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Related Experiment Video

Updated: Dec 21, 2025

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Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry.

Leonard K Welsh1, Andrew R Luhrs1, Gerardo Davalos1

  • 1Division of Metabolic and Weight Loss Surgery, Department of Surgery, Duke University, 407 Crutchfield St., Durham, NC, 27704, USA.

Obesity Surgery
|May 11, 2020
PubMed
Summary
This summary is machine-generated.

Black and Hispanic patients face higher risks of severe complications and readmission after bariatric surgery compared to White patients. Further research is needed to understand the causes of these racial disparities in surgical outcomes.

Keywords:
Clavien-DindoMBSAQIPOutcomesRacial disparities

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Area of Science:

  • Surgical Outcomes
  • Health Disparities
  • Bariatric Surgery

Background:

  • Racial disparities in postoperative complications after bariatric surgery are documented.
  • The relationship between race and the severity of these complications remains unclear.

Purpose of the Study:

  • To investigate the association between patient race and the severity of 30-day postoperative complications following bariatric surgery.
  • To analyze racial differences in complication rates and grades using a large national registry.

Main Methods:

  • Data from adult laparoscopic primary bariatric procedures were extracted from the 2015-2016 MBSAQIP registry.
  • Adjusted logistic and multinomial regression models were employed to assess the relationship between race and complication severity (Clavien-Dindo grading).

Main Results:

  • Analysis included 212,970 patients; Black patients had higher odds of readmission and severe complications (Grades 1, 3, 4, 5) compared to White patients.
  • Hispanic patients showed increased odds of Grade 3 complications compared to White patients.
  • No significant differences were observed for other racial groups.

Conclusions:

  • Black patients experience higher rates of readmission and various grades of complications, including mortality, relative to White patients.
  • Hispanic patients face a greater risk of Grade 3 complications compared to White patients.
  • The underlying reasons for these observed racial disparities warrant further investigation.