Pd21-10 Association of Area Deprivation Index to Time to Re-Admission Following Urinary Diversion

You have accessJournal of UrologyReconstruction: Augmentation, Substitution, Diversion (PD21)1 May 2024PD21-10 ASSOCIATION OF AREA DEPRIVATION INDEX TO TIME TO RE-ADMISSION FOLLOWING URINARY DIVERSION Fionna Sun, Aisha Kazeem, Emmett Kennady, Kezia Reji-Thomas, Thi Nguyen, Marieke Jones, Terran Sims, Karie Wilson, Eva Rellins, and Tracey Krupski Fionna SunFionna Sun , Aisha KazeemAisha Kazeem , Emmett KennadyEmmett Kennady , Kezia Reji-ThomasKezia Reji-Thomas , Thi NguyenThi Nguyen , Marieke JonesMarieke Jones , Terran SimsTerran Sims , Karie WilsonKarie Wilson , Eva RellinsEva Rellins , and Tracey KrupskiTracey Krupski View All Author Informationhttps://doi.org/10.1097/01.JU.0001008888.07102.14.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: This study aimed to examine the association between patients' socioeconomic status (SES) and readmission outcomes following urinary diversion utilizing area deprivation index (ADI). METHODS: A retrospective chart review was completed of patients who had a urinary diversion from September 2020 to January 2023. A total of 140 patients were included in this study. The Area Deprivation Index (ADI) was used as a proxy for socioeconomic status (SES) and Kaplain meier curve was used to analyze time to readmission. ADI was collected through the utilization of the University of Wisconsin School of Medicine and Public Health's Neighborhood Atlas (https://www.neighborhoodatlas.medicine.wisc.edu/). RESULTS: The patients represented a diverse socioeconomic cohort with the number of patients per ADI quartile being 23, 45, 48 and 28 respectively. Table 1 illustrates patient demographics by ADI quartiles. On analysis of the four ADI groups, gender (p=.044) and pack years (p=.004), were significantly different amongst the four groups. ADI-1 smoked a median of 10 pack years compared to ADI-2 with 36, ADI-3 with 30, and ADI-4 with 7. Figure 1 shows time from urinary diversion to readmission using the Kaplan Meier curve stratified by ADI quartile. Graphically, we saw a divergence into two groups with ADI-1 correlating more closely with ADI-4 and ADI-2 correlating more closely to ADI-3. CONCLUSIONS: Our observed trend is thought provoking as our a priori hypothesis was the highest SES would have the lowest readmission rate. Previous studies have reported ADI and its association with poorer prognosis and overall outcomes when comparing the fourth ADI quartile to those in the first quartile. Our results are limited due to smaller sample size but has the strengths of being more generalizable with baseline disease heterogeneity, and diversions for both benign and malignant cause. Our work raises the question of whether there is a protective effect for those in more moderate SES. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e457 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Fionna Sun More articles by this author Aisha Kazeem More articles by this author Emmett Kennady More articles by this author Kezia Reji-Thomas More articles by this author Thi Nguyen More articles by this author Marieke Jones More articles by this author Terran Sims More articles by this author Karie Wilson More articles by this author Eva Rellins More articles by this author Tracey Krupski More articles by this author Expand All Advertisement PDF downloadLoading ...