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. 2020 Jun;22(6):713-722.
doi: 10.1111/codi.14943. Epub 2020 Jan 26.

Racial disparities after stoma construction in colorectal surgery

S P Sharp  1   2 , A Ata  1 , A D Chismark  1 , J J Canete  1 , B T Valerian  1 , S D Wexner  2 , E C Lee  1
Affiliations

Racial disparities after stoma construction in colorectal surgery

S P Sharp et al. Colorectal Dis. 2020 Jun.

Abstract

Aim: Racial disparities are under-recognized among patients undergoing colorectal surgery. The purpose of this study was to determine the complication rates and surgical outcomes stratified by race and ethnicity among patients undergoing colorectal surgery with intestinal stoma creation.

Method: The ACS NSQIP database from 2013 to 2016 was used. Colon, rectum and small bowel cases requiring intestinal stoma creation were selected. Both African-American and other groups of minority patients were compared with Caucasian patients using a complex multivariable analysis model. Primary outcomes of interest were complication rates, mortality and extended hospital length of stay.

Results: The study included 38 088 admissions. After multivariable analysis, African-American patients still had a prolonged length of hospital stay and higher complication rates. Other minorities also had a prolonged length of hospital stay and higher complication rates.

Conclusions: Both African-American and other groups of minority patients requiring an ostomy suffer significantly higher postoperative complication rates and a prolonged hospital length of stay, even after comorbidity adjustment. Access to care, socioeconomic status and comorbid disease management are all important factors for minority patients who undergo colorectal surgery requiring intestinal stoma construction.

Keywords: Ostomy; colorectal; complication; morbidity; race.

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References

    1. Wexner SD, Taranow DA, Johansen OB et al. Loop ileostomy is a safe option for fecal diversion. Dis Colon Rectum 1993; 36: 349-54.
    1. Turnbull GB. Ostomy statistics: the $64,000 question. Ostomy Wound Manage 2003; 49: 22-3.
    1. Krishnamurty DM, Blatnik J, Mutch M. Stoma complications. Clin Colon Rectal Surg 2017; 30: 193-200.
    1. Thalheimer A, Bueter M, Kortuem M, Thiede A, Meyer D. Morbidity of temporary loop ileostomy in patients with colorectal cancer. Dis Colon Rectum 2006; 49: 1011-7.
    1. Mao H, Milne TGE, O'Grady G, Vather R, Edlin R, Bissett I. Prolonged postoperative ileus significantly increases the cost of inpatient stay for patients undergoing elective colorectal surgery: results of a multivariate analysis of prospective data at a single institution. Dis Colon Rectum 2019; 62: 631-7.

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