Open AccessUtilization Rates of Pancreatectomy, Radical Prostatectomy, and Nephrectomy in New York, Ontario, and New South Wales, 2011 to 2018
Author(s) -
Hilary Pang,
Kelsey Chalmers,
Bruce E. Landon,
Adam G. Elshaug,
John Matelski,
Vicki Ling,
Monika K. Krzyzanowska,
Girish S. Kulkarni,
Bradley A. Erickson,
Peter Cram
Publication year - 2021
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2021.5477
Subject(s) - medicine , prostatectomy , nephrectomy , overcrowding , general surgery , pancreatectomy , population , demography , surgery , prostate cancer , environmental health , cancer , resection , kidney , sociology , economics , economic growth
Key Points Question Do utilization rates for pancreatectomy, radical prostatectomy, and nephrectomy differ between New York State (US), Ontario (Canada), and New South Wales (Australia), and do income-based differences in utilization vary between countries? Findings This cohort study of 115 428 surgical patients found significantly lower surgical utilization in Ontario than in New York and New South Wales. Residents of lower-income neighborhoods had lower rates of surgery than residents of higher-income neighborhoods in all countries; income-based differences were significantly smaller in Ontario than in New York and New South Wales. Meaning In this study, Ontario had lower surgical utilization rates and smaller differences in utilization between patients in high-income vs low-income neighborhoods, but income-based disparities were present in all jurisdictions.
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