Table 4.
Comparative Univariate Analysis for Urologist Density
Urologist density ≥2/100,000, n = 105 (%) | Urologist density <2/100,000, n = 30 (%) | p | Unadjusted odds ratio (95% CI) | |
---|---|---|---|---|
Age (>65) | 21 | 10 | 0.285 | 0.42 (0.07–1.57) |
Gender (female) | 44 | 63 | 0.066 | 2.20 (0.89–5.67) |
Race (nonwhite) | 42 | 33 | 0.527 | 0.70 (0.26–1.74) |
ASA score (ASA 3 or higher) | 20 | 27 | 0.455 | 1.45 (0.49–4.01) |
Obesity (BMI >30) | 29 | 47 | 0.078 | 2.17 (0.87–5.44) |
Diabetes (with type 1 or 2 diabetes) | 15 | 30 | 0.107 | 2.37 (0.81–6.67) |
Hypertension (with diagnosis of hypertension) | 22 | 27 | 0.625 | 1.29 (0.44–3.53) |
Infection (with infectious symptoms) | 19 | 37 | 0.052 | 2.44 (0.90–6.47) |
Asymptomatic (without symptoms) | 9 | 7 | 0.999 | 0.763 (0.08–4.00) |
Stone burden (>20 mm) | 35 | 43 | 0.521 | 1.40 (0.56–3.46) |
Guy stone score (>2) | 28 | 40 | 0.26 | 1.74 (0.68–4.38) |
PCNL procedure | 39 | 33 | 0.671 | 0.78 (0.30–1.96) |
Language (non-English) | 18 | 20 | 0.794 | 1.13 (0.33–3.38) |
Education (with no college) | 18 | 35 | 0.045 | 2.39 (0.95–6.01) |
Distance traveled to clinic (in top 75th percentile) | 11 | 67 | <0.001 | 15.0 (5.33–45.8) |
Income (in bottom 25th percentile) | 19 | 50 | 0.002 | 4.19 (1.62–11.0) |
Clinic delay (in top 75th percentile) | 18 | 37 | 0.045 | 2.60 (0.96–6.93) |
Underinsured (with medical) | 20 | 33 | 0.143 | 1.99 (0.72–5.29) |
Scheduling for second-stage procedure (yes) | 8 | 10 | 0.708 | 1.34 (0.22–6.12) |
Complications (with Clavien–Dindo complications) | 12 | 27 | 0.083 | 2.55 (0.81–7.65) |
Prolonged hospitalization (with prolonged hospitalization) | 21 | 37 | 0.093 | 2.17 (0.81–5.68) |
Operating room cost (in top 75th percentile; mean cost USD ± SD) | 20; 7332 ± 2126 | 40; 8369 ± 3005 | 0.031 | 2.64 (1.00–6.90) |
Nonoperating room cost (in top 75th percentile; mean cost USD ± SD) | 26; 5696 ± 4744 | 47; 8443 ± 8924 | 0.042 | 2.51 (0.99–6.35) |
Total cost (in top 75th percentile) | 13%; 13,028 ± 6224 | 47%; 16,812 ± 9777 | <0.001 | 5.59 (2.06–15.5) |