Race and Outcomes in Patients with Congenital Cardiac Disease in an Enhanced Recovery Program

Buchanan, Rica; Roy, Nathalie; Parra, M. Fernanda; Staffa, Steven J.; Brown, Morgan L.; Nasr, Viviane G.

doi:10.1053/j.jvca.2022.04.008

Cited by 11 publications

(7 citation statements)

References 28 publications

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“…Interventions to eliminate inequities in surgical care at the health care system level have primarily focused on leveraging enhanced recovery after surgery (ERAS) protocols, implementing electronic medical record alerts, and clinical feedback mechanisms. 68,74,75,[83][84][85][86] The implementation of ERAS programs has been associated with reduction in racial and ethnic disparities in postoperative length of stay after colorectal surgery and cardiac surgery and perioperative and postoperative pain management for multiple operations, and intensive care readmission following cardiac surgery. 73,74,84,86,87 These standardized treatment pathways reduce variability in clinical decisions and may mitigate the impact of provider bias.…”

Section: Health Care System Levelmentioning

confidence: 99%

“…68,74,75,[83][84][85][86] The implementation of ERAS programs has been associated with reduction in racial and ethnic disparities in postoperative length of stay after colorectal surgery and cardiac surgery and perioperative and postoperative pain management for multiple operations, and intensive care readmission following cardiac surgery. 73,74,84,86,87 These standardized treatment pathways reduce variability in clinical decisions and may mitigate the impact of provider bias. Beyond ERAS programs, health care systems have demonstrated that care coordination, navigators, and feedback systems may reduce racial and ethnic disparities in fragmented care.…”

Section: Health Care System Levelmentioning

confidence: 99%

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Surgical Care for Racial and Ethnic Minorities and Interventions to Address Inequities

et al. 2023

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Objective: Racial and ethnic inequities in surgical care in the United States are well documented. Less is understood about evidence-based interventions that improve surgical care and reduce or eliminate inequities. In this review, we discuss effective patient, surgeon, community, health care system, policy, and multi-level interventions to reduce inequities and identifying gaps in intervention-based research. Background: Evidenced-based interventions to reduce racial and ethnic inequities in surgical care are key to achieving surgical equity. Surgeons, surgical trainees, researchers, and policy makers should be aware of the evidence-based interventions known to reduce racial and ethnic disparities in surgical care for prioritization of resource allocation and implementation. Future research is needed to assess interventions effectiveness in the reduction of disparities and patient-reported measures. Methods: We searched PubMed database for English-language studies published from January 2012 through June 2022 to assess interventions to reduce or eliminate racial and ethnic disparities in surgical care. A narrative review of existing literature was performed identifying interventions that have been associated with reduction in racial and ethnic disparities in surgical care. Results and Conclusions: Achieving surgical equity will require implementing evidenced-based interventions to improve quality for racial and ethnic minorities. Moving beyond description toward elimination of racial and ethnic inequities in surgical care will require prioritizing funding of intervention-based research, utilization of implementation science and community based-participatory research methodology, and principles of learning health systems.

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Section: Health Care System Levelmentioning

confidence: 99%

Section: Health Care System Levelmentioning

confidence: 99%

Surgical Care for Racial and Ethnic Minorities and Interventions to Address Inequities

et al. 2023

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“…These findings suggest that the standardization of care may play a role in mitigating racial outcome disparities in the future (Table 2). 40…”

Section: Diversity Equity and Inclusionmentioning

confidence: 99%

The Year in Review: Anesthesia for Congenital Heart Disease 2022

Goodmanson

Latham

Landsem

et al. 2023

Semin Cardiothorac Vasc Anesth

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This review focuses on the literature published during the calendar year 2022 that is of interest to anesthesiologists taking care of children and adults with congenital heart disease (CHD). Four major themes are discussed: enhanced recovery after surgery(ERAS); diversity, equity, and inclusion; the state of pediatric cardiac anesthesiology as a subspecialty in the United States; and neuromonitoring for pediatric cardiac surgery.

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“…Specifically, in the area of pain management, racial disparities were not demonstrated for perioperative morphine equivalents and pain scores. 37 Transitioning to adult cardiac anesthesiology, the past year saw the publication of numerous studies on clinical practice, risk prediction, post-operative outcomes, and technological advances. 38 The HandiCAP RCT investigated the effect of intraoperative anesthesia care handovers on all-cause mortality, hospital readmission, and serious postoperative complications, finding no significant difference within 30 days of surgery and concluding that handovers may carry less risk than fatigue or attention lapses during the provision of an anesthetic.…”

Section: -Wayne Gretzkymentioning

confidence: 99%

“…Specifically, in the area of pain management, racial disparities were not demonstrated for perioperative morphine equivalents and pain scores. 37…”

mentioning

confidence: 99%

The Year 2022 in Review and a Glimpse into the Future

Leiendecker,

Viox,

Kertai

et al. 2023

Semin Cardiothorac Vasc Anesth

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Race and Outcomes in Patients with Congenital Cardiac Disease in an Enhanced Recovery Program

Cited by 11 publications

References 28 publications

Surgical Care for Racial and Ethnic Minorities and Interventions to Address Inequities

Surgical Care for Racial and Ethnic Minorities and Interventions to Address Inequities

The Year in Review: Anesthesia for Congenital Heart Disease 2022

The Year 2022 in Review and a Glimpse into the Future

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