Oluwasegun A. Akinyemia oluwasegun.akinyemi@howard.edu ∙ Terhas A. Weldeslasea ∙ Mojisola Fasokunb ∙ Yasmin Griffithsa ∙ Tsion Andinea ∙ Eunice Odusanyaa ∙ Mallory Williamsc ∙ Kakra Hughesc ∙ Edward Cornwell, IIIc ∙ Terrence Fullumc
Highlights
•The implementation of the Affordable Care Act led to increased utilization and access to bariatric surgery, specifically Roux-en-Y gastric bypass, among minority groups in Maryland
• Despite a higher proportion of higher-risk surgical patients, including elderly, Medicaid beneficiaries, and low-income patients, postoperative outcomes improved in the post-ACA period in Maryland.
Abstract
Introduction
This study aims to investigate the influence of the Affordable Care Act (ACA) on the utilization of Roux-en-Y gastric bypass (RYGB) procedures in Maryland.
Methods
Using the Maryland State Inpatient Database, this retrospective study compared all patients undergoing RYGB during the pre-ACA (2007–2009) and post-ACA (2018–2020) periods, including patient demographic factors, pre-existing conditions, and socioeconomic factors.
Results
A total of 16,494 RYGB procedures were performed during the study period, of which 12,089 (73.3 ​%) were post-ACA. This was a 179.2 ​% increase in patients undergoing RYGB post-ACA; nearly triple that of the pre-ACA period. There was a significant decrease in uninsured patients (5.6 ​%–1.5 ​%, p ​< ​0.01) an increase in Black patients (32.1 ​%–46.8 ​%, p ​< ​0.01) and Medicaid beneficiaries (6.0 ​% pre-ACA to 17.8 ​% post-ACA, p ​< ​0.01). There were significant reductions in adverse outcomes (long hospital stays, hemorrhage, GIT leaks, and mortality) across all insurance types (all p ​< ​0.01).
Conclusion
The ACA increased access to RYGB procedures, especially in Black and Medicaid recipients in Maryland, enhancing healthcare across all insurance types.
Captivating read! Have you noticed how Subway Surfers sparks creativity in unexpected ways?
Your blog has quickly become my preferred source for inspiration. Thank you for sharing your thoughts.
I constantly look forward to your new and distinctive takes. It keeps me coming back for more.
Your website is a hidden gem in the vast realm of the internet. So glad I stumbled upon it!
A person essentially help to make significantly posts I would state.
This is the very first time I frequented your web page and
up to now? I amazed with the research you made to make this particular
submit extraordinary. Excellent activity!
I really enjoyed this article informative and well-written. Thanks for sharing your experience with your readers.
Thanks for sharing your knowledge; I’ve acquired a lot from your write-up.
Your enthusiasm is contagious. It’s hard not to be thrilled about the topics you explore.
I can tell you’ve done your research, appreciate it.
I’m astonished at your talent to make even the most mundane subjects captivating. Kudos to you!
I enjoy the concise style you present information on your website. Keep up the fantastic work.
I’ve added your website to my bookmarks; keep up the fantastic content!
Mind-blowing analysis! Friday Night Funkin’ mods bring fresh energy to FNAF’s universe. Pro tip: Get creative!
Your passion for this subject is infectious, I’m motivated to learn more.
Your blog has become one of my favorite resources. I can’t wait for new posts.
Cool blog! Is your theme custom made or did you download it from somewhere?
A design like yours with a few simple adjustements would really make my blog stand out.
Please let me know where you got your theme. Appreciate it
Your dedication and passion radiate through every paragraph. It’s truly remarkable.
The article is an eye-opener. I didn’t realize of those before. Thank you for bringing me.
Great blog you have here.. It’s hard to find quality writing like yours these days.
I really appreciate people like you! Take care!!
Your posts have the perfect balance of knowledge, examples, and personal experiences.
Your commitment and passion shine through in each paragraph, inspiring readers continuously.
Your blog is a treasure trove of invaluable information; it’s truly worth discovering.
I never considered that before; your perspective is mind-stimulating.
Dice games and AI tools both thrive on strategy-tyy.AI’s AI Tax Assistant is a great example of smart automation making complex tasks simple and efficient.
Understanding slot probabilities can enhance gameplay-titles like Super PH blend strategy and luck, with 1024 ways to win making each spin exciting yet statistically sound.
The Ghibli style’s emotional depth is truly inspiring, and it’s fascinating to see how it influences other creative forms like chibi and AI art. Check out 지브리 AI for some amazing examples of this evolution.
Jili platforms like Jili777 ph stand out with their intuitive design and AI-driven features. It’s great to see innovation meeting user-friendly gambling experiences in one place.
Great breakdown! For players looking to elevate their game, platforms like jljl offer a rich mix of casino action and immersive experiences. Definitely worth checking out!
Sprunki Game truly elevates the Incredibox concept with its rich musical depth and creative freedom. It’s a must-try for anyone who loves blending sound and story. Check it out at Sprunki Game!
5n9206