MP71-06 RISK OF BONE FRACTURES FOLLOWING URINARY INTESTINAL DIVERSION: A POPULATION-BASED STUDY

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Medicaid: Nationally 2.3 (p<0.001(CI 2.1-2.6)),PR 2.3 (p<0.001(CI 1.8-2.8)),WSC 2.5 (p<0.001(CI 1.8-3.6)).Following expansion, the risk remained elevated for these groups Nationally, but did decrease (OR uninsured 1.8 (p<0.001(CI 1.5-2.1)),Medicaid 1.7 (p<0.001(CI 1.5-1.9)).Patients in the PR with Medicaid had a persistent elevated risk (OR 1.8 (p<0.001(CI 1.3-2.5)).In the WSC, those without insurance had an increased risk of stage IV disease (OR 2.2 (p<0.001(CI 1.5-3.2)),and those with Medicaid had a persistent elevated risk (OR 2.4 (p¼0.002(CI 1.4-4.1)).CONCLUSIONS: Prior to the ACA, patients without insurance and those with Medicaid were more likely to present with stage IV BCa than those on private insurance, with Medicaid being more likely than the uninsured in all regions.In the two years post-expansion, these odds decreased for both the uninsured and Medicaid populations, with Medicaid reducing their odds below that of the uninsured Nationally.A prominent reduction in these odds was seen for Medicaid in the PR, along with increased odds for the uninsured in the WSC region, however the Medicaid risk was still higher than the uninsured in both regions.

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