ArticleWorld journal of surgery2019
Racial and Socioeconomic Disparities in the Surgical Management and Outcomes of Patients with Colorectal Carcinoma.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Surgical Cancer Care in Safety-Net Hospitals: a Systematic Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Pooled it
- Factors contributing to the utilization of robotic colorectal surgery: a systematic review and meta-analysis.Surgical endoscopy · 2023Pooled it
- Disparities in robot utilization in colorectal surgery: the widening gap.Surgical endoscopy · 2026Article
- The Impact of Social Determinants of Health on Severe Colorectal Complications.Clinics in colon and rectal surgery · 2026Review
- Differential Colorectal Cancer Mortality Across Racial and Ethnic Groups: Impact of Socioeconomic Status, Clinicopathology, and Treatment-Related Factors.Cancer medicine · 2025Article
- Closing the Gap: Approaches to Improving Colorectal Surgery Care for the Uninsured and Underinsured.Clinics in colon and rectal surgery · 2025Review
- Interaction of Insurance and Neighborhood Income on Operative Colorectal Cancer Outcomes Within a National Database.The Journal of surgical research · 2024Article
- Article
- Racial Disparities in Bowel Preparation and Post-Operative Outcomes in Colorectal Cancer Patients.Healthcare (Basel, Switzerland) · 2024Article
- Disparities in outcomes of colorectal cancer surgery among adults with intellectual and developmental disabilities.PloS one · 2024Article
- Racial/Ethnic Disparities in the Era of Minimally Invasive Surgery for Treatment of Colorectal Cancer.Annals of surgical oncology · 2023Article
- Fusion of imaging and non-imaging data for disease trajectory prediction for coronavirus disease 2019 patients.Journal of medical imaging (Bellingham, Wash.) · 2023Article
- Trends in utilization of laparoscopic colectomy according to race: an analysis of the NIS database.Surgical endoscopy · 2023Article
- Gender Disparities in Aortoiliac Revascularization in Patients with Aortoiliac Occlusive Disease.Annals of vascular surgery · 2022Article
- 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 · 2022Article
- Socioeconomic factors in timing of esophagectomy and association with outcomes.Journal of surgical oncology · 2021Article
- Do specific operative approaches and insurance status impact timely access to colorectal cancer care?Surgical endoscopy · 2021Article
- Race, Income, and Survival in Stage III Colon Cancer: CALGB 89803 (Alliance).JNCI cancer spectrum · 2021Observational
- Changes in Colorectal Cancer 5-Year Survival Disparities in California, 1997-2014.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020Article
- Patient and Family Engaged Care: An Essential Element of Health Equity.NAM perspectives · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionColorectal cancer (CRC) is the second leading cause of cancer mortality in the USA. We aimed to determine racial and socioeconomic disparities in the surgical management and outcomes of patients with CRC in a contemporary, national cohort.
methodsWe performed a retrospective analysis of the National Inpatient Sample for the period 2009-2015. Adult patients diagnosed with CRC and who underwent colorectal resection were included. Multivariable linear and logistic regressions were used to assess the effect of race, insurance type, and household income on patient outcomes.
resultsA total of 100,515 patients were included: 72,552 (72%) had elective admissions and 27,963 (28%) underwent laparoscopic surgery. Patients with private insurance and higher household income were consistently more likely to have laparoscopic procedures, compared to other insurance types and income levels, p < 0.0001. Black patients, compared to white patients, were more likely to have postoperative complications (OR 1.23, 95% CI, 1.17, 1.29). Patients with Medicare and Medicaid, compared to private insurance, were also more likely to have postoperative complications (OR 1.30, 95% CI, 1.24, 1.37 and OR 1.40, 95% CI, 1.31, 1.50). Patients in low-household-income areas had higher rates of any complication (OR 1.11, 95% CI 1.06, 1.16).
conclusionsThe use of laparoscopic surgery in patients with CRC is strongly influenced by insurance type and household income, with Medicare, Medicaid and low-income patients being less likely to undergo laparoscopic surgery. In addition, black patients, patients with public insurance, and patients with low household income have significant worse surgical outcomes.
Indexed as
Identifiers
30610271What OpenQuestion holds
Registered trials
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.