ArticleThe American journal of emergency medicine2021
Racial disparities in analgesic use amongst patients presenting to the emergency department for kidney stones in the United States.
Article in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Racial and Ethnic Minorities Underrepresented in Pain Management Guidelines for Total Joint Arthroplasty: A Meta-analysis.Clinical orthopaedics and related research · 2024Pooled it
- Disparities associated with race and ethnicity in pain management: a scoping review.International journal of clinical pharmacy · 2026Article
- Differences in opioid prescriptions by race among U.S. older adults with a hip fracture transitioning to community care.Journal of the American Geriatrics Society · 2024Article
- Work absence and productivity loss of patients undergoing a trial of spontaneous passage for ureteral stones.Urolithiasis · 2024Article
- Are There Racial Disparities in Perioperative Pain? A Retrospective Study of a Gynecological Surgery Cohort.Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2024Article
- Clinical patterns and implications of prescription opioid use in a pediatric population for the management of urolithiasis in the emergency room.Urolithiasis · 2024Article
- Racial Disparities in Opioid Prescribing in the United States from 2011 to 2021: A Systematic Review and Meta-Analysis.Journal of pain research · 2024Review
- Association of race and ethnicity with opioid prescribing for Medicare beneficiaries following total joint replacements.Journal of the American Geriatrics Society · 2024Article
- Race and Ethnicity and Prehospital Use of Opioid or Ketamine Analgesia in Acute Traumatic Injury.JAMA network open · 2023Article
- Designing and developing a digital equity dashboard for the emergency department.Journal of the American College of Emergency Physicians open · 2023Article
- Health-related quality of life disparities among Hispanic/Latinx patients with nephrolithiasis.Urolithiasis · 2023Observational
- Racial, Ethnic, and Language-Based Inequities in Inpatient Opioid Prescribing by Diagnosis from Internal Medicine Services, a Retrospective Cohort Study.Pain research & management · 2023Article
- Article
- Social Determinants of Kidney Stone Disease: The Impact of Race, Income and Access on Urolithiasis Treatment and Outcomes.Urology · 2022Review
- Opioids for chronic pain management in patients with dialysis-dependent kidney failure.Nature reviews. Nephrology · 2022Review
- Racial and Ethnic Disparities in Discharge Opioid Prescribing From a Hospital Medicine Service.Journal of hospital medicine · 2021Article
- Disparities in Kidney Stone Disease: A Scoping Review.The Journal of urology · 2021Article
- Chronic Noncancer Pain Management and Systemic Racism: Time to Move Toward Equal Care Standards.Journal of pain research · 2020Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWe sought quantify racial disparities in use of analgesia amongst patients seen in Emergency Departments for renal colic.
methodsWe identified all individuals presenting to the Emergency Department with urolithiasis from 2003 to 2015 in the nationally representative Premier Hospital Database. We included patients discharged in ≤1 day and excluded those with chronic pain or renal insufficiency. We assessed the relationship between race/ethnicity and opioid dosage in morphine milligram equivalents (MME), and ketorolac, through multivariable regression models adjusting for patient and hospital characteristics.
resultsThe cohort was 266,210 patients, comprised of White (84%), Black (6%) and Hispanic (10%) individuals. Median opioid dosage was 20 MME and 55.5% received ketorolac. Our adjusted model showed Whites had highest median MME (20 mg) with Blacks (-3.3 mg [95% CI: -4.6 mg to -2.1 mg]) and Hispanics (-6.0 mg [95% CI: -6.9 mg to -5.1 mg]) receiving less. Blacks were less likely to receive ketorolac (OR: 0.72, 95% CI: 0.62-0.84) while there was no difference between Whites and Hispanics.
conclusionsBlack and Hispanic patients in American Emergency Departments with acute renal colic receive less opioid medication than White patients; Black patients are also less likely to receive ketorolac.
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