Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Ann Otol Rhinol Laryngol. 2022 Jan;131(1):86-93. doi: 10.1177/00034894211008068. Epub 2021 Apr 21.
To describe trends in cochlear implantation (CI) disparities in Texas using an all-payer database from 2010 to 2017.
Texas Outpatient Surgical and Radiological Procedure Data, a public use data file, was accessed to analyze outpatient CI cases for Texas. Variables analyzed include patient age, sex, race/ethnicity, and insurance status. Population data from the American Community Survey generated CI utilization rates by patient demographic characteristics.
There were 6158 CI cases identified during the study period. The number of CI per year nearly doubled from 497 in 2010 to 961 in 2017. The majority of CI recipients were white (59.5%), male (51.9%), and privately insured (47.9%). All sub-populations statewide had more CI in 2017 compared to 2010, with the overall CI per 100 000 population increasing from 1.98 to 3.50 per 100 000 population. Patients over 75 demonstrated the greatest increase in the CI rate per 100 000 population, increasing from 4.60 in 2010 to 14.30 in 2017. Regarding race/ethnicity, all sub-populations noted an increase in the CI per 100 000 population, with white patients demonstrating the highest rate in 2017, at 4.36 CI per 100 000 population. Asian patients had a 502% increase in the CI rate (from 0.42 to 2.53), compared with 87.9%, 84.4%, and 69.2% increases for white, Black, and Hispanic populations, respectively.
CI became more widespread between 2010 and 2017, benefiting certain populations more than others. Black and Hispanic populations had lower CI per 100 000 population than their white peers, while patients >65 years of age accounted for the greatest increase in CI.
利用 2010 年至 2017 年的全民医保数据库，描述德克萨斯州人工耳蜗植入（CI）差异的趋势。
访问德克萨斯州门诊手术和放射操作数据公共使用数据文件，分析德克萨斯州的门诊 CI 病例。分析的变量包括患者年龄、性别、种族/民族和保险状况。使用美国社区调查的人口数据，按患者人口统计学特征生成 CI 利用率。
研究期间共确定了 6158 例 CI 病例。每年的 CI 数量从 2010 年的 497 例增加到 2017 年的 961 例，几乎翻了一番。大多数 CI 接受者是白人（59.5%）、男性（51.9%）和私人保险（47.9%）。全州所有亚人群在 2017 年的 CI 数量都多于 2010 年，每 10 万人中的 CI 数量从 1.98 例增加到 3.50 例。75 岁以上患者每 10 万人中的 CI 数量增加最多，从 2010 年的 4.60 例增加到 2017 年的 14.30 例。在种族/民族方面，所有亚人群的每 10 万人中的 CI 数量都有所增加，白人患者在 2017 年的 CI 数量最高，为每 10 万人 4.36 例。与白人（87.9%）、黑人（84.4%）和西班牙裔（69.2%）人群相比，亚洲患者的 CI 数量增加了 502%（从 0.42 例增加到 2.53 例）。
2010 年至 2017 年期间，CI 应用更为广泛，使某些人群受益多于其他人群。黑人及西班牙裔人群每 10 万人中的 CI 数量少于白人，而 65 岁以上人群的 CI 数量增长最大。
