Impact of neighborhood characteristics on textbook outcome following major surgery

Background: The aim of the current study was to determine the impact of neighborhood characteristics on textbook outcome (TO) following surgery. Methods: Medicare beneficiaries undergoing AAA repair, CABG, colectomy, or lung resection. Neighborhood characteristics associated with TO were identified. Results: Among 852,128 Medicare beneficiaries, a 10% increase in the mean percentage of college or advanced degree residents (OR:1.04, 95% CI = 1.04-1.05) was associated with 4% greater odds of a TO, whereas 2% lower odds of TO were noted with a 10% increase in the mean percentage of single-parent households (OR: 0.98, 95% CI = 0.97-0.99). Of note, the highest odds of an extended LOS (OR:1.06, 95% CI: 1.05-1.06) and 90-d mortality (OR: 1.05, 95% CI: 1.04-1.06) were observed with single-parent households. Conclusions: Among patients undergoing a range of common surgical procedures, increases in college or advanced degrees residents and a decrease in single-parent households led to significantly higher odds of achieving a TO.

Automated summary

This study aimed to determine the impact of neighborhood characteristics on surgical outcomes among Medicare beneficiaries. It found that an increase in residents with college or advanced degrees and a decrease in single-parent households were associated with significantly higher odds of achieving a textbook outcome following surgery.