Racial Disparities in Outcomes After Common Abdominal Surgical Procedures—The Impact of Access to a Minimally Invasive Approach

Haider, Syed; Wood, Kasey Leigh; Bui, Anthony; Leitman, I. Michael

doi:10.1016/j.jss.2020.07.056

Cited by 14 publications

(13 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies have shown that despite a nationwide trend toward minimally invasive surgery, minority groups are less likely to undergo MIS and are more likely to experience perioperative complications. 5,6 Therefore, initiatives that incentivize standardizing pathways for route of surgery, increasing the volume of minimally invasive surgery together with hiring surgeons to trained to perform complex foregut surgery may help minimize racial and ethnic disparities in access to MIS.…”

Section: Conclusion and Possible Solutionsmentioning

confidence: 99%

“…1 However, differences in treatment and outcomes remain across race and ethnicity. [2][3][4][5][6] Healthcare disparities can be defined as the differences among different groups in achieving full health potential that can be explained by differences in several factors, including systemic differences in the health of groups and communities, occupying unequal positions in society, that are avoidable and unjust. 7 Even though GERD and achalasia are the most common benign esophageal disorders that may require surgical intervention, data on racial differences in management, postsurgical outcomes and the role of social factors impacting these diseases are scarce.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Benign Esophageal Disorders: The Thing About Race and Ethnicity

Addo

Connors

Park

2023

Foregut: The Journal of the American Foregut Society

View full text Add to dashboard Cite

The aim of this review is to highlight the racial and ethnic differences in the prevalence, presentation, management, and outcomes of benign foregut disorders. Gastroesophageal reflux disease and achalasia make up the most common benign esophageal disorders. There are limited data in the literature regarding racial and ethnic disparities in the care and management of these disorders. However, studies have shown that racial and ethnic disparities play a role in the management of these disorders. To minimize the impact of these disparities, more effort is needed in identifying the interplay between race, insurance status, socioeconomic status and their underlying mechanism.

show abstract

Section: Conclusion and Possible Solutionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Benign Esophageal Disorders: The Thing About Race and Ethnicity

Addo

Connors

Park

2023

Foregut: The Journal of the American Foregut Society

View full text Add to dashboard Cite

show abstract

“…This study is focused only on the difference in economic burden between non-Hispanic Black and non-Hispanic white children with appendicitis because of the wellrecognized disparities in surgical outcomes. 26,53 We also recognize that the study database does not measure pediatric hospital status, which may play a role in surgical complication rates. Furthermore, the NIS does not capture readmission and only captures complications that occur during a single stay.…”

Section: Figurementioning

confidence: 99%

Economic Trends of Racial Disparities in Pediatric Postappendectomy Complications

et al. 2021

View full text Add to dashboard Cite

BACKGROUND: Despite unparalleled advances in perioperative medicine, surgical outcomes remain poor for racial minority patients relative to their white counterparts. Little is known about the excess costs to the health care system related to these disparities. METHODS:We performed a retrospective analysis of data from the Nationwide Inpatient Sample between 2001 and 2018. We included children younger than 18 years admitted with appendicitis who underwent an appendectomy during their hospital stay. We examined the inflation-adjusted hospital costs attributable to the racial disparities in surgical complications and perforation status, focusing on differences between non-Hispanic white patients and non-Hispanic Black patients. RESULTS:We included 100 639 children who underwent appendectomy, of whom 89.9% were non-Hispanic white and 10.1% were non-Hispanic Black. Irrespective of perforation status at presentation, surgical complications were consistently higher for Black compared with white children, with no evidence of narrowing of the racial disparity gap over time. Black children consistently incurred higher hospital costs

show abstract

“…1 Recent studies have shown worse outcomes and increased rates of postoperative mortality and readmissions after different surgical conditions in patients from minority populations such as African Americans (AA), Hispanics, and Asians. [1][2][3] Disparities across many different disease states in colorectal surgery have also been reported, specifically in patients requiring the creation of an intestinal stoma, with increased rates of postoperative complications, readmissions, and lengths of stay. 4,5 Thus far, despite the presence of racial disparities, there has been a paucity of data to further characterize where these disparities arise from.…”

Section: Introductionmentioning

confidence: 99%

A National Inpatient Sample Analysis of Racial Disparities After Segmental Colectomy for Inflammatory Colorectal Diseases

Frieder

Montorfano

Stefano

et al. 2022

The American Surgeon™

View full text Add to dashboard Cite

Background Racial disparities and poor access to care are common among African Americans (AA), potentially adversely affecting surgical outcomes in inflammatory bowel conditions. We aimed to analyze the effect of race on outcomes in patients undergoing segmental colectomy for inflammatory bowel conditions. Methods Retrospective review of data from the National Inpatient Sample between 2010 and 2015 identified patients who underwent segmental colectomy without ostomy for Crohn’s or diverticular disease. AA patients were compared with Caucasians using a multivariable analysis model. Primary outcomes of interest were overall complications, mortality, and extended hospital stay. Results 38,143 admissions were analyzed; AA patients constituted 8% of the overall cohort. Diagnoses included Crohn’s (11%) and diverticular disease (89%). After multivariable analysis, AA patients had significantly higher overall risk of complications (OR = 1.27; 95% CI, 1.15-1.40) and extended hospital stay (OR = 1.59; 95% CI, 1.45-1.75) than Caucasians. On bivariate analysis, there was no significant difference in mortality between AA and Caucasian patients. AA patients had significantly higher rates of Medicaid insurance (14% vs 6%, P < .001), lower rates of private insurance (35% vs 47%, P < .001), and were less likely to undergo surgery at a private hospital (31% vs 41%, P < .001). Conclusions AA patients requiring segmental colectomy for inflammatory colorectal conditions experience significantly higher rates of postoperative complications, longer hospital stays, and lower rates of private insurance. Direct correlation between insurance status and postoperative outcomes could not be established, but we speculate such great disparity in outcomes may stem from these socioeconomic differences.

show abstract

Racial Disparities in Outcomes After Common Abdominal Surgical Procedures—The Impact of Access to a Minimally Invasive Approach

Cited by 14 publications

References 47 publications

Benign Esophageal Disorders: The Thing About Race and Ethnicity

Benign Esophageal Disorders: The Thing About Race and Ethnicity

Economic Trends of Racial Disparities in Pediatric Postappendectomy Complications

A National Inpatient Sample Analysis of Racial Disparities After Segmental Colectomy for Inflammatory Colorectal Diseases

Contact Info

Product

Resources

About