Table 6.
Characteristics of Patients and Outcomes by Open and Laparoscopic Surgical Approach
| All patients N (%) |
Type of Surgery |
|||
|---|---|---|---|---|
| Open Surgery N (%) |
Laparoscopic N (%) |
P value | ||
| 674 (100%)+ | 418 (62.0%) | 256 (38.0%) | ||
| 30-Day Readmissions | ||||
| Date of Surgery | 0.05 | |||
| Yes | 129 (19.1%) | 90 (69.8%) | 39 (30.2%) | |
| No | 545 (80.9%) | 328 (60.2%) | 217 (39.8%) | |
| Date of Discharge | <0.001 | |||
| Yes | 154 (22.8%) | 115 (74.7%) | 39 (25.3%) | |
| No | 520 (77.2%) | 303 (58.3%) | 217 (41.7%) | |
| Proxy SES | ||||
| ADI | 0.79 | |||
| Low (1–3) | 125 (18.5%) | 76 (60.8%) | 49 (39.2%) | |
| Medium (4–6) | 189 (28.1%) | 121 (64.0%) | 68 (36.0%) | |
| High (7–10) | 360 (53.4%) | 221 (61.4%) | 139 (38.6%) | |
| DCI (2-Category) | 0.65 | |||
| Low Distress (DCI ≤75) | 414 (61.4%) | 260 (62.8%) | 154 (37.2%) | |
| High Distress (DCI >75) | 260 (38.6%) | 158 (60.8%) | 102 (39.2%) | |
| DCI (3-Category) | 0.92 | |||
| Pros/Comf (0–39) | 190 (28.2%) | 120 (63.2%) | 70 (36.8%) | |
| Mid-Tier (40–59) | 72 (10.7%) | 45 (62.5%) | 27 (37.5%) | |
| Risk/Dis (60–100) | 412 (61.1%) | 253 (61.4%) | 159 (38.6%) | |
| Insurance Status | 0.02 | |||
| Medicare/Private | 271 (40.2%) | 153 (56.5%) | 118 (43.5%) | |
| Medicaid/Dual/Carelink/Self-pay* | 403 (59.8%) | 265 (65.8%) | 138 (34.2%) | |
| Operative Variables | ||||
| Case Priority | <0.001 | |||
| Elective | 395 (58.6%) | 197 (49.9%) | 198 (50.1%) | |
| Urgent | 214 (31.8%) | 160 (74.8%) | 54 (25.2%) | |
| Emergency | 65 (9.6%) | 61 (93.8%) | 4 (6.2%) | |
| Length of Stay | <0.001 | |||
| 1–3 Days | 32 (4.7%) | 6 (18.7%) | 26 (81.3%) | |
| 4–7 Days | 306 (45.4%) | 146 (47.7%) | 160 (52.3%) | |
| 8–14 Days | 203 (30.1%) | 154 (75.9%) | 49 (24.1%) | |
| 15–30 Days | 98 (14.5%) | 80 (81.6%) | 18 (18.4%) | |
| 31+ Days | 35 (5.2%) | 32 (91.4%) | 3 (8.6%) | |
| Postoperative Variables | ||||
| Clavien-Dindo IV Complications | <0.001 | |||
| Yes | 110 (16.3%) | 85 (77.3%) | 25 (22.7%) | |
| No | 564 (83.7%) | 333 (59.0%) | 231 (41.0%) | |
N, number of patients; % percent of patients within each variable category; SES, Socioeconomic Status; ADI, Area Deprivation Index; DCI, Distressed Communities Index; P values for testing association between surgery type with each factor based on chi-square test.
+
Three patients with perineal only surgical approach were excluded from this analysis
*
Hospital received <1% of charges from 52 patients with the self-pay insurance status