SIR 2024
Women's Health
Matthew A. Patetta, MD (he/him/his)
Resident
UNC Hospital
Financial relationships: Full list of relationships is listed on the CME information page.
Maureen Kohi, MD (she/her/hers)
Professor and Chair
University of North Carolina at Chapel Hill
Financial relationships: Full list of relationships is listed on the CME information page.
Gloria Salazar, MD (she/her/hers)
Vice Chair Diversity and Health Equity
UNC
Financial relationships: Full list of relationships is listed on the CME information page.
Nicole Keefe, MD (she/her/hers)
Assistant Professor, Program Director
University of North Carolina at Chapel Hill
Financial relationships: Full list of relationships is listed on the CME information page.
Non-Hispanic Blacks consistently accounted for the greatest percentage of UAE procedures (45.6% of all UAE procedures), followed by Non-Hispanic Whites (28.1%) and Hispanics (14.2%). Patients in the lowest quartile for income steadily held the highest share of UAE procedures (27.8%), while the highest quartile gradually decreased across the decade (2011: 26.7%, 2020: 19.0%). The Northeast region of the United States originally accounted for a majority of the UAE procedures peaking at 56.7% in 2013, however gradually declined as ultimately the South became the predominant region by the end of the decade responsible for 34.6% of all UAE. Private insurance and Medicare made up a majority of the primary payers throughout the decade, averaging 55.5% and 26.2% respectively. Finally, urban teaching hospitals accounted for the highest rates of total UAE (82.3%), compared to urban non-teaching (16.0%) and rural hospitals (1.2%).
Conclusion:
Over the past decade, UAE has been disproportionately underutilized in the Hispanic population when considering the unequal disease burden when compared to Non-Hispanic Whites {1}. Notably, Non-Hispanic Blacks were not disadvantaged despite a higher disease burden. Urban teaching hospitals disproportionally accounted for a majority of UAE procedures. In regard to income and insurance status, distribution was relatively equitable. As the utilization of UAE grows, it is important to continue a dedicated effort to serve in an equitable manner.