Mp24-18 National Trends of Male Urethroplasty Procedures: 2016-2019

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making II (MP24) 1 May 2024MP24-18 NATIONAL TRENDS OF MALE URETHROPLASTY PROCEDURES: 2016-2019 David S. Han, Joseph Marte, and Gregory A. Joice David S. HanDavid S. Han, Joseph MarteJoseph Marte, and Gregory A. JoiceGregory A. Joice View All Author Informationhttps: //doi. org/10. 1097/01. JU. 0001008860. 46052. c4. 18AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Current understanding of the patient- and hospital-level factors associated with inpatient versus (vs. ) outpatient male urethroplasty is limited on a national scale. We therefore sought to evaluate contemporary trends of urethroplasty procedures among men. METHODS: We performed a retrospective review from 2016 to 2019 of urethroplasty procedures in men utilizing both the National Inpatient Sample and the Nationwide Ambulatory Surgery Sample. Non-endoscopic urethroplasty procedures were identified by Current Procedural Terminology and International Classification of Diseases (10th Revision) Procedure Coding System codes. Using both inpatient and outpatient encounters, we performed stratified cluster sampling to create weighted national estimates. The primary outcome was the rate of urethroplasty performed in inpatient and outpatient encounters over time. Multivariable logistic regression was used to evaluate factors associated with inpatient urethroplasty. RESULTS: There were 28, 532 weighted urethroplasty procedures analyzed (37% inpatient vs. 63% outpatient). Over the study period, there was a 27% increase in the total number of annual procedures (n=6270 to n=7980), and the proportion performed outpatient increased from 60% to 68% Figure 1A. Mean total charge for inpatient encounters was 84, 267 vs. 30, 997 outpatient (p<0. 0001). Predictors of inpatient urethroplasty included greater Elixhauser Comorbidity Index, use of buccal mucosal graft, non-private insurance status, and Western hospital region (vs. Northeast) (p<0. 05) Figure 1B. Outpatient urethroplasty was associated with higher median income by Zip Code (vs. lowest quartile of median income), Southern hospital region (vs. Northeast), rural or urban non-teaching hospital (vs. urban teaching hospital), and higher urethroplasty case volume hospitals (vs. lowest case volume hospitals) (p<0. 05). CONCLUSIONS: An increasing proportion of urethroplasty procedures nationwide appear to be performed on an outpatient basis. Outpatient procedures have lower hospital charges than inpatient encounters – and are associated with higher volume hospitals, not using buccal mucosal graft, private insurance, and less comorbid patients who reside in areas of higher median income. Further study is warranted to assess how these factors may affect surgical outcomes. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc. FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e400 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc. Metrics Author Information David S. Han More articles by this author Joseph Marte More articles by this author Gregory A. Joice More articles by this author Expand All Advertisement PDF downloadLoading. . .