Portal de Periódicos da CAPES

Racial disparities in outcomes after appendectomy for acute appendicitis

2011; Elsevier BV; Volume: 204; Issue: 1 Linguagem: Inglês

10.1016/j.amjsurg.2011.05.020

1879-1883

John Scarborough, Kyla M. Bennett, Theodore N. Pappas,

Intraperitoneal and Appendiceal Malignancies

Abstract Background Although black patients with acute appendicitis have been shown to be less likely than whites to undergo laparoscopic appendectomy, it is unknown whether they suffer increased complications after surgical management of acute appendicitis. Methods A retrospective analysis of all patients undergoing appendectomy for acute appendicitis from 2005 through 2009, using the National Surgical Quality Improvement Program database, was conducted. Rates of serious and overall morbidity were compared between blacks and whites, with adjustment for preoperative risk factors, the severity of appendicitis, and surgical approach. Results Blacks were more likely than whites to suffer serious postoperative complications (4.8% vs 3.3%; adjusted odds ratio vs whites, 1.39; 95% confidence interval, 1.16–1.67; P = .0002) or any complication (8.4% vs 6.0%; adjusted odds ratio vs whites, 1.31; 95% confidence interval, 1.14–1.50; P = .0007). Conclusions Racial disparities in postoperative outcomes exist for even a procedure as ubiquitous as appendectomy. More research is needed to determine the underlying reasons for these disparities.