1. Differences in outcomes by race/ethnicity after thoracic surgery in a large integrated health system
- Author
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Kian C. Banks, MD, Julia Wei, MPH, Leyda Marrero Morales, BS, Zeuz A. Islas, BS, Nathan J. Alcasid, MD, Cynthia J. Susai, MD, Angela Sun, BS, Katemanee Burapachaisri, BS, Ashish R. Patel, MD, Simon K. Ashiku, MD, and Jeffrey B. Velotta, MD
- Subjects
Race/ethnicity ,Outcomes ,Disparities ,Thoracic surgery ,Surgery ,RD1-811 - Abstract
Background: Disparities exist throughout surgery. We aimed to assess for racial/ethnic disparities among outcomes in a large thoracic surgery patient population. Methods: We reviewed all thoracic surgery patients treated at our integrated health system from January 1, 2016–December 31, 2020. Post-operative outcomes including length of stay (LOS), 30-day return to the emergency department (30d-ED), 30-day readmission, 30- and 90-day outpatient appointments, and 30- and 90-day mortality were compared by race/ethnicity. Bivariate analyses and multivariable logistic regression were performed. Our multivariable models adjusted for age, sex, body mass index, Charlson Comorbidity Index, surgery type, neighborhood deprivation index, insurance, and home region. Results: Of 2730 included patients, 59.4 % were non-Hispanic White, 15.0 % were Asian, 11.9 % were Hispanic, 9.6 % were Black, and 4.1 % were Other. Median (Q1-Q3) LOS (in hours) was shortest among non-Hispanic White (37.3 (29.2–76.1)) and Other (36.5 (29.3–75.4)) patients followed by Hispanic (46.8 (29.9–78.1)) patients with Asian (51.3 (30.7–81.9)) and Black (53.7 (30.6–101.6)) patients experiencing the longest LOS (p
- Published
- 2024
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