Non-Hispanic Blacks undergoing distal pancreatectomy have higher risk-adjusted rates of morbidity and are more likely to be high-cost outliers - 12/04/21
Abstract |
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.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Black patients undergoing DP have increased risk of being high cost outliers. |
• | Racial minorities are less likely to have a DP in a high-volume center. |
• | Black patients undergoing DP have increased risk of postoperative complications. |
Keywords : Distal pancreatectomy, Oncology, Social determinants of health, Healthcare utilization
Plan
Vol 221 - N° 4
P. 759-763 - avril 2021 Retour au numéro
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