Evidence map›Paper›PMID 25465749›Full record

ArticleAmerican journal of surgery2015

Racial variation in the use of life-sustaining treatments among patients who die after major elective surgery.

Roland A Hernandez, Nathanael D Hevelone, Lenny Lopez, Samuel R G Finlayson, Eva Chittenden, Zara Cooper

Open access · bronzeAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. Racial And Socioeconomic Differences Affect Outcomes in Elderly Burn Patients.Burns : journal of the International Society for Burn Injuries · 2021
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Racial Disparities in Hospice Outcomes: A Race or Hospice-Level Effect?Journal of the American Geriatrics Society · 2018
    Article
  10. Trends in Receipt of Intensive Procedures at the End of Life Among Patients Treated With Maintenance Dialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2017
    Article
  11. Identifying Vasopressor and Inotrope Use for Health Services Research.Annals of the American Thoracic Society · 2016
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Roland A HernandezCenter for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA; Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Nathanael D HeveloneCenter for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA.
Lenny LopezMongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA; Disparities Solutions Center, Massachusetts General Hospital, Boston, MA, USA; Department of General Medicine, Massachusetts General Hospital and Brigham and Women's Hospital, Boston, MA, USA.
Samuel R G FinlaysonDepartment of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
Eva ChittendenDivision of Pain and Palliative Medicine, Massachusetts General Hospital, Boston, MA, USA.
Zara CooperCenter for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA; Division of Trauma, Burns, and Surgical Critical Care, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, USA. Electronic address: zcooper@partners.org.
Brigham and Women's Hospital · USMassachusetts General Hospital · USUniversity of Utah · US

Funding

Association of Acculturation with Type 2 Diabetes Risk Among US LatinosK23DK098280 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOPEZ, LENNY · 2013 to 2016
$737k
NIDDK NIH HHS 1K23DK098280-01NIDDK NIH HHS K23 DK098280NIMHD NIH HHS L60 MD003771
6 · The paper itself

Abstract

backgroundAlthough various studies have documented increased life-sustaining treatments among racial minorities in medical patients, whether similar disparities exist in surgical patients is unknown.

methodsA retrospective cohort study using the Nationwide Inpatient Sample (2006 to 2011) examining patients older than 39 years who died after elective colectomy was performed. Primary predictor variable was race, and main outcome was the use of life-sustaining treatment.

resultsIn univariate analysis, significant differences existed in use of cardiopulmonary resuscitation (CPR; black, 35.9%; Hispanic, 29.0%; other, 24.5%; white, 11.7%; P = .002) and reintubation (Hispanic, 75.0%; other, 69.0%; black, 52.3%; white, 45.2%; P = .01). In multivariate analysis, black (odds ratio [OR], 3.67; P = .01) and Hispanic (OR, 4.21; P = .03) patients were more likely to have undergone CPR, and Hispanic patients (OR, 4.24; P = .01) were more likely to have been reintubated (reference: white).

conclusionsBlacks and Hispanics had increased odds of experiencing CPR, and Hispanics were more likely to have been reintubated before death after a major elective operation. These variations may imply worse quality of death and increased associated costs.

Indexed as

Black or African AmericanHispanic or LatinoWhite PeopleAgedCohort StudiesColectomyElective Surgical ProceduresFemaleHumansLife Support CareMaleRetrospective StudiesEnd-of-life careLife-sustaining treatmentQuality of deathRacial disparities

Identifiers

PMID25465749
PMCPMC4672370
OpenAlexW2020051582

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.