Trends and postoperative outcomes of thyroidectomy after expansion and rise of health insurance deductibles in the fiscal year.
Am J Otolaryngol
; 45(4): 104312, 2024.
Article
in En
| MEDLINE
| ID: mdl-38657532
ABSTRACT
BACKGROUND:
The purpose of this study is to evaluate a relationship between expansion of High Deductible Health Plans (HDHPs) and the number of thyroid surgery cases with associated postoperative outcomes in the fiscal year.METHODS:
Data from TriNetX was used to evaluate the trends in thyroid surgery from 2005 and 2021 between the end of the year (Quarter 4) and the beginning of the year (Quarter 1). Risk of postoperative outcomes were statistically interrogated.RESULTS:
The average rate of thyroid surgery in cases/year between Quarter 4 and Quarter 1 was similar after expansion of HDHPs (152; 146; p = 0.64). There was no increased risk of postoperative complications. The rate of surgery decreased significantly for patients with Medicare after implementation of the revised American Thyroid Association (ATA) guidelines (Quarter 4 p = 0.03; Quarter 1 p = 0.02).CONCLUSIONS:
Patients are less likely to delay thyroid surgery at the end of the year despite higher deductibles.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Thyroidectomy
/
Deductibles and Coinsurance
/
Insurance, Health
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Year:
2024
Type:
Article