Faculty Collaboration Database

Non-Hispanic Blacks undergoing distal pancreatectomy have higher risk-adjusted rates of morbidity and are more likely to be high-cost outliers. Am J Surg 2021 Apr;221(4):759-763

Date

04/13/2020

Pubmed ID

32278489

DOI

10.1016/j.amjsurg.2020.02.050

Scopus ID

2-s2.0-85083011270 (requires institutional sign-in at Scopus site)   2 Citations

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.

Author List

Eguia E, Fahmy JN, Cobb AN, Sweigert P, Aranha GV, Abood G, Kuo PC, Baker MS

Author

Adrienne Cobb MD Assistant Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Female
Humans
Length of Stay
Male
Middle Aged
Pancreatectomy
Patient Readmission
Postoperative Complications
Social Determinants of Health
United States