Racial Disparities in Surgical Outcomes After Spine Surgery: An ACS-NSQIP Analysis.
cervical
decompression
degenerative disc disease
disc
laminectomy
lumbar
lumbar interbody fusion
Journal
Global spine journal
ISSN: 2192-5682
Titre abrégé: Global Spine J
Pays: England
ID NLM: 101596156
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
entrez:
27
8
2019
pubmed:
27
8
2019
medline:
27
8
2019
Statut:
ppublish
Résumé
Retrospective cohort study. Racial disparities in postoperative outcomes are unfortunately common. We present data assessing race as an independent risk factor for postoperative complications after spine surgery for Native American (NA) and African American (AA) patients compared with Caucasians (CA). The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried for spine procedures performed in 2015. Data was subdivided by surgery, demography, comorbidity, and 30-day postoperative outcomes, which were then compared by race. Regression was performed holding race as an independent risk factor. A total of 4803 patients (4106 CA, 522 AA, 175 NA) were included in this analysis. AA patients experienced longer length of stay (LOS) and operative times ( AA and NA spine surgery patients exhibit disproportionate comorbidity burden and greater 30-day complications compared with CA patients. AA and NA race were found to independently affect rates of complications, LOS, and operation time.
Identifiants
pubmed: 31448190
doi: 10.1177/2192568218811633
pii: 10.1177_2192568218811633
pmc: PMC6693061
doi:
Types de publication
Journal Article
Langues
eng
Pagination
583-590Déclaration de conflit d'intérêts
Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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