Pro-Con Debate: Perioperative Research Should Be Color-Blind.


Journal

Anesthesia and analgesia
ISSN: 1526-7598
Titre abrégé: Anesth Analg
Pays: United States
ID NLM: 1310650

Informations de publication

Date de publication:
01 11 2023
Historique:
medline: 31 10 2023
pubmed: 20 10 2023
entrez: 20 10 2023
Statut: ppublish

Résumé

Profound racial and ethnic disparities have been documented in health and health care outcomes in recent decades. Some researchers have erroneously ascribed these inequities to biological variations, prompting debate as to how, or even if, race and ethnicity should be included as an outcome variable. Color blindness is a racial ideology with roots in constitutional law that posits that equality is best achieved by disregarding the racial and ethnic characteristics of the individual. Color consciousness, in contrast, approaches disparities with the knowledge that experiences related to one's race and ethnicity influence an individual's health and well-being. In this Pro-Con commentary article, we discuss the concept of color blindness and debate its use as an approach in medicine and research.

Identifiants

pubmed: 37862397
doi: 10.1213/ANE.0000000000006258
pii: 00000539-202311000-00011
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

967-972

Informations de copyright

Copyright © 2022 International Anesthesia Research Society.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

Heckler M. Report of the Secretary’s Task Force on Black & Minority Health. United States Department of Health and Human Services, 1985.
Office of Minority Health. 30 years of advancing health equity: The Heckler Report: A force for ending health disparities in America. Accessed March 2, 2022. https://minorityhealth.hhs.gov/heckler30/.
U.S. Department of Health and Human Services NIoH, National Institute on Minority Health and Health Disparities. Minority Health and Health Disparities: Definitions and Parameters. 2022. Accessed March 2, 2022. https://nimhd.nih.gov/about/strategic-plan/nih-strategic-plan-definitions-and-parameters.html
Mpody C, Ghimire A, Nafiu OO. Looking through race-conscious or race-neutral lenses in pediatric research. Pediatrics. 2022;149:e2021054961.
Andreae MH, Gabry JS, Goodrich B, White RS, Hall C. Antiemetic prophylaxis as a marker of health care disparities in the national anesthesia clinical outcomes registry. Anesth Analg. 2018;126:588–599.
Toledo P, Sun J, Grobman WA, Wong CA, Feinglass J, Hasnain-Wynia R. Racial and ethnic disparities in neuraxial labor analgesia. Anesth Analg. 2012;114:172–178.
Butwick AJ, Blumenfeld YJ, Brookfield KF, Nelson LM, Weiniger CF. Racial and ethnic disparities in mode of anesthesia for cesarean delivery. Anesth Analg. 2016;122:472–479.
Memtsoudis SG, Poeran J, Zubizarreta N, Rasul R, Opperer M, Mazumdar M. Anesthetic care for orthopedic patients: is there a potential for differences in care? Anesthesiology. 2016;124:608–623.
Willer BL, Mpody C, Tobias JD, Nafiu OO. Racial disparities in failure to rescue following unplanned reoperation in pediatric surgery. Anesth Analg. 2021;132:679–685.
Toledo P. Expanding horizons: how anesthesiologists can improve health equity. Anesth Analg. 2022;134:1164–1165.
Plessy vs. Ferguson, Judgment, Decided May 18, 1896; Records of the Supreme Court of the United States; Record Group 267; Plessy v. Ferguson, 163, #15248, National Archives. Accessed March 2, 2022. https://www.archives.gov/milestone-documents/plessy-v-ferguson.
Turner R. The dangers of misappropriation: misusing Martin Luther King, Jr.‘s Legacy to Prove the Colorblind Thesis, 2. Mich J Race & L. 1996; 2: 101–330.
Okah E, Thomas J, Westby A, Cunningham B. Colorblind racial ideology and physician use of race in medical decision-making. J Racial Ethn Health Disparities. 2022;9(5):2019–2026.
Burgess T. Race-conscious policies — including affirmative action — are necessary for addressing racial inequity. 2020. Accessed March 3, 2022. https://www.aclu.org/news/racial-justice/race-conscious-policies-including-affirmative-action-are-necessary-for-addressing-racial-inequity/.
Braddock CH III. Racism and bioethics: the myth of color blindness. Am J Bioeth. 2021;21:28–32.
Yudell M, Roberts D, DeSalle R, Tishkoff S. Science and society. Taking race out of human genetics. Science. 2016;351:564–565.
Botev R, Mallié JP, Couchoud C, et al. Estimating glomerular filtration rate: Cockcroft-gault and modification of diet in renal disease formulas compared to renal inulin clearance. Clin J Am Soc Nephrol. 2009;4:899–906.
Hoenig MP, Mann A, Pavlakis M. Removal of the black race coefficient from the estimated glomerular filtration equation improves transplant eligibility for Black patients at a single center. Clin Transplant. 2022;36:e14467.
Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the management of blood cholesterol: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;139:e1082–e1143.
Parker K, Horowitz JM, Morin R, Lopez MH. Multiracial in America: proud, diverse, and growing in numbers: Pew Research Center, 2015. Accessed March 3, 2022. https://www.pewresearch.org/social-trends/2015/06/11/multiracial-in-america/.
Swetlitz I. Teaching medical students to challenge ‘unscientific’ racial categories. STAT, March 10, 2016, 2016. Accessed March 9, 2022. https://www.statnews.com/2016/03/10/medical-schools-teaching-race/.
National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention. Sickle Cell Disease: Data & Statistics on Sickle Cell Disease. National Center on Birth Defects and Developmental Disabilities: Centers for Disease Control and Prevention, 2022. Accessed August 30, 2022. https://www.cdc.gov/ncbddd/sicklecell/data.html.
Wahl TS, Goss LE, Morris MS, et al. Enhanced Recovery Aftce.er Surgery (ERAS) eliminates racial disparities in postoperative length of stay after colorectal surgery. Ann Surg. 2018;268:1026–1035.
Felder L, Cao C, Konys C, et al. ERAS protocol to improve racial and ethnic disparities in post-cesarean pain management. Am J Perinatol. 2022;39(13):1375–1382.
Romano PS, Geppert JJ, Davies S, Miller MR, Elixhauser A, McDonald KM. A national profile of patient safety in U.S. hospitals. Health Aff (Millwood). 2003;22:154–166.
Hall WJ, Chapman MV, Lee KM, et al. Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. Am J Public Health. 2015;105:e60–e76.
Cusano A, Venugopal V, Gronbeck C, Harrington MA, Halawi MJ. Where do we stand today on racial and ethnic health inequities? Analysis of primary total knee arthroplasty from a 2011-2017 National Database. J Racial Ethn Health Disparities. 2021;8:1178–1184.
Mpody C, Willer B, Owusu-Bediako E, Kemper AR, Tobias JD, Nafiu OO. Economic trends of racial disparities in pediatric postappendectomy complications. Pediatrics. 2021;148:e2021051328.
McKiever M, Lynch CD, Nafiu OO, et al. Racial disparities in the risk of complications after nonobstetric surgery in pregnancy. Obstet Gynecol. 2021;138:236–245.
Nafiu OO, Mpody C, Michalsky MP, Tobias JD. Unequal rates of postoperative complications in relatively healthy bariatric surgical patients of white and black race. Surg Obes Relat Dis. 2021;17:1249–1255.
Enumah ZO, Canner JK, Alejo D, et al. Persistent racial and sex disparities in outcomes after coronary artery bypass surgery: a retrospective clinical registry review in the drug-eluting stent era. Ann Surg. 2020;272:660–667.
Neville HA, Awad GH, Brooks JE, Flores MP, Bluemel J. Color-blind racial ideology: theory, training, and measurement implications in psychology. Am Psychol. 2013;68:455–466.
Kendi IX. Stamped from the Beginning: The Definitive History of Racist Ideas in America. Nation Books; 2016.
Ford CL, Airhihenbuwa CO. Critical race theory, race equity, and public health: toward antiracism praxis. Am J Public Health. 2010;100(suppl 1):S30–S35.
Lion KC, Raphael JL. Partnering health disparities research with quality improvement science in pediatrics. Pediatrics. 2015;135:354–361.
Kiong KL, Vu CN, Yao CMKL, et al. Enhanced recovery after surgery (ERAS) in head and neck oncologic surgery: a case-matched analysis of perioperative and pain outcomes. Ann Surg Oncol. 2021;28:867–876.
Hillman RT, Sanchez-Migallon A, Meyer LA, et al. Patient characteristics and opioid use prior to discharge after open gynecologic surgery in an enhanced recovery after surgery (ERAS) program. Gynecol Oncol. 2019;153:604–609.
Reducing Maternal Peripartum Racial and Ethnic Disparities in Anesthesia Care: Statement and Recommendations. American Society of Anesthesiologists Obstetric Anesthesia, 2021. Accessed August 30, 2022. https://www.asahq.org/standards-and-guidelines/reducing-maternal-peripartum-racial-and-ethnic-disparities-in-anesthesia-care.
Hoyert D. Maternal mortality rates in the United States, 2020. NCHS Health E-Stats 2022. Accessed August 30, 2022. https://dx.doi.org/10.15620/cdc:113967.
Cerdeña JP. Race-conscious bioethics: the call to reject contemporary scientific racism. Am J Bioeth. 2021;21:48–53.

Auteurs

Brittany L Willer (BL)

From the Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio.

Emmanuel Alalade (E)

Department of Pediatric Anesthesiology, Children's Healthcare of Atlanta, Atlanta, Georgia.

Paloma Toledo (P)

Department of Anesthesiology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois.

Nathalia Jimenez (N)

Department of Anesthesiology, Seattle Children's Hospital, Seattle, Washington.

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