Al-Ashi, Amro

Barengo, Noël C, MD, PhD, MPH

Castro, Grettel, MPH

Gonzalez, Juan

Meray, Victorien

Rodriguez de la Vega, Pura, MPH

Seetharamaiah, Rupa, MD

English

DigitalCommons@Florida International University

Poster #28 Research Study Title: “Association between race/ethnicity and the probability of morbidity/mortality in adult patients that underwent a laparoscopic cholecystectomy in the US in 2016” Victorien Meray; Amro Al-Ashi; Juan Gonzalez; Grettel Castro; Pura Rodriguez de la Vega; Rupa Seetharamaiah MD; Noel C. Barengo, MD, PhD  Category: Public Health; surgery Keywords: race; ethnicity; mortality; laparoscopic cholecystectomy  Introduction and Objective. Social determinants of health such as race and ethnicity may play a crucial role in patients' access and quality of care. Since cholecystectomies are the most common gastrointestinal surgery, our objective was to determine if there is an association between race/ethnicity and the probability of mortality in adult patients undergoing laparoscopic cholecystectomy in 2016. Methods. Non-concurrent cohort study including patients over 18 years old who underwent a laparoscopic cholecystectomy at an American College of Surgeons’ National Surgical Quality Improvement Program hospital in 2016. The main exposure variables were race (Black/African-American, white, or other) and ethnicity (Hispanics vs, non-Hispanics). The main outcome was the probability of morbidity and mortality. Unadjusted and adjusted logistic regression analysis were used to calculate odds ratios (OR) and 95% confidence intervals (CI). Results.  Hispanics and African Americans had decreased odds of mortality (OR 0.48; 95% CI 0.44-0.52) and (OR 0.85; 95% CI 0.78-0.92), respectively. Hispanics had decreased odds of morbidity (OR 0.85; 95% CI 0.79-0.92). African Americans had 1.43 higher odds of morbidity (OR 1.43 95%CI 1.32-1.54). Conclusions-Implications. Our recommendation is that the American College of Surgeons considers adding race and ethnicity to their surgery risk calculator as our study indicates that they do play a role in calculating the probability of morbidity and mortality. We recommend future studies assess more social determinants such as socioeconomic status as a primary dependent variable for use in these surgical risk calculators.    

Association between race/ethnicity and the probability of morbidity/mortality in adult patients that underwent a laparoscopic cholecystectomy in the US in 2016

https://digitalcommons.fiu.edu/cgi/viewcontent.cgi?article=1054&context=hwcom-student-research-symposium

Association between race/ethnicity and the probability of morbidity/mortality in adult patients that underwent a laparoscopic cholecystectomy in the US in 2016

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