Gender, Race, and Health Insurance Status in Patients Undergoing Catheter Ablation for Atrial Fibrillation

Nileshkumar Patel, Abhishek Deshmukh, Badal Thakkar, James O. Coffey, Kanishk Agnihotri, Achint Patel, Nitesh Ainani, Nikhil Nalluri, Nilay Patel, Nish Patel, Neil Patel, Apurva O. Badheka, Marcin Kowalski, Robert Hendel, Juan Viles Gonzalez, Peter A. Noseworthy, Samuel Asirvatham, Kaming Lo, Robert J Myerburg, Raul Mitrani

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Catheter ablation for atrial fibrillation (AF) has emerged as a popular procedure. The purpose of this study was to examine whether there exist differences or disparities in ablation utilization across gender, socioeconomic class, insurance, or race. Using the Nationwide Inpatient Sample (2000 to 2012), we identified adults hospitalized with a principal diagnosis of AF by ICD 9 code 427.31 who had catheter ablation (ICD 9 code-37.34). We stratified patients by race, insurance status, age, gender, and hospital characteristics. A hierarchical multivariate mixed-effect model was created to identify the independent predictors of AF ablation. Among an estimated total of 3,508,122 patients (extrapolated from 20% Nationwide Inpatient Sample) hospitalized with a diagnosis of AF in the United States from the year 2000 to 2012, 102,469 patients (2.9%) underwent catheter ablations. The number of ablations was increased by 940%, from 1,439 in 2000 to 15,090 in 2012. There were significant differences according to gender, race, and health insurance status, which persisted even after adjustment for other risk factors. Female gender (0.83 [95% CI 0.79 to 0.87; p

Original languageEnglish (US)
JournalAmerican Journal of Cardiology
DOIs
StateAccepted/In press - Dec 8 2015

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Insurance Coverage
Catheter Ablation
International Classification of Diseases
Health Insurance
Atrial Fibrillation
Health Status
Inpatients
Insurance

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Gender, Race, and Health Insurance Status in Patients Undergoing Catheter Ablation for Atrial Fibrillation. / Patel, Nileshkumar; Deshmukh, Abhishek; Thakkar, Badal; Coffey, James O.; Agnihotri, Kanishk; Patel, Achint; Ainani, Nitesh; Nalluri, Nikhil; Patel, Nilay; Patel, Nish; Patel, Neil; Badheka, Apurva O.; Kowalski, Marcin; Hendel, Robert; Viles Gonzalez, Juan; Noseworthy, Peter A.; Asirvatham, Samuel; Lo, Kaming; Myerburg, Robert J; Mitrani, Raul.

In: American Journal of Cardiology, 08.12.2015.

Research output: Contribution to journalArticle

Patel, N, Deshmukh, A, Thakkar, B, Coffey, JO, Agnihotri, K, Patel, A, Ainani, N, Nalluri, N, Patel, N, Patel, N, Patel, N, Badheka, AO, Kowalski, M, Hendel, R, Viles Gonzalez, J, Noseworthy, PA, Asirvatham, S, Lo, K, Myerburg, RJ & Mitrani, R 2015, 'Gender, Race, and Health Insurance Status in Patients Undergoing Catheter Ablation for Atrial Fibrillation', American Journal of Cardiology. https://doi.org/10.1016/j.amjcard.2016.01.040
Patel, Nileshkumar ; Deshmukh, Abhishek ; Thakkar, Badal ; Coffey, James O. ; Agnihotri, Kanishk ; Patel, Achint ; Ainani, Nitesh ; Nalluri, Nikhil ; Patel, Nilay ; Patel, Nish ; Patel, Neil ; Badheka, Apurva O. ; Kowalski, Marcin ; Hendel, Robert ; Viles Gonzalez, Juan ; Noseworthy, Peter A. ; Asirvatham, Samuel ; Lo, Kaming ; Myerburg, Robert J ; Mitrani, Raul. / Gender, Race, and Health Insurance Status in Patients Undergoing Catheter Ablation for Atrial Fibrillation. In: American Journal of Cardiology. 2015.
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