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Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry

BACKGROUND: Racial disparities in postoperative complications have been demonstrated in bariatric surgery, yet the relationship of race to complication severity is unknown. STUDY DESIGN: Adult laparoscopic primary bariatric procedures were queried from the 2015 and 2016 MBSAQIP registry. Adjusted lo...

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Autores principales: Welsh, Leonard K., Luhrs, Andrew R., Davalos, Gerardo, Diaz, Ramon, Narvaez, Andres, Perez, Juan Esteban, Lerebours, Reginald, Kuchibhatla, Maragatha, Portenier, Dana D., Guerron, Alfredo D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223417/
https://www.ncbi.nlm.nih.gov/pubmed/32388704
http://dx.doi.org/10.1007/s11695-020-04657-3
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author Welsh, Leonard K.
Luhrs, Andrew R.
Davalos, Gerardo
Diaz, Ramon
Narvaez, Andres
Perez, Juan Esteban
Lerebours, Reginald
Kuchibhatla, Maragatha
Portenier, Dana D.
Guerron, Alfredo D.
author_facet Welsh, Leonard K.
Luhrs, Andrew R.
Davalos, Gerardo
Diaz, Ramon
Narvaez, Andres
Perez, Juan Esteban
Lerebours, Reginald
Kuchibhatla, Maragatha
Portenier, Dana D.
Guerron, Alfredo D.
author_sort Welsh, Leonard K.
collection PubMed
description BACKGROUND: Racial disparities in postoperative complications have been demonstrated in bariatric surgery, yet the relationship of race to complication severity is unknown. STUDY DESIGN: Adult laparoscopic primary bariatric procedures were queried from the 2015 and 2016 MBSAQIP registry. Adjusted logistic and multinomial regressions were used to examine the relationships between race and 30-day complications categorized by the Clavien-Dindo grading system. RESULTS: A total of 212,970 patients were included in the regression analyses. For Black patients, readmissions were higher (OR = 1.39, p < 0.0001) and the odds of a Grade 1, 3, 4, or 5 complication were increased compared with White patients (OR = 1.21, p < 0.0001; OR = 1.21, p < 0.0001; OR = 1.22, p = 0.01; and OR = 1.43, p = 0.04) respectively. The odds of a Grade 3 complication for Hispanic patients were higher compared with White patients (OR = 1.59, p < 0.0001). CONCLUSION: Black patients have higher odds of readmission and multiple grades of complications (including death) compared with White patients. Hispanic patients have higher odds of a Grade 3 complication compared with White patients. No significant differences were found with other races. Specific causes of these disparities are beyond the limitations of the dataset and stand as a topic for future inquiry.
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spelling pubmed-72234172020-05-15 Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry Welsh, Leonard K. Luhrs, Andrew R. Davalos, Gerardo Diaz, Ramon Narvaez, Andres Perez, Juan Esteban Lerebours, Reginald Kuchibhatla, Maragatha Portenier, Dana D. Guerron, Alfredo D. Obes Surg Original Contributions BACKGROUND: Racial disparities in postoperative complications have been demonstrated in bariatric surgery, yet the relationship of race to complication severity is unknown. STUDY DESIGN: Adult laparoscopic primary bariatric procedures were queried from the 2015 and 2016 MBSAQIP registry. Adjusted logistic and multinomial regressions were used to examine the relationships between race and 30-day complications categorized by the Clavien-Dindo grading system. RESULTS: A total of 212,970 patients were included in the regression analyses. For Black patients, readmissions were higher (OR = 1.39, p < 0.0001) and the odds of a Grade 1, 3, 4, or 5 complication were increased compared with White patients (OR = 1.21, p < 0.0001; OR = 1.21, p < 0.0001; OR = 1.22, p = 0.01; and OR = 1.43, p = 0.04) respectively. The odds of a Grade 3 complication for Hispanic patients were higher compared with White patients (OR = 1.59, p < 0.0001). CONCLUSION: Black patients have higher odds of readmission and multiple grades of complications (including death) compared with White patients. Hispanic patients have higher odds of a Grade 3 complication compared with White patients. No significant differences were found with other races. Specific causes of these disparities are beyond the limitations of the dataset and stand as a topic for future inquiry. Springer US 2020-05-09 2020 /pmc/articles/PMC7223417/ /pubmed/32388704 http://dx.doi.org/10.1007/s11695-020-04657-3 Text en © Springer Science+Business Media, LLC, part of Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Contributions
Welsh, Leonard K.
Luhrs, Andrew R.
Davalos, Gerardo
Diaz, Ramon
Narvaez, Andres
Perez, Juan Esteban
Lerebours, Reginald
Kuchibhatla, Maragatha
Portenier, Dana D.
Guerron, Alfredo D.
Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry
title Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry
title_full Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry
title_fullStr Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry
title_full_unstemmed Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry
title_short Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry
title_sort racial disparities in bariatric surgery complications and mortality using the mbsaqip data registry
topic Original Contributions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223417/
https://www.ncbi.nlm.nih.gov/pubmed/32388704
http://dx.doi.org/10.1007/s11695-020-04657-3
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