PD20-11 A NATIONAL COMPARISON OF MORBIDITY AND OPERATIVE OUTCOMES IN BLACK AND WHITE WOMEN UNDERGOING CYSTECTOMY

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You have accessJournal of UrologyCME1 Apr 2023PD20-11 A NATIONAL COMPARISON OF MORBIDITY AND OPERATIVE OUTCOMES IN BLACK AND WHITE WOMEN UNDERGOING CYSTECTOMY Dhaval Jivanji, Elie Kaplan-Marans, Karis Buford, Katiana Vazquez-Rivera, Allison Polland, Varsha Sinha, Ervin Teper, Michael Silver, and Ariel Schulman Dhaval JivanjiDhaval Jivanji More articles by this author , Elie Kaplan-MaransElie Kaplan-Marans More articles by this author , Karis BufordKaris Buford More articles by this author , Katiana Vazquez-RiveraKatiana Vazquez-Rivera More articles by this author , Allison PollandAllison Polland More articles by this author , Varsha SinhaVarsha Sinha More articles by this author , Ervin TeperErvin Teper More articles by this author , Michael SilverMichael Silver More articles by this author , and Ariel SchulmanAriel Schulman More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003286.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Racial inequalities are well-documented in many areas of medicine. We used a national database to compare morbidity and operative outcomes in Black and white women undergoing radical cystectomy. METHODS: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was used to identify Black and white women who underwent a cystectomy between 2016 and 2020 (Current Procedural Terminology codes: 51570, 51575, 51580, 51585, 51590, 51595, 51596). Demographics, preoperative comorbidities, and operative outcomes were compared. Chi-square was used to analyze categorical variables and the Mann–Whitney U test was used to analyze continuous variables. RESULTS: Of the 2,002 women identified, 1,813 (90.6%) were white and 189 (9.4%) were Black. Black women were younger (66 years old vs. 69 years old, p=0.001) and had higher BMI (29.8 vs. 27.5, p<0.001) compared to white women. Black women had higher rates of non-insulin dependent diabetes (18.0% vs. 8.9%, p<0.001), hypertension (72.0% vs. 53.8%, p<0.001), and smoking (28.0% vs. 21.3%, p=0.04). There was no difference in length of stay (7 days vs. 6 days, p=0.67) or operative time (359 minutes vs. 344 minutes, p=0.06) between the two groups. No significant differences in major Clavien-Dindo complications or 30-day events were seen (Table 1). CONCLUSIONS: Black women who underwent cystectomy were younger; however, had higher rates of diabetes, hypertension, and smoking compared to white women. Importantly, this did not translate to meaningful differences in surgical outcomes observed in our cohort. These findings are encouraging, and further studies exploring surgical outcomes in non-NSQIP participating hospitals are crucial as the racial profiles may differ at these institutions. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e588 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Dhaval Jivanji More articles by this author Elie Kaplan-Marans More articles by this author Karis Buford More articles by this author Katiana Vazquez-Rivera More articles by this author Allison Polland More articles by this author Varsha Sinha More articles by this author Ervin Teper More articles by this author Michael Silver More articles by this author Ariel Schulman More articles by this author Expand All Advertisement PDF downloadLoading ...