Shang Ju Li, Thomas Miles, Itisha Vasisht, Harshwardhan Dere, Celestina Agyekum, Rashad Massoud
Breaking barriers: assessing the impact of clinical quality improvements on reducing health disparities in hypertension care among Mumbai's urban slums
BMJ open quality
current surgical management guidelines pediatric spondylolisthesis ps reliant data singlecenter cohorts analyze national trends predictors shortterm outcomes spinal fusion surgery ps performing retrospective crosssectional analysis kids inpatient database kid kid sampled every 3 yr queried 2003 2012 identify cases age 517 spinal fusion ps n 2646 analyzed trends patient characteristics surgical management shortterm outcomes univariate multivariable analyses utilized 2646 spinal fusions ps included posterioronly fusions 868 psf anterior lumbar interbody fusions 48 alif combined anterior posterior fusions 84 aplf procedures utilization aplf decreased time 9964 p 023 whereas number total spinal fusions proportion psf alif procedures changed significantly uptrends medicaid insured individuals 12189 recombinant human bone morphogenetic protein2 insertion 88166 decompression 347428 mean inflationadjusted hospital costs 21 85532 085 identified p 001 multivariable analysis medicaid status odds ratio 193 p 004 teaching hospitals 194 p 01 decompression 178 p 004 aplf procedure 247 p 001 increased likelihood complication occurrence p 001 addition decompression fusion aplf procedure associated inhospital complications though may indicative greater surgical complexity utilization aplf procedure decreased significantly costs associated treatment ps increased time