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Does Hispanic ethnicity play a role in outcomes for diverticular surgery in the USA?

OBJECTIVE: The aim of this study is to investigate whether origins of ethnicity affect the outcomes of surgery for diverticulitis in the USA. DESIGN: The American College of Surgeons National Surgical Quality Improvement Programme database from 2008 to 2017 was used to identify patients undergoing c...

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Autores principales: Kelley, Jesse K, Kelly, Kathrine, Reed, Charles, Winkler, Nathan, Parker, Jessica, Ogilvie, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693875/
http://dx.doi.org/10.1136/bmjgast-2023-001215
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author Kelley, Jesse K
Kelly, Kathrine
Reed, Charles
Winkler, Nathan
Parker, Jessica
Ogilvie, James
author_facet Kelley, Jesse K
Kelly, Kathrine
Reed, Charles
Winkler, Nathan
Parker, Jessica
Ogilvie, James
author_sort Kelley, Jesse K
collection PubMed
description OBJECTIVE: The aim of this study is to investigate whether origins of ethnicity affect the outcomes of surgery for diverticulitis in the USA. DESIGN: The American College of Surgeons National Surgical Quality Improvement Programme database from 2008 to 2017 was used to identify patients undergoing colectomy for diverticulitis. Patient demographics, comorbidities, procedural details and outcomes were captured and compared by ethnicity status. RESULTS: A total of 375 311 surgeries for diverticulitis were included in the final analysis. The average age of patients undergoing surgery for diverticulitis remained consistent over the time frame of the study (62 years), although the percentage of younger patients (age 18–39 years) rose slightly from 7.8% in 2008 to 8.6% in 2017. The percentage of surgical patients with Hispanic ethnicity increased from 3.7% in 2008 to 6.6% of patients in 2017. Hispanic patients were younger than their non-Hispanic counterparts (57 years vs 62 years, p<0.01) at time of surgery. There were statistically significant differences in the proportion of laparoscopic cases (51% vs 49%, p<0.01), elective cases (62% vs 66%, p<0.01) and the unadjusted rate of postoperative mortality (2.8% vs 3.4%, p<0.01) between Hispanic patients compared with non-Hispanic patients, respectively. Multivariable logistic regression models did not identify Hispanic ethnicity as a significant predictor for increased morbidity (p=0.13) or mortality (p=0.80). CONCLUSION: Despite a significant younger population undergoing surgery for diverticulitis, Hispanic ethnicity was not associated with increased rates of emergent surgery, open surgery or postoperative complications compared with a similar non-Hispanic population.
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spelling pubmed-106938752023-12-04 Does Hispanic ethnicity play a role in outcomes for diverticular surgery in the USA? Kelley, Jesse K Kelly, Kathrine Reed, Charles Winkler, Nathan Parker, Jessica Ogilvie, James BMJ Open Gastroenterol Colon OBJECTIVE: The aim of this study is to investigate whether origins of ethnicity affect the outcomes of surgery for diverticulitis in the USA. DESIGN: The American College of Surgeons National Surgical Quality Improvement Programme database from 2008 to 2017 was used to identify patients undergoing colectomy for diverticulitis. Patient demographics, comorbidities, procedural details and outcomes were captured and compared by ethnicity status. RESULTS: A total of 375 311 surgeries for diverticulitis were included in the final analysis. The average age of patients undergoing surgery for diverticulitis remained consistent over the time frame of the study (62 years), although the percentage of younger patients (age 18–39 years) rose slightly from 7.8% in 2008 to 8.6% in 2017. The percentage of surgical patients with Hispanic ethnicity increased from 3.7% in 2008 to 6.6% of patients in 2017. Hispanic patients were younger than their non-Hispanic counterparts (57 years vs 62 years, p<0.01) at time of surgery. There were statistically significant differences in the proportion of laparoscopic cases (51% vs 49%, p<0.01), elective cases (62% vs 66%, p<0.01) and the unadjusted rate of postoperative mortality (2.8% vs 3.4%, p<0.01) between Hispanic patients compared with non-Hispanic patients, respectively. Multivariable logistic regression models did not identify Hispanic ethnicity as a significant predictor for increased morbidity (p=0.13) or mortality (p=0.80). CONCLUSION: Despite a significant younger population undergoing surgery for diverticulitis, Hispanic ethnicity was not associated with increased rates of emergent surgery, open surgery or postoperative complications compared with a similar non-Hispanic population. BMJ Publishing Group 2023-12-02 /pmc/articles/PMC10693875/ http://dx.doi.org/10.1136/bmjgast-2023-001215 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Colon
Kelley, Jesse K
Kelly, Kathrine
Reed, Charles
Winkler, Nathan
Parker, Jessica
Ogilvie, James
Does Hispanic ethnicity play a role in outcomes for diverticular surgery in the USA?
title Does Hispanic ethnicity play a role in outcomes for diverticular surgery in the USA?
title_full Does Hispanic ethnicity play a role in outcomes for diverticular surgery in the USA?
title_fullStr Does Hispanic ethnicity play a role in outcomes for diverticular surgery in the USA?
title_full_unstemmed Does Hispanic ethnicity play a role in outcomes for diverticular surgery in the USA?
title_short Does Hispanic ethnicity play a role in outcomes for diverticular surgery in the USA?
title_sort does hispanic ethnicity play a role in outcomes for diverticular surgery in the usa?
topic Colon
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693875/
http://dx.doi.org/10.1136/bmjgast-2023-001215
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