Table 1.
Demographic characteristics of patients undergoing hip arthroscopy, rotator cuff repair, partial meniscectomy, ACL reconstruction, or meniscus allograft transplant with an out-of-network surgeon from 2013 to 2017.
| HA (n = 1044) |
RCR (n = 6629) |
PM (n = 12,824) |
ACLR (n = 6046) |
MAT (n = 23) |
||
|---|---|---|---|---|---|---|
| Count (%) | Count (%) | Count (%) | Count (%) | Count (%) | Std. Diff. | |
| Sex | 0.220 | |||||
| Male | 647 (61.97 %) | 2713 (40.93 %) | 5717 (44.58 %) | 2719 (44.97 %) | 13 (56.52 %) | |
| Female |
397 (38.03 %) |
3916 (59.07 %) |
7107 (55.42 %) |
3327 (55.03 %) |
10 (43.48 %) |
|
| Age Group | 1.321 | |||||
| 0-17 | 109 (10.44 %) | 12 (0.18 %) | 402 (3.13 %) | 1487 (24.59 %) | 1 (4.35 %) | |
| 18-34 | 390 (37.36 %) | 122 (1.84 %) | 1189 (9.27 %) | 2669 (44.14 %) | 15 (65.22 %) | |
| 35-44 | 245 (23.47 %) | 686 (10.35 %) | 1833 (14.29 %) | 1024 (16.94 %) | 3 (13.04 %) | |
| 45-54 | 226 (21.65 %) | 2277 (34.35 %) | 4306 (33.58 %) | 663 (10.97 %) | 3 (13.04 %) | |
| 55+ |
74 (7.09 %) |
3532 (53.28 %) |
5094 (39.72 %) |
203 (3.36 %) |
1 (4.35 %) |
|
| Region | 0.306 | |||||
| Northeast | 220 (21.07 %) | 1616 (24.38 %) | 3752 (29.26 %) | 1478 (24.45 %) | 5 (21.74 %) | |
| Midwest | 182 (17.43 %) | 1024 (15.45 %) | 2252 (17.56 %) | 851 (14.08 %) | 5 (21.74 %) | |
| South | 379 (36.3 %) | 3054 (46.07 %) | 5205 (40.59 %) | 2541 (42.03 %) | 6 (26.09 %) | |
| West |
263 (25.19 %) |
935 (14.1 %) |
1615 (12.59 %) |
1176 (19.45 %) |
7 (30.43 %) |
|
| Insurance Plan Type | 0.349 | |||||
| EPO/PPO | 676 (64.75 %) | 4639 (69.98 %) | 9664 (75.36 %) | 4069 (67.3 %) | 15 (65.22 %) | |
| HD/CDHP | 141 (13.51 %) | 660 (9.96 %) | 812 (6.33 %) | 784 (12.97 %) | 3 (13.04 %) | |
| HMO/POS | 186 (17.82 %) | 969 (14.62 %) | 1459 (11.38 %) | 913 (15.1 %) | 2 (8.7 %) | |
| Other |
41 (3.93 %) |
361 (5.45 %) |
889 (6.93 %) |
280 (4.63 %) |
3 (13.04 %) |
|
| Procedure Year | 0.348 | |||||
| 2013 | 181 (17.34 %) | 1464 (22.08 %) | 3410 (26.59 %) | 1507 (24.93 %) | 4 (17.39 %) | |
| 2014 | 194 (18.58 %) | 1359 (20.50 %) | 2841 (22.15 %) | 1332 (22.03 %) | 4 (17.39 %) | |
| 2015 | 180 (17.24 %) | 1449 (21.86 %) | 2782 (21.69 %) | 1148 (18.99 %) | 8 (34.78 %) | |
| 2016 | 238 (22.80 %) | 1232 (18.59 %) | 2034 (15.86 %) | 1123 (18.57 %) | 6 (26.09 %) | |
| 2017 |
251 (24.04 %) |
1125 (16.97 %) |
1757 (13.70 %) |
936 (15.48 %) |
1 (4.35 %) |
|
| Facility Type | 0.157 | |||||
| OH | 719 (68.87 %) | 3624 (54.67 %) | 6783 (52.89 %) | 3596 (59.48 %) | 14 (60.87 %) | |
| ASC | 325 (31.13 %) | 3005 (45.33 %) | 6041 (47.11 %) | 2450 (40.52 %) | 9 (39.13 %) | |
Bold text indicates statistical significance, standardized differences >0.1. Abbreviations: Out-of-Network (OON), Hip Arthroscopy (HA), Rotator Cuff Repair (RCR), Partial Meniscectomy (PM), ACL Reconstruction (ACLR), and Meniscus Allograft Transplant (MAT), Exclusive Provider Organization (EPO), Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), Non-capitated/Capitated/Partially-Capitated Point-of-Service (POS), Consumer-Driven Health Plan (CDHP), High Deductible Health Plan (HDHP), Outpatient Hospital (OH), Ambulatory Surgery Center (ASC), Standardized Differences (Std. Diff.).