ArticleAmerican journal of surgery2021
Inability to manage non-severe complications on an outpatient basis increases non-white patient readmission rates after pancreaticoduodenectomy: A large metropolitan tertiary care center experience.
Article in American journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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
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Who cites it
4 citing papers in PubMed.
- A Culturally Adapted Perioperative Mental Health Intervention for Older Black Surgical Patients.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024Article
- Race and Odds of Surgery Offer in Small Bowel and Pancreas Neuroendocrine Neoplasms.Annals of surgical oncology · 2024Article
- Preoperative levels of physical activity can be increased in pancreatectomy patients via a remotely monitored, telephone-based intervention: A randomized trial.Surgery in practice and science · 2023Article
- Social vulnerability is associated with more stomas after surgery for uncomplicated diverticulitis.Surgery in practice and science · 2023Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundPancreaticoduodenectomy (PD) has a high rate of readmission, and racial disparities in care could be an important contributor.
methodsPatients undergoing PD were prospectively followed, and their complications graded using the Modified Accordion Grading System (MAGS). Patient factors and perioperative outcomes for patients with and without postoperative readmission were compared in univariate and multivariate analysis by severity.
results837 patients underwent PD, the overall 90-day readmission rate was 27.5%. Non-white race was independently associated with readmission (OR 1.83, p = 0.007). 51.3% of readmissions were for non-severe complications (MAGS <3). Non-white race was independently associated with MAGS non-severe readmission (OR 2.13, p = 0.006), but not MAGS severe readmission.
conclusionsNon-white patients are more likely to be readmitted, particularly for non-severe complications. Follow up protocols should be tailored to address race disparities in the rates of readmission as readmission for less severe complications could potentially be avoidable.
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