the use of cardiovascular procedures: findings from the California Cooperative Cardiovascular Project.American journal of public health · 2000Article
- Assessing the quality of healthcare provided to children.Health services research · 1998Review
- Hospitalizations for back and neck problems: a comparison between the Province of Ontario and Washington State.Health services research · 1998Article
- Physician benchmarking: measuring variation in practice behavior in treatment of otitis media.Health care management science · 1998Article
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Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe explore the contribution of income and ethnicity to geographic variation in utilization of surgical procedures. DATA SOURCES/STUDY
settingWe assessed the use of eight procedures from 1986 through 1988 among residents of Los Angeles County using data from the California Discharge Dataset, the 1980 census, and other secondary sources. Procedures chosen for evaluation were coronary artery bypass grafting (CABG), coronary artery angioplasty, permanent pacemaker insertion, mastectomy, simple hysterectomy, transurethral prostate resection (TURP), carotid endarterectomy, and appendectomy. STUDY
designThe amount of inter-zip code variation for each procedure was first measured using various estimates including the analysis of variance coefficient of variation (CVA). Population-weighted multivariate regression analysis was used to model variation in age- and gender-adjusted rates of procedure use among 236 residential zip codes. PRINCIPAL
findingsHighest-variation procedures were coronary artery angioplasty (CVA = .392) and carotid endarterectomy (CVA = .374). The procedures with the lowest degree of variation were cardiac pacemaker implantation (CVA = .194) and hysterectomy (CVA = .195). Variation was significantly related to income (carotid endarterectomy) and either African American or Latino zip code ethnicity for all procedures except pacemaker implantation. For all procedures except appendectomy, the direction of the effect was toward fewer procedures with lower income. However, the effect of African American or Latino population ethnicity varied.
conclusionsIn this large urban area both population ethnicity and socioeconomic status are significantly associated with the geographic utilization of selected surgical procedures.
Indexed as
Identifiers
7721583PMC1070349W31605554What 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.