Date of Presentation

5-2-2019 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

In the ongoing obesity epidemic, every surgeon now treats patients with weight-related medical problems. In managing these medically fragile surgical patients, every clinical insight helps. While variation according to health insurance has been reported in mixed sex bariatric surgery populations, whether or not clinical characteristics in the subset of moderately obese male surgical patients vary by insurance carrier is unknown. The objective of this study was to identify clinical variation by insurance type in moderately obese men.

Results showed that pre-operative clinical characteristics of moderately obese male surgical patients vary by the health insurance coverage type to which they subscribe. Medicare and Medicaid insured suffer the most from weight-related problems. Private and Self-Pay patients are at lower risk of obesity co-morbidities than Medicaid and Medicare. These results suggest that surgeons should consider moderately obese Medicare and Medicaid men at increased risk for peri-operative medical illnesses.

Keywords

males, obesity, health insurance, comorbidity

Disciplines

Community Health and Preventive Medicine | Health and Medical Administration | Health Services Research | Medicine and Health Sciences | Nutritional and Metabolic Diseases

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May 2nd, 12:00 AM

Pre-Operative Clinical Variation by Health Insurance Carrier in 12,285 Male Surgical Patients with Moderate Morbid Obesity

In the ongoing obesity epidemic, every surgeon now treats patients with weight-related medical problems. In managing these medically fragile surgical patients, every clinical insight helps. While variation according to health insurance has been reported in mixed sex bariatric surgery populations, whether or not clinical characteristics in the subset of moderately obese male surgical patients vary by insurance carrier is unknown. The objective of this study was to identify clinical variation by insurance type in moderately obese men.

Results showed that pre-operative clinical characteristics of moderately obese male surgical patients vary by the health insurance coverage type to which they subscribe. Medicare and Medicaid insured suffer the most from weight-related problems. Private and Self-Pay patients are at lower risk of obesity co-morbidities than Medicaid and Medicare. These results suggest that surgeons should consider moderately obese Medicare and Medicaid men at increased risk for peri-operative medical illnesses.

 

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