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

Author

Listed:
  • Ping Lu

    (School of Economics and Management, Xiamen University of Technology, Xiamen 361024, China
    Department of Information Management, Yuan Ze University, Taoyuan 32003, Taiwan)

  • Nan-Ping Yang

    (Department of Surgery, Keelung Hospital, Ministry of Health and Welfare, Keelung 20147, Taiwan
    Institute of Public Health, National Yang-Ming University, Taipei 11221, 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
    Innovation Center for Big Data and Digital Convergence, Yuan Ze University, Taoyuan 32003, Taiwan)

  • Kai-Biao Lin

    (Department of Computer Science and Engineering, Yuan Ze University, Taoyuan 32003, Taiwan
    School of Computer and Information Engineering, Xiamen University of Technology, Xiamen 361024, China)

  • Chien-Lung Chan

    (Department of Information Management, Yuan Ze University, Taoyuan 32003, Taiwan
    Innovation Center for Big Data and Digital Convergence, Yuan Ze University, Taoyuan 32003, Taiwan)

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.

Suggested Citation

  • Ping Lu & Nan-Ping Yang & Nien-Tzu Chang & K. Robert Lai & Kai-Biao Lin & Chien-Lung Chan, 2017. "Outcomes in the Utilization of Single Percutaneous Cholecystostomy in a Low-Income Population," IJERPH, MDPI, vol. 14(12), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:12:p:1601-:d:123538
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    References listed on IDEAS

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    1. Marco Caliendo & Sabine Kopeinig, 2008. "Some Practical Guidance For The Implementation Of Propensity Score Matching," Journal of Economic Surveys, Wiley Blackwell, vol. 22(1), pages 31-72, February.
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