The effect of Hispanic ethnicity on surgical outcomes: An analysis of the NSQIP database |
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Authors: | Monica M. Betancourt-Garcia Kristina Vatcheva Prateek K. Gupta Ricardo D. Martinez Joseph B. McCormick Susan P. Fisher-Hoch R. Armour Forse |
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Affiliation: | 1. Research Institute, Doctors Hospital at Renaissance Health System, Edinburg, TX, USA;2. School of Mathematical & Statistical Sciences, University of Texas Rio Grande Valley, Brownsville Campus, Brownsville, TX, USA;3. Division of Vascular and Endovascular Surgery, University of Tennessee Health Science Center, Memphis, TN, USA;4. School of Public Health, University of Texas Health Science Center at Houston, Brownsville Regional Campus, Brownsville, TX, USA;5. Department of Surgery, University of Texas Rio Grande Valley School of Medicine, Edinburg, TX, USA |
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Abstract: | BackgroundExisting literature has shown racial/ethnic disparities between white and black surgical populations, however, surgical outcomes for Hispanic patients are limited in both scope and quantity.MethodsData from the American College of Surgeons National Surgical Quality Improvement Program from 2007 to 2015 was used to analyze surgical outcomes in approximately 3.5 million patients.ResultsOverall, Hispanics experienced lower odds of mortality compared to non-Hispanic White, non-Hispanic Black, and non-Hispanic American Indian or Alaska Native patients (all P?0.0001). No difference was found in mortality odds between Hispanics and non-Hispanic Asian or Native Hawaiian patients. Hispanics experienced minimal disparities in complications as compared to non-Hispanic White and non-Hispanic Black but had a higher rate of select complications when compared to Non-Hispanic Asian, Native Hawaiian, or Pacific Islander.ConclusionHispanics, in general, had lower odds of 30-day postoperative mortality and major morbidity compared to most of the races/ethnicities included in the ACS NSQIP database. |
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Keywords: | NSQIP Surgery Surgical outcomes Hispanic epidemiological paradox Hispanic health outcomes |
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