Table 1:
Sociodemographic Characteristics of Patients Undergoing Outpatient Plastic Surgery (N=3,165,913)
| Patient Characteristics | Overall Number (%) | 2009 Number (%) | 2017 Number (%) | P-value |
|---|---|---|---|---|
| Total | 3,165,913 | 399,014 | 207,849 | |
| Gender | <.001 | |||
| Female | 1,484,831 (46.9) | 185,801 (46.6) | 95,059 (45.7) | |
| Male | 1,681,082 (53.1) | 213,213 (53.4) | 112,790 (54.3) | |
| Age | <.001 | |||
| 18–34 | 204,091 (6.4) | 28,572 (7.2) | 13,713 (6.6) | |
| 35–44 | 256,517 (8.1) | 36,638 (9.2) | 17,534 (8.4) | |
| 45–54 | 550,418 (17.4) | 76,604 (19.2) | 38,023 (18.3) | |
| 55–64 | 860,366 (27.2) | 106,329 (26.6) | 69,551 (33.5) | |
| ≥65 | 1,294,521 (40.9) | 150,871 (37.8) | 69,028 (33.2) | |
| Median Household Income | <.001 | |||
| <40,000 | 71,124 (2.2) | 8,786 (2.2) | 2,974 (1.4) | |
| 40,000–50,000 | 786,596 (24.8) | 91,361 (22.9) | 39,894 (19.2) | |
| 50,000–60,000 | 1,119,252 (35.4) | 145,864 (36.6) | 60,057 (28.9) | |
| 60,000–70,000 | 393,112 (12.4) | 49,647 (12.4) | 15,535 (7.5) | |
| >70,000 | 146,370 (4.6) | 24,280 (6.1) | 6,065 (2.9) | |
| Unspecified | 649,459 (20.5) | 79,076 (19.8) | 83,324 (40.1) | |
| Geographic Region | <.001 | |||
| Northeast | 530,148 (16.7) | 53,712 (13.5) | 36,279 (17.5) | |
| North Central | 704,932 (22.3) | 96,165 (24.1) | 42,520 (20.5) | |
| South | 1,282,280 (40.5) | 162,889 (40.8) | 97,635 (47.0) | |
| West | 577,922 (18.3) | 71,223 (17.8) | 31,090 (15.0) | |
| Unknown | 70,631 (2.2) | 15,025 (3.8) | 325 (0.2) | |
| Elixhauser Comorbidity Score | <.001 | |||
| 0 | 1,207,904 (38.2) | 126,949 (31.8) | 133,963 (64.5) | |
| 1–3 | 179,792 (5.7) | 20,224 (5.1) | 16,663 (8.0) | |
| 4–7 | 552,320 (17.4) | 68,290 (17.1) | 38,053 (18.3) | |
| ≥8 | 1,225,897 (38.7) | 183,551 (46.0) | 19,170 (9.2) | |
| Insurance Type | <.001 | |||
| FFS | 1,922,344 (60.7) | 242,479 (60.8) | 144,311 (69.4) | |
| MC | 234,365 (7.4) | 39,315 (9.9) | 16,373 (7.9) | |
| Medicare-FFS | 917,662 (29.0) | 105,730 (26.5) | 41,366 (19.9) | |
| Medicare-MC | 91,542 (2.9) | 11,490 (2.9) | 5,799 (2.8) | |
| HDHP | <.001 | |||
| Yes | 243,515 (7.7) | 15,044 (3.8) | 33,754 (16.2) | |
| Procedure Type | <.001 | |||
| Breast reconstruction | 101,418 (3.2) | 12,455 (3.1) | 6,914 (3.3) | |
| Breast reduction | 70,225 (2.2) | 11,085 (2.8) | 4,297 (2.1) | |
| Facial fracture repair | 55,764 (1.8) | 8,123 (2.0) | 3,242 (1.6) | |
| Hand surgery | 857,310 (27.1) | 109,311 (27.4) | 57,368 (27.6) | |
| Scar revision/ Complex closure | 849,975 (26.8) | 95,109 (23.8) | 65,269 (31.4) | |
| Skin cancer excision | 1,231,221 (38.9) | 162,931 (40.8) | 70,759 (34.0) | |
| Place of Service | <.001 | |||
| Office | 1,784,913 (56.4) | 218,497 (54.8) | 118,664 (57.1) | |
| Outpatient hospital | 932,340 (29.4) | 124,855 (31.3) | 57,542 (27.7) | |
| Ambulatory surgical center | 448,660 (14.2) | 55,662 (13.9) | 31,643 (15.2) |
FFS: fee-for-service; HDHP: high-deductible health plan; MC: managed care
*
Inflation rate adjusted to 2017 dollars.