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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2020
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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. |
format | Online Article Text |
id | pubmed-7223417 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
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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