Non-Hispanic Blacks undergoing distal pancreatectomy have higher risk-adjusted rates of morbidity and are more likely to be high-cost outliers
| Autor: | Gerard V. Aranha, Marshall S. Baker, Paul C. Kuo, Gerard Abood, Patrick Sweigert, Joseph N. Fahmy, Emanuel Eguia, Adrienne N. Cobb |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Social Determinants of Health Patient Readmission 03 medical and health sciences Pancreatectomy Postoperative Complications 0302 clinical medicine Internal medicine Humans Medicine Healthcare Cost and Utilization Project Aged Risk adjusted business.industry Postoperative complication General Medicine Length of Stay Middle Aged United States Black or African American Increased risk Healthcare utilization 030220 oncology & carcinogenesis Hispanic ethnicity Female 030211 gastroenterology & hepatology Surgery business Distal pancreatectomy |
| Zdroj: | The American Journal of Surgery. 221:759-763 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2020.02.050 |
| Popis: | Background Few studies evaluate racial disparities in costs and clinical outcomes for patients undergoing distal pancreatectomy (DP). Methods We queried the Healthcare Cost and Utilization Project State Inpatient Databases to identify patients undergoing DP. Multivariable regression (MVR) was used to evaluate the association between race and postoperative outcomes. Results 2,493 patients underwent DP; 265 (10%) were black, and 221 (8%) were of Hispanic ethnicity. On MVR, black and Hispanic patients were less likely than whites to undergo surgery in high volume centers (OR 0.53, 95% CI [0.40, 0.71]; OR 0.45, 95% CI [0.32, 0.62]). Black patients had a greater risk of postoperative complication (OR 1.40, 95% CI [1.07, 1.83]), 90-day readmission (OR 1.53, 95% CI [1.15, 2.02]), prolonged length of stay (OR 1.74, 95% CI [1.25–2.44]), and of being a high cost outliers (OR 1.40, 95% CI [1.02, 1.91]) compared to white patients. Conclusion Black patients have increased risk of having a postoperative complication, prolonged hospitalization, and of being a high-cost outlier than non-Hispanic whites. |
| Databáze: | OpenAIRE |
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