Data on Managed Care Described by Researchers at Howard University Hospital (Effects of socioeconomics on biliary disease in patients with sickle cell): Managed Care

2025 SEP 22 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Data detailed on Managed Care have been presented. According to news reporting out of Washington, District of Columbia, by NewsRx editors, research stated, “There are approximately 100,000 patients with sickle cell disease (SCD) in America with 134,000 SCD-related admissions annually costing $1.1 billion. Cholecystectomy is the most common procedure in those patients.”

Our news journalists obtained a quote from the research from Howard University Hospital, “We evaluate the impact of socioeconomic factors on peri-operative outcomes. The Nationwide Inpatient Sample was queried for patients with SCD and gallbladder disease between 2006 and 2015. Patients were stratified by insurance and hospital type. Outcomes included perioperative vaso-occlusive crisis (VOC), post-operative morbidity, and mortality. A total of 1779 patients were included. Most patients had Medicaid (49 %), then Private insurance (29 %). Urban-Teaching hospitals cared for 75 % of patients. Complications were lowest with private insurance. On logistic regression, odds of VOC were 1.57 [1.05-2.33] with Medicare and 1.51 [1.13-2.01] with Medicaid. Majority of patients with SCD undergoing cholecystectomy have Medicaid and receive care in urban teaching hospitals.”

According to the news editors, the research concluded: “Perioperative VOC was lowest with private insurance and significantly higher with Medicare and Medicaid.”

This research has been peer-reviewed.

For more information on this research see: Effects of socioeconomics on biliary disease in patients with sickle cell. The American Journal of Surgery, 2025;248:116524. The American Journal of Surgery can be contacted at: Excerpta Medica Inc-elsevier Science Inc, 685 Route 202-206 Ste 3, Bridgewater, NJ 08807, USA.

Our news journalists report that additional information may be obtained by contacting Jeduthun Harris, General Surgery, Howard University Hospital, Washington DC, United States. Additional authors for this research include Ahmad Zeineddin, Sandy Li, Juan Carmona, Quyen D. Chu, Terrence M. Fullum, Edward E. Cornwell and Mallory Williams.

Publisher contact information for the The American Journal of Surgery is: Excerpta Medica Inc-elsevier Science Inc, 685 Route 202-206 Ste 3, Bridgewater, NJ 08807, USA.

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