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Socioeconomic disparities in risk of financial toxicity following elective cardiac operations in the United States

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  • Alberto Romo Valenzuela
  • Nikhil L Chervu
  • Yvonne Roca
  • Yas Sanaiha
  • Saad Mallick
  • Peyman Benharash

Abstract

Background: While insurance reimbursements allay a portion of costs associated with cardiac operations, uncovered and additional fees are absorbed by patients. An examination of financial toxicity (FT), defined as the burden of patient medical expenses on quality of life, is warranted. Therefore, the present study used a nationally representative database to demonstrate the association between insurance status and risk of financial toxicity (FT) among patients undergoing major cardiac operations. Methods: Adults admitted for elective coronary artery bypass grafting (CABG) and isolated or concomitant valve operations were assessed using the 2016–2019 National Inpatient Sample. FT risk was defined as out-of-pocket expenditure >40% of post-subsistence income. Regression models were developed to determine factors associated with FT risk in insured and uninsured populations. To demonstrate the association between insurance status and risk of FT among patients undergoing major cardiac operations. Results: Of an estimated 567,865 patients, 15.6% were at risk of FT. A greater proportion of uninsured patients were at risk of FT (81.3 vs. 14.8%, p

Suggested Citation

  • Alberto Romo Valenzuela & Nikhil L Chervu & Yvonne Roca & Yas Sanaiha & Saad Mallick & Peyman Benharash, 2024. "Socioeconomic disparities in risk of financial toxicity following elective cardiac operations in the United States," PLOS ONE, Public Library of Science, vol. 19(1), pages 1-14, January.
    • Handle: RePEc:plo:pone00:0292210
    DOI: 10.1371/journal.pone.0292210
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    1. John M. Tilford & Paula K. Roberson & Debra H. Fiser, 1996. "Using lfit and lroc to evaluate mortality prediction models," Stata Technical Bulletin, StataCorp LLC, vol. 5(28).
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