Evidence map›Paper›PMID 37120415›Full record

ArticleAmerican journal of surgery2023

Racial disparities in postoperative outcomes persist for patients with inflammatory bowel disease under a colorectal enhanced recovery program.

Burkely P Smith, Bayley A Jones, Kevin D Cofer, Robert H Hollis, Connie Shao, Lauren Gleason, Mary G Waldrop, Meghna H Katta, Lauren Wood, M Chandler McLeod and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Enhanced recovery after colorectal surgery in patients with inflammatory bowel disease to reduce hospital length of stay: A systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Assessing Healthcare Equity in Orthopaedic Surgery: An Analysis of Over 24,000 Surgical Cases.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024
    Article
  8. Article
  9. Adapting Enhanced Recovery After Surgery (ERAS) Protocols to Promote Equity in Cancer Care and Outcomes.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    Article
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

12 authors at 2 institutions in 1 country.

Burkely P SmithUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
Bayley A JonesUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
Kevin D CoferThe Ohio State University, Department of Emergency Medicine, 750 Prior Hall, 376 W 10th Avenue, Columbus, OH, 43210, USA.
Robert H HollisUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
Connie ShaoUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
Lauren GleasonUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
Mary G WaldropUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
Meghna H KattaUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
Lauren WoodUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
M Chandler McLeodUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
Melanie S MorrisUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
Daniel I ChuUniversity of Alabama at Birmingham, Department of Surgery, Division of Gastrointestinal Surgery, BDB 581, 1720 2nd Avenue South, Birmingham, AL, 35294, USA. Electronic address: dchu@uabmc.edu.
University of Alabama at Birmingham · USThe Ohio State University · US

Funding

Surgical Oncology Research Training ProgramT32CA229102 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI HERBERT CHEN · 2018 to 2026
$3.2M
Designing a Plan of Action for Better Access and Quality of Surgery for African-Americans with Gastrointestinal Cancers in the Deep SouthR01MD013858 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHU, DANIEL I, PISU, MARIA · 2020 to 2024
$3.0M
Adapting Enhanced Recovery Programs (ERPs) through Health Literacy to Eliminate Surgical DisparitiesR01CA271303 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Daniel I Chu · 2023 to 2026
$2.1M
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 HS023009NCI NIH HHS R01 CA271303NCI NIH HHS T32 CA229102NIMHD NIH HHS K23 MD013903NIMHD NIH HHS R01 MD013858
6 · The paper itself

Abstract

introductionEnhanced recovery programs (ERPs) reduce racial disparities in surgical outcomes for general colorectal surgery populations. It is unclear, however, if disparities in IBD populations are impacted by ERPs.

methodsRetrospective study comparing IBD patients undergoing major elective colorectal operations before (2006-2014) and after (2015-2021) ERP implementation using ACS-NSQIP data. The primary outcome of length of stay (LOS) was analyzed by negative binomial regression, and secondary outcomes (complications and readmissions) by logistic regression.

resultsOf 466 IBD patients, 47% were pre-ERP and 53% were ERP patients. In multivariable analysis stratified by ERP period, Black race was associated with increased odds of complications in the pre-ERP (OR 3.6, 95%CI 1.4-9.3) and ERP groups (OR 3.1 95%CI 1.3-7.6). Race was not a predictor of LOS or readmission in either group. High social vulnerability was associated with increased odds of readmission pre-ERP (OR 15.1, 95%CI 2.1-136.3), but this disparity was mitigated under ERPs (OR 1.4, 95%CI 0.4-5.6).

conclusionWhile ERPs mitigated some disparities by social vulnerability, racial disparities persist in IBD populations even under ERPs. Further work is needed to achieve surgical equity for IBD patients.

Indexed as

Colorectal NeoplasmsInflammatory Bowel DiseasesHumansLength of StayPerioperative CarePostoperative ComplicationsRetrospective StudiesEnhanced recoveryInflammatory bowel diseaseSurgical disparities

Identifiers

PMID37120415
PMCPMC10524897
OpenAlexW4366815215

What OpenQuestion holds

Textmetadata
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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.