Racial disparities in minimally invasive esophagectomy and gastrectomy for upper GI malignancies

The Impact of Disparities on Minimally Invasive Esophagectomy After the 2014 Affordable Care Act Expansion: A Retrospective Analysis

“…Socioeconomic disparities are well documented in the diagnosis and management of esophageal cancer. 9,10 Previous studies have demonstrated decreased utilization of MIS approaches in specifically in black patients and those on public insurance. 10,11 Though we did not demonstrate a significant difference in MIS esophagectomy performance based on black race in our initial analysis, patients who identified their race as “other” in the NCDB were noted to have lower odds of MIS esophagectomy.…”

“…Haider et al demonstrated a similar result with no significant difference in operative approaches found in black patients, though they demonstrated worse outcomes. 10 This may result from known disparity in surgical candidacy that has been shown to impact black and uninsured patients. 11 However, an examination of high Medicaid burden facilities demonstrated that non-Hispanic Black race was associated with decreased MIE performance when compared to non-Hispanic White patients.…”

“…9,10 Previous studies have demonstrated decreased utilization of MIS approaches in specifically in black patients and those on public insurance. 10,11 Though we did not demonstrate a significant difference in MIS esophagectomy performance based on black race in our initial analysis, patients who identified their race as “other” in the NCDB were noted to have lower odds of MIS esophagectomy. Haider et al demonstrated a similar result with no significant difference in operative approaches found in black patients, though they demonstrated worse outcomes.…”