Racial Disparities in Clinical Outcomes of Emergency Colectomies for Diverticulitis.
South Med J
; 116(10): 828-832, 2023 10.
Article
em En
| MEDLINE
| ID: mdl-37788818
ABSTRACT
OBJECTIVES:
The literature suggests that there are ongoing racial disparities in healthcare outcomes between patients in White and non-White populations. As such, we examined the outcomes of patients who underwent an emergency colectomy for diverticulitis.METHODS:
We identified 4841 White and 590 non-White patients, which include Black/African American and Asian patients, using the 2016-2019 American College of Surgeons National Surgical Quality Improvement Program databases. We compared Black/African American and Asian patients with White patients for differences in surgical outcomes.RESULTS:
Non-White patients had more comorbidities than White patients (P < 0.05). These patients underwent longer operations, developed more postoperative complications, and were more likely to have lengths of stay >30 days. When controlling for all of the covariates in multivariate logistic regression models, White race was independently associated with a 22.14% lower odds of a hospital stay >30 days compared with non-White patients (P = 0.001).CONCLUSIONS:
In this study, non-White patients developed more complications than did White patients and had longer hospitalizations. These disparities represent a more complex societal issue that cannot be managed perioperatively alone.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colectomia
/
Grupos Raciais
/
Diverticulite
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
/
Patient_preference
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
South Med J
Ano de publicação:
2023
Tipo de documento:
Article