Lack of a clinically significant impact of race on morbidity and mortality in abdominal surgery: an analysis of 186,466 patients from the American College of Surgeons National Surgical Quality Improvement Program database

Abstract Background Poorer surgical outcomes in black compared with white patients have been reported, but it remains unclear if race independently predicts worse outcomes. We investigated if blacks have poorer outcomes than whites following abdominal surgery at quality-seeking hospitals. Methods Us...

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Bibliographic Details
Published in:The American journal of surgery 2015-08, Vol.210 (2), p.236-242
Main Authors: Uhr, Joshua H., B.A, Fields, Adam C., B.A, Divino, Celia M., M.D., F.A.C.S
Format: Article
Language:English
Subjects:
Abdomen - surgery
Adult
African Americans
Databases, Factual
Digestive System Surgical Procedures
European Continental Ancestry Group
Female
Hernias
Humans
Male
Middle Aged
Mortality
NSQIP
Patients
Postoperative Complications - epidemiology
Postoperative Complications - mortality
Quality Improvement
Racial differences
Racial disparities
Surgery
Surgical outcomes
Treatment Outcome
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Summary:Abstract Background Poorer surgical outcomes in black compared with white patients have been reported, but it remains unclear if race independently predicts worse outcomes. We investigated if blacks have poorer outcomes than whites following abdominal surgery at quality-seeking hospitals. Methods Using the American College of Surgeons’ National Surgical Quality Improvement Program database, patients who were black or white and underwent common abdominal surgery procedures were identified. A total of 19,326 (10%) blacks and 167,140 (90%) whites undergoing abdominal surgery were analyzed. Statistical analyses were performed using SPSS v20. Results Thirty-day mortality for blacks compared with whites was not statistically significant for any procedures reviewed (all P > .05). Thirty-day morbidity for blacks was slightly higher in appendectomy ( P < .0001), small bowel resection ( P < .0001), and partial colectomy ( P < .0001). Conclusion Black compared with white patients did not have increased mortality following abdominal surgery but had minor, clinically insignificant, increased morbidity in appendectomy, small bowel resection, and partial colectomy.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2014.12.043