Outcomes in the Utilization of Single Percutaneous Cholecystostomy in a Low-Income Population

Ping Lu, Nan-Ping Yang, Nien-Tzu Chang, K. Robert Lai, Kai-Biao Lin and Chien-Lung Chan
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Ping Lu: School of Economics and Management, Xiamen University of Technology, Xiamen 361024, China
Nan-Ping Yang: Department of Surgery, Keelung Hospital, Ministry of Health and Welfare, Keelung 20147, Taiwan
Nien-Tzu Chang: School of Nursing, College of Medicine, National Taiwan University, Taipei 10051, Taiwan
K. Robert Lai: Department of Computer Science and Engineering, Yuan Ze University, Taoyuan 32003, Taiwan
Kai-Biao Lin: Department of Computer Science and Engineering, Yuan Ze University, Taoyuan 32003, Taiwan
Chien-Lung Chan: Department of Information Management, Yuan Ze University, Taoyuan 32003, Taiwan

IJERPH, 2017, vol. 14, issue 12, 1-13

Abstract: Numerous studies have investigated the applicable populations for percutaneous cholecystostomy (PC) procedures, but the outcomes of PC in low-income populations (LIPs) have been insufficiently studied. Data for 11,184 patients who underwent PC were collected from the National Health Insurance Research Database of Taiwan during 2003 and 2012. The overall crude rate of single PC for the LIP was 64% higher than that for the general population (GP). After propensity score matching for the LIP and GP at a ratio of 1:5, the outcome analysis of patients who underwent PC showed that in-hospital mortality was significantly higher in the LIP group than in the GP group, but one-year recurrence was lower. The rates of 30-day mortality and in-hospital complications were higher for the LIP patients than for the GP patients, and the rate of routine discharge was lower, but the differences were not significant. In conclusion, LIP patients undergoing PC exhibit poor prognoses relative to GP patients, indicating that a low socioeconomic status has an adverse impact on the outcome of PC. We suggest that surgeons fully consider the patient’s financial situation during the operation and further consider the possible poor post-surgical outcomes for LIP patients.

Keywords: health insurance; percutaneous cholecystostomy; acute cholecystitis; low-income population; socioeconomic status (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
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