Improvement in racial disparity among patients undergoing panniculectomy after bariatric surgery.
Abdominoplasty
Bariatric
Disparity
Income
Panniculectomy
Race
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
07 2019
07 2019
Historique:
received:
22
06
2018
revised:
06
11
2018
accepted:
07
01
2019
pubmed:
19
1
2019
medline:
17
1
2020
entrez:
19
1
2019
Statut:
ppublish
Résumé
A disparity exists in patients receiving panniculectomies. We evaluated this disparity and assessed if it persists once patients are integrated into the healthcare system through bariatric surgery. All patients who received bariatric surgery (n = 2528), panniculectomies (n = 1333) and panniculectomies after bariatric surgery (n = 48) at the University of Pennsylvania between January 1, 2012 and March 1, 2017 were retrospectively identified. Demographic information and post-operative details were collected. Univariate and multivariate analyses were performed. 43% (n = 1087) of bariatric surgery patients were African-American compared to 25% (n = 339) of all panniculectomy patients and 52% (n = 25) of panniculectomy after bariatric surgery patients. The racial disparity among all patients receiving a panniculectomy was not present in patients receiving bariatric surgery beforehand (p < 0.001). The average income of patients receiving a panniculectomy for any etiology ($89,000) was significantly higher (p < 0.001) than patients receiving a panniculectomy after bariatric surgery ($71,000). After multivariate analysis, race remained associated with the disparity (p = 0.046). The disparity seen in patients receiving panniculectomies is not present when patients are integrated into the healthcare system through bariatric surgery.
Sections du résumé
BACKGROUND
A disparity exists in patients receiving panniculectomies. We evaluated this disparity and assessed if it persists once patients are integrated into the healthcare system through bariatric surgery.
METHODS
All patients who received bariatric surgery (n = 2528), panniculectomies (n = 1333) and panniculectomies after bariatric surgery (n = 48) at the University of Pennsylvania between January 1, 2012 and March 1, 2017 were retrospectively identified. Demographic information and post-operative details were collected. Univariate and multivariate analyses were performed.
RESULTS
43% (n = 1087) of bariatric surgery patients were African-American compared to 25% (n = 339) of all panniculectomy patients and 52% (n = 25) of panniculectomy after bariatric surgery patients. The racial disparity among all patients receiving a panniculectomy was not present in patients receiving bariatric surgery beforehand (p < 0.001). The average income of patients receiving a panniculectomy for any etiology ($89,000) was significantly higher (p < 0.001) than patients receiving a panniculectomy after bariatric surgery ($71,000). After multivariate analysis, race remained associated with the disparity (p = 0.046).
CONCLUSION
The disparity seen in patients receiving panniculectomies is not present when patients are integrated into the healthcare system through bariatric surgery.
Identifiants
pubmed: 30654917
pii: S0002-9610(18)30886-9
doi: 10.1016/j.amjsurg.2019.01.002
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
37-41Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.