Evidence map›Paper›PMID 29803499›Full record

ArticleAmerican journal of surgery2018

Racial disparities in surgical outcomes of patients with Inflammatory Bowel Disease.

Samuel R Montgomery, Paris D Butler, Chris J Wirtalla, Karole T Collier, Rebecca L Hoffman, Cary B Aarons, Scott M Damrauer, Rachel R Kelz

Abstract readMulticenter Study
In one paragraph

Article in American journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  10. Observational
  11. Review
  12. Racial Disparities in 30-Day Outcomes After Colorectal Surgery in an Integrated Healthcare System.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Article
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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

8 authors.

Samuel R MontgomeryDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United States.
Paris D ButlerDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United States.
Chris J WirtallaDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United States.
Karole T CollierDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United States.
Rebecca L HoffmanDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United States.
Cary B AaronsDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United States.
Scott M DamrauerDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United States.
Rachel R KelzDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United States. Electronic address: Rachel.Kelz@uphs.upenn.edu.

Funding

Enhancing Health Literacy in Surgery (EHLIS) to Eliminate Surgical Disparities for African-Americans with Inflammatory Bowel Disease (IBD)K23MD013903 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHU, DANIEL I · 2019 to 2021
$434k
AHRQ HHS K12 HS023009NIMHD NIH HHS K23 MD013903
6 · The paper itself

Abstract

backgroundInflammatory Bowel Disease (IBD) has not historically been a focus of racial health disparities research. IBD has been increasing in the black community. We hypothesized that outcomes following surgery would be worse for black patients.

methodsA retrospective cohort study of death and serious morbidity (DSM) of patients undergoing surgery for IBD was performed using data from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP 2011-2014). Multivariable logistic regression modeling was performed to evaluate associations between race and outcomes.

resultsAmong 14,679 IBD patients, the overall rate of DSM was 20.3% (white: 19.3%, black 27.0%, other 23.8%, p < 0.001). After adjustment, black patients remained at increased risk of DSM compared white patients (OR: 1.37; 95% CI 1.14-1.64).

conclusionsBlack patients are at increased risk of post-operative DSM following surgery for IBD. The elevated rates of DSM are not explained by traditional risk factors like obesity, ASA class, emergent surgery, or stoma creation.

Indexed as

Quality ImprovementRacial GroupsAdolescentAdultAgedDigestive System Surgical ProceduresFemaleFollow-Up StudiesHealthcare DisparitiesHumansInflammatory Bowel DiseasesMaleMiddle AgedMorbidityPostoperative ComplicationsRetrospective StudiesInflammatory Bowel DiseaseOutcomesRacial disparities

Identifiers

PMID29803499
PMCPMC7764563

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.