One-year Surgical Outcomes and Costs for Medicaid Versus Non-Medicaid Patients Undergoing Laparoscopic Roux-en-Y Gastric Bypass: A Single-Center Study.

Journal Article (Journal Article)

PURPOSE: To compare 1-year outcomes and costs between severely obese Medicaid and non-Medicaid patients who underwent laparoscopic Roux-en-Y gastric bypass surgery. METHODS: This is a single-institution retrospective review comparing 33 Medicaid patients to 99 randomly selected non-Medicaid patients (1:3 case-control). Ninety-day and 1-year outcomes were extracted from the electronic health record. Costs were obtained from the UW information technology division. Bivariate analyses were used to compare study variables. RESULTS: Emergency department visits (48.2% vs. 27.4%; P=0.06) and readmissions (37.0% vs. 14.7%; P=0.01) were more common for Medicaid patients. Medicaid patients had less excess body weight loss (50.7% vs. 65.6%; P=0.001) but similar comorbidity resolution and complication rates. One-year median costs were similar between Medicaid and non-Medicaid patients ($21,160 vs. $24,215; P=0.92). CONCLUSIONS: One-year comorbidity resolution, complications, and costs following laparoscopic Roux-en-Y gastric bypass were similar between Medicaid and non-Medicaid patients. Focusing on reducing emergency department presentations and readmissions would be a high-impact area for future quality improvement initiatives.

Full Text

Duke Authors

Cited Authors

  • Chen, EY; Fox, BT; Suzo, A; Greenberg, JA; Campos, GM; Garren, MJ; Funk, LM

Published Date

  • February 2016

Published In

Volume / Issue

  • 26 / 1

Start / End Page

  • 38 - 43

PubMed ID

  • 26836627

Pubmed Central ID

  • PMC4742364

Electronic International Standard Serial Number (EISSN)

  • 1534-4908

Digital Object Identifier (DOI)

  • 10.1097/SLE.0000000000000219


  • eng

Conference Location

  • United States