Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry.

Published

Journal Article

BACKGROUND: Racial disparities in postoperative complications have been demonstrated in bariatric surgery, yet the relationship of race to complication severity is unknown. STUDY DESIGN: Adult laparoscopic primary bariatric procedures were queried from the 2015 and 2016 MBSAQIP registry. Adjusted logistic and multinomial regressions were used to examine the relationships between race and 30-day complications categorized by the Clavien-Dindo grading system. RESULTS: A total of 212,970 patients were included in the regression analyses. For Black patients, readmissions were higher (OR = 1.39, p < 0.0001) and the odds of a Grade 1, 3, 4, or 5 complication were increased compared with White patients (OR = 1.21, p < 0.0001; OR = 1.21, p < 0.0001; OR = 1.22, p = 0.01; and OR = 1.43, p = 0.04) respectively. The odds of a Grade 3 complication for Hispanic patients were higher compared with White patients (OR = 1.59, p < 0.0001). CONCLUSION: Black patients have higher odds of readmission and multiple grades of complications (including death) compared with White patients. Hispanic patients have higher odds of a Grade 3 complication compared with White patients. No significant differences were found with other races. Specific causes of these disparities are beyond the limitations of the dataset and stand as a topic for future inquiry.

Full Text

Duke Authors

Cited Authors

  • Welsh, LK; Luhrs, AR; Davalos, G; Diaz, R; Narvaez, A; Perez, JE; Lerebours, R; Kuchibhatla, M; Portenier, DD; Guerron, AD

Published Date

  • August 2020

Published In

Volume / Issue

  • 30 / 8

Start / End Page

  • 3099 - 3110

PubMed ID

  • 32388704

Pubmed Central ID

  • 32388704

Electronic International Standard Serial Number (EISSN)

  • 1708-0428

Digital Object Identifier (DOI)

  • 10.1007/s11695-020-04657-3

Language

  • eng

Conference Location

  • United States