ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2025
Association of race and 30-day postoperative complications after urologic oncology surgery.
Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionWe aimed to evaluate the association between race and postoperative complications in patients undergoing urologic cancer surgeries, comparing 30-day outcomes between black and white-identifying patients using propensity score matching.
methodsAdult patients undergoing urologic cancer surgeries from 2015-2019 were identified from the National Surgical Quality Improvement Program database. Black-identifying patients were matched 1:1 with white-identifying patients based on surgical procedure, demographics, and medical history. The primary outcome was 30-day mortality. Secondary outcomes included specific complications, such as unplanned readmission, reintubation, and reoperation; myocardial infarction; renal insufficiency; cardiac arrest; surgical site infections (SSIs) and septic shock. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated using logistic regression.
resultsAmong 110 028 patients (mean age 46.8 years; 79.1% male; 12.7% black-identifying), a matched cohort of 28 056 was analyzed. No significant difference in 30-day mortality (OR 1.18, 95% CI 0.86-1.63, p=0.296) was observed. Secondary outcomes showed higher odds of unplanned readmission (OR 1.12, 95% CI 1.02-1.24, p=0.018), reintubation (OR 1.36, 95% CI 1.03-1.81, p=0.032), renal insufficiency (OR 1.84, 95% CI 1.37-2.47, p<0.001), and cardiac arrest (OR 1.49, 95% CI 1.01-2.20, p=0.043), but lower odds of myocardial infarction (OR 0.65, 95% CI 0.43-0.99, p=0.048), superficial SSIs (OR 0.65, 95% CI 0.50-0.85 p=0.001), and septic shock (OR 0.67, 95% CI 0.45-0.98, p=0.041) among black-identifying patients.
conclusionsWhile no significant difference in 30-day mortality was observed, black-identifying patients were at an increased risk of several postoperative complications compared to white-identifying patients. These observations warrant further investigations into health equity within urology.
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