Open AccessAntiemetic Prophylaxis as a Marker of Health Care Disparities in the National Anesthesia Clinical Outcomes Registry
Author(s) -
Michael H Andreae,
Jonah Gabry,
Ben Goodrich,
Robert S. White,
Charles B. Hall
Publication year - 2018
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000002582
Subject(s) - medicine , antiemetic , socioeconomic status , odds ratio , logistic regression , medicaid , anesthesiology , frequentist inference , emergency medicine , intensive care medicine , anesthesia , health care , bayesian probability , nausea , population , bayesian inference , environmental health , statistics , mathematics , economics , economic growth
US health care disparities persist despite repeated countermeasures. Research identified race, ethnicity, gender, and socioeconomic status as factors, mediated through individual provider and/or systemic biases; little research exists in anesthesiology. We investigated antiemetic prophylaxis as a surrogate marker for anesthesia quality by individual providers because antiemetics are universally available, indicated contingent on patient characteristics (gender, age, etc), but independent of comorbidities and not yet impacted by regulatory or financial constraints. We hypothesized that socioeconomic indicators (measured as insurance status or median income in the patients' home zip code area) are associated with the utilization of antiemetic prophylaxis (as a marker of anesthesia quality).