ArticleJournal of Crohn's & colitis2017
African Americans and Short-Term Outcomes after Surgery for Crohn's Disease: An ACS-NSQIP Analysis.
Article in Journal of Crohn's & colitis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 31 citations in OpenAlex.
- Racial disparities in healthcare-associated infections: a systematic review and meta-analysis.Infection control and hospital epidemiology · 2026Article
- Assessing Racial Bias Within American Society of Anesthesiologists Classification.The Journal of surgical research · 2026Article
- Association of Race and Postoperative Outcomes in Patients with Inflammatory Bowel Disease.Digestive diseases and sciences · 2025Article
- Inequalities in Healthcare Access, Experience and Outcomes in Adults With Inflammatory Bowel Disease: A Scoping Review.Inflammatory bowel diseases · 2024Article
- Comparison of outcomes in small bowel surgery for Crohn's disease: a retrospective NSQIP review.International journal of colorectal disease · 2024Article
- Racial and ethnic disparities in clinical presentation, management, and outcomes of patients with inflammatory bowel disease: a narrative review.Translational gastroenterology and hepatology · 2024Review
- Effects of ethnicity and socioeconomic status on surgical outcomes from inflammatory bowel disease.International journal of colorectal disease · 2022Observational
- Racial Disparities in Surgery for Malignant Bowel Obstruction.Annals of surgical oncology · 2022Article
- Prospective evaluation of intestinal decompression in treatment of acute bowel obstruction from Crohn's disease.Gastroenterology report · 2019Article
- Using the National Surgical Quality Improvement Project (NSQIP) to Perform Clinical Research in Colon and Rectal Surgery.Clinics in colon and rectal surgery · 2019Review
- Penetrating Colon Trauma Outcomes in Black and White Males.American journal of preventive medicine · 2018Article
- A comparison of the risk of postoperative recurrence between African-American and Caucasian patients with Crohn's disease.Alimentary pharmacology & therapeutics · 2018Article
- Disparities in postoperative outcomes among diverse patient groups with inflammatory bowel disease.Annals of gastroenterologyArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPrevious reports on racial disparities in the treatment of Crohn's disease [CD] in African American [AA] patients have shown differences in both medical and surgical treatments in this population. No study thus far has examined the effect of AA race on outcomes after surgery for CD.
methodsUtilizing the National Surgical Quality Improvement Program [NSQIP] Participant User File [PUF] for the years 2005-2013, we examined the effect of AA race on postoperative complications in patients with CD undergoing intestinal surgery.
resultsAA patients had a significantly higher rate of complications overall compared to non-AA patients [23.5% vs 18.9%, p = 0.002]. Postoperative sepsis [10.9% vs 6.6%, p < 0.001] and surgical site infection [17.6% vs 14.8%, p = 0.037] were most significant. After adjustment for age, sex, preoperative disease severity and lifestyle factors [smoking], race remained a statistically significant factor in postoperative complication rate. Only after additional adjustment was made for comorbidities and American Society of Anesthesiologists class did race lose significance within our model.
conclusionAfrican Americans experience a greater amount of postoperative complications following surgery for Crohn's disease. Preoperative disease management, addressing smoking status and control of comorbid disease are important factors in addressing the racial disparities in the surgical treatment of Crohn's disease.
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