Racial disparity in peripheral nerve block usage in breast reconstruction: A nationwide analysis

Peripheral nerve block (PNB) usage in plastic surgery is associated with reduction in post-operative opioid consumption and pain demonstrating benefits in breast reconstruction (BR). This retrospective study explored whether racial-ethnic disparities exist with PNB use for postoperative analgesia in...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2024-11, Vol.98, p.281-284
Main Authors: Dorante, Miguel I., Escobar-Domingo, Maria J., Kennedy, Dean, Kim, Erin J., Lee, Bernard T., Guo, Lifei
Format: Article
Language:English
Subjects:
Adult
Analgesia
Breast neoplasm
Breast reconstruction
Ethnicity - statistics & numerical data
Female
Healthcare disparities
Healthcare Disparities - ethnology
Healthcare Disparities - statistics & numerical data
Humans
Mammaplasty - methods
Middle Aged
Nerve Block - methods
Nerve Block - statistics & numerical data
Pain, Postoperative - ethnology
Pain, Postoperative - prevention & control
Peripheral nerves
Racial groups
Retrospective Studies
United States
White People - statistics & numerical data
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Summary:Peripheral nerve block (PNB) usage in plastic surgery is associated with reduction in post-operative opioid consumption and pain demonstrating benefits in breast reconstruction (BR). This retrospective study explored whether racial-ethnic disparities exist with PNB use for postoperative analgesia in patients undergoing BR. Using the American College of Surgeons National Surgical Quality Improvement Program database, women who underwent BR from 2012–2021 and received “regional” in addition to general anesthesia were included in the study. Patients without race and ethnicity data and who received other additional anesthesia were excluded. Unweighted rates of PNB use were compared between racial-ethnic groups and BR modality. Multivariate logistic regression assessed whether race and ethnicity were independently associated with receiving PNBs. A total of 25,188 patients underwent BR and 9429 patients (37.4%) received PNB for postoperative analgesia. Patient demographics reached statistical, but not clinical, significance in age and BMI. Comorbidities were not significantly different between groups. Black patients were less likely to receive PNBs (p 
ISSN:1748-6815
1878-0539
1878-0539
DOI:10.1016/j.bjps.2024.09.054