To examine the association between Area Deprivation Index (ADI) scores and rates of High-Resolution Manometry (HRM) completion and post-operative follow-up in Achalasia patients undergoing Peroral Endoscopic Myotomy (POEM).
Approach:
Study Design: Retrospective cohort study evaluating patients with Achalasia undergoing POEM from March 2017 to December 2024.
Inclusion/Exclusion Criteria: Included patients aged 18 or older who underwent POEM with a residential ZIP code; excluded those without a home address or with suppressed ADI scores.
ADI Measurement: Used 2023 ADI national rank scores to assess neighborhood socioeconomic status, with higher scores indicating greater deprivation.
Statistical Analysis: Multivariable logistic regression models evaluated factors associated with HRM completion and post-operative follow-up.
Key Findings:
Higher ADI scores were associated with lower rates of HRM completion.
Patients from more deprived neighborhoods had reduced rates of post-operative follow-up.
Interpretation:
Limitations:
The study is limited to a single institution, which may affect generalizability.
Potential confounding factors not included in the final model may influence outcomes.
