Racial and Socioeconomic Disparities in the Surgical Management and Outcomes of Patients with Colorectal Carcinoma

Introduction Colorectal cancer (CRC) is the second leading cause of cancer mortality in the USA. We aimed to determine racial and socioeconomic disparities in the surgical management and outcomes of patients with CRC in a contemporary, national cohort. Methods We performed a retrospective analysis o...

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Bibliographic Details
Published in:World journal of surgery 2019-05, Vol.43 (5), p.1342-1350
Main Authors: Cairns, Ashley L., Schlottmann, Francisco, Strassle, Paula D., Di Corpo, Marco, Patti, Marco G.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cancer
Cardiac Surgery
Colorectal cancer
Colorectal carcinoma
Complications
General Surgery
Government programs
Health care
Households
Income
Insurance
Laparoscopy
Medicaid
Medicine
Medicine & Public Health
Original Scientific Report
Patients
Regression analysis
Socioeconomics
Surgery
Surgical outcomes
Thoracic Surgery
Vascular Surgery
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Summary:Introduction Colorectal cancer (CRC) is the second leading cause of cancer mortality in the USA. We aimed to determine racial and socioeconomic disparities in the surgical management and outcomes of patients with CRC in a contemporary, national cohort. Methods We performed a retrospective analysis of the National Inpatient Sample for the period 2009–2015. Adult patients diagnosed with CRC and who underwent colorectal resection were included. Multivariable linear and logistic regressions were used to assess the effect of race, insurance type, and household income on patient outcomes. Results A total of 100,515 patients were included: 72,552 (72%) had elective admissions and 27,963 (28%) underwent laparoscopic surgery. Patients with private insurance and higher household income were consistently more likely to have laparoscopic procedures, compared to other insurance types and income levels, p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-018-04898-5