PD28-10 RACIAL AND ETHNIC DISPARITIES IN MAJOR UROLOGIC ONCOLOGIC PROCEDURES

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety II1 Apr 2018PD28-10 RACIAL AND ETHNIC DISPARITIES IN MAJOR UROLOGIC ONCOLOGIC PROCEDURES Melody Chen, Anand Patel, and Carvell Nguyen Melody ChenMelody Chen More articles by this author , Anand PatelAnand Patel More articles by this author , and Carvell NguyenCarvell Nguyen More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.1373AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Previous research has demonstrated significant racial disparities in post-operative care in major surgical procedures. We sought to evaluate the relationship between race and perioperative outcomes in major urologic surgery in the United States. We hypothesized that there would not be a significant difference between races in perioperative outcomes for major urologic surgery. METHODS We utilized the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database to identify 31,755 patients who underwent major urologic surgery between 2005 and 2011. Major urologic surgeries included open or laparoscopic nephrectomy, laparoscopic, retropubic or perineal prostatectomy, as well as cystectomy with ileal or sigmoid conduit or neobladder. RESULTS Overall, 75% of the cohort was white, with 8% black patients, and 16% categorized as other, including Hispanic and Asian minorities. Black patients were found more likely to have totally dependent functional status (p < 0.05) than their counterparts. Using multivariate analyses, non-white patients were not more likely to experience post-operative complications compared with white patients. The rates of complications including cardiac events, infections, readmission rates and return to the operating room were found to be equal. Blacks were found to have greater odds of progressive renal failure requiring dialysis and post-operative acute kidney injury (OR= 1.9, CI 1.3-2.5, p < 0.05). Additionally, non-white and non-blacks were found to be more likely to have >30-day length of stay (OR 4.2, CI 3.3-5.4, p <0.05). CONCLUSIONS In major urologic surgery, there was no demonstrated difference in post-operative complications or mortality between races and ethnicities. Black patients were more likely to develop post-operative acute kidney injury after major urologic surgery, however after stratifying the types of surgery this difference was not identified. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e566 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Melody Chen More articles by this author Anand Patel More articles by this author Carvell Nguyen More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...