Exploring racial disparity in perioperative outcomes following revisional bariatric surgery: A case-control matched analysis - 12/04/21
, Allison Bruff a , Michael Mazzei a , Huaqing Zhao b , Michael A. Edwards c, ⁎ Abstract |
Introduction |
Bariatric surgery is associated with 20–30% weight recidivism. As a result, revisional bariatric operation is increasingly performed. Disparity in bariatric outcomes remains controversial and very little is known about revisional bariatric surgery outcomes in ethnic cohorts.
Methods |
Revisional bariatric cases were identified from the 2015 and 2016 Bariatric Surgery Accreditation and Quality Improvement Program Participant Use Data File. 1:1 case-control matching was performed and perioperative outcomes compared between racial cohorts.
Results |
24,197 cases were analyzed, including 20.78% Black patients. At baseline, there were differences in demographics and pre-existing conditions between racial cohorts. Matched analysis compared 7,286 Black and White patients. Operative duration (p = 0.008) and length of stay (p = 0.0003) were longer in Black patients. Readmission (6.8% vs. 5.4%, p = 0.009) was higher in Black patients. Bleeding (0.82% vs. 0.38%, p = 0.02) and surgical site infection (SSI) (2.6% vs. 1.8%, p = 0.01) were higher in White patients.
Conclusion |
Revisional bariatric surgery is safe. Apart from a higher rate of bleeding, SSI and readmission, outcomes were not mediated by race.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Revisional bariatric surgery in the third most commonly performed bariatric procedure. |
• | Revisional bariatric surgery remains safe, with overall low mortality and morbidity. |
• | Mortality is similar between racial cohorts after revisional bariatric surgery. |
• | Higher rates of readmission were noted in Black patients for unclear reasons. |
• | Outcomes after revisional bariatric surgery does not seem to be mediated by race. |
Keywords : Revisional bariatric surgery, Perioperative outcomes, Disparity
Plan
Vol 221 - N° 4
P. 741-748 - avril 2021 Retour au numéro
Article précédent
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