Current Trends in Mortality Attributable to Racial or Ethnic Disparities in Post-Surgical Population in The United States: A Population-Based Study
Background:. No study has contextualized the excess mortality attributable to racial and ethnic disparities in surgical outcomes. Further, not much effort has been made to quantify the effort needed to eliminate these disparities. Objective:. We examined the current trends in mortality attributable...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health
2023-12-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000342 |
| _version_ | 1797375066880606208 |
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| author | Christian Mpody, MD, PhD, MPH, MBA Ana F. Best, PhD Clara N. Lee, MD, MPP David L. Stahl, MD Vidya T. Raman, MD, MBA Richard D. Urman, MD, MBA Joseph D. Tobias, MD Olubukola O. Nafiu, MD, FRCA, MS |
| author_facet | Christian Mpody, MD, PhD, MPH, MBA Ana F. Best, PhD Clara N. Lee, MD, MPP David L. Stahl, MD Vidya T. Raman, MD, MBA Richard D. Urman, MD, MBA Joseph D. Tobias, MD Olubukola O. Nafiu, MD, FRCA, MS |
| author_sort | Christian Mpody, MD, PhD, MPH, MBA |
| collection | DOAJ |
| description | Background:. No study has contextualized the excess mortality attributable to racial and ethnic disparities in surgical outcomes. Further, not much effort has been made to quantify the effort needed to eliminate these disparities.
Objective:. We examined the current trends in mortality attributable to racial or ethnic disparities in the US postsurgical population. We then identified the target for mortality reduction that would be necessary to eliminate these disparities by 2030.
Methods:. We performed a population-based study of 1,512,974 high-risk surgical procedures among adults (18–64 years) performed across US hospitals between 2000 and 2020.
Results:. Between 2000 and 2020, the risk-adjusted mortality rates declined for all groups. Nonetheless, Black patients were more likely to die following surgery (adjusted relative risk 1.42; 95% CI, 1.39–1.46) driven by higher Black mortality in the northeast (1.60; 95% CI, 1.52–1.68), as well as the West (1.53; 95% CI, 1.43–1.62). Similarly, mortality risk remained consistently higher for Hispanics compared with White patients (1.21; 95% CI, 1.19–1.24), driven by higher mortality in the West (1.26; 95% CI, 1.21–1.31). Overall, 8364 fewer deaths are required for Black patients to experience mortality on the same scale as White patients. Similar figures for Hispanic patients are 4388. To eliminate the disparity between Black and White patients by 2030, we need a 2.7% annualized reduction in the projected mortality among Black patients. For Hispanics, the annualized reduction needed is 0.8%.
Conclusions:. Our data provides a framework for incorporating population and health systems measures for eliminating disparity in surgical mortality within the next decade. |
| first_indexed | 2024-03-08T19:16:51Z |
| format | Article |
| id | doaj.art-c2eae3e9fe2845e39a1073e670f3887e |
| institution | Directory Open Access Journal |
| issn | 2691-3593 |
| language | English |
| last_indexed | 2024-03-08T19:16:51Z |
| publishDate | 2023-12-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj.art-c2eae3e9fe2845e39a1073e670f3887e2023-12-27T06:49:28ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932023-12-0144e34210.1097/AS9.0000000000000342202312000-00002Current Trends in Mortality Attributable to Racial or Ethnic Disparities in Post-Surgical Population in The United States: A Population-Based StudyChristian Mpody, MD, PhD, MPH, MBA0Ana F. Best, PhD1Clara N. Lee, MD, MPP2David L. Stahl, MD3Vidya T. Raman, MD, MBA4Richard D. Urman, MD, MBA5Joseph D. Tobias, MD6Olubukola O. Nafiu, MD, FRCA, MS7From the * Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OH‡ Biostatistics Branch, Biometric Research Program, Division of Treatment and Diagnosis, National Cancer Institute, Bethesda, MD§ Department of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, OH.† Department of Anesthesiology, The Ohio State University, Columbus, OH† Department of Anesthesiology, The Ohio State University, Columbus, OH† Department of Anesthesiology, The Ohio State University, Columbus, OHFrom the * Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OHFrom the * Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OHBackground:. No study has contextualized the excess mortality attributable to racial and ethnic disparities in surgical outcomes. Further, not much effort has been made to quantify the effort needed to eliminate these disparities. Objective:. We examined the current trends in mortality attributable to racial or ethnic disparities in the US postsurgical population. We then identified the target for mortality reduction that would be necessary to eliminate these disparities by 2030. Methods:. We performed a population-based study of 1,512,974 high-risk surgical procedures among adults (18–64 years) performed across US hospitals between 2000 and 2020. Results:. Between 2000 and 2020, the risk-adjusted mortality rates declined for all groups. Nonetheless, Black patients were more likely to die following surgery (adjusted relative risk 1.42; 95% CI, 1.39–1.46) driven by higher Black mortality in the northeast (1.60; 95% CI, 1.52–1.68), as well as the West (1.53; 95% CI, 1.43–1.62). Similarly, mortality risk remained consistently higher for Hispanics compared with White patients (1.21; 95% CI, 1.19–1.24), driven by higher mortality in the West (1.26; 95% CI, 1.21–1.31). Overall, 8364 fewer deaths are required for Black patients to experience mortality on the same scale as White patients. Similar figures for Hispanic patients are 4388. To eliminate the disparity between Black and White patients by 2030, we need a 2.7% annualized reduction in the projected mortality among Black patients. For Hispanics, the annualized reduction needed is 0.8%. Conclusions:. Our data provides a framework for incorporating population and health systems measures for eliminating disparity in surgical mortality within the next decade.http://journals.lww.com/10.1097/AS9.0000000000000342 |
| spellingShingle | Christian Mpody, MD, PhD, MPH, MBA Ana F. Best, PhD Clara N. Lee, MD, MPP David L. Stahl, MD Vidya T. Raman, MD, MBA Richard D. Urman, MD, MBA Joseph D. Tobias, MD Olubukola O. Nafiu, MD, FRCA, MS Current Trends in Mortality Attributable to Racial or Ethnic Disparities in Post-Surgical Population in The United States: A Population-Based Study Annals of Surgery Open |
| title | Current Trends in Mortality Attributable to Racial or Ethnic Disparities in Post-Surgical Population in The United States: A Population-Based Study |
| title_full | Current Trends in Mortality Attributable to Racial or Ethnic Disparities in Post-Surgical Population in The United States: A Population-Based Study |
| title_fullStr | Current Trends in Mortality Attributable to Racial or Ethnic Disparities in Post-Surgical Population in The United States: A Population-Based Study |
| title_full_unstemmed | Current Trends in Mortality Attributable to Racial or Ethnic Disparities in Post-Surgical Population in The United States: A Population-Based Study |
| title_short | Current Trends in Mortality Attributable to Racial or Ethnic Disparities in Post-Surgical Population in The United States: A Population-Based Study |
| title_sort | current trends in mortality attributable to racial or ethnic disparities in post surgical population in the united states a population based study |
| url | http://journals.lww.com/10.1097/AS9.0000000000000342 |
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