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Racial and Ethnic Health Services Disparities in Pediatric Anesthesia Practice: A Scoping Review.
Julia M Rosenbloom1, Jennifer Mekonnen2, Lia E Tron2
1Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA. jmrosenbloom@mgh.harvard.edu.
Journal of Racial and Ethnic Health Disparities
|June 14, 2020
Summary
Research on racial and ethnic disparities in pediatric anesthesia is limited. Current studies show low-quality evidence, highlighting a need for more rigorous research on these health services.
Area of Science:
- Medical Research
- Health Services Research
- Anesthesiology
Background:
- Racial and ethnic disparities in pediatric anesthesia health services may increase risks for minority children.
- A comprehensive understanding of existing literature on these disparities is lacking.
Purpose of the Study:
- To synthesize current literature on health services disparities in pediatric anesthetic care.
- To describe disparities in the pre-, intra-, and post-operative periods.
Main Methods:
- Searched PubMed/Medline, Embase, and Web of Science (2007-2020).
- Included studies on racial/ethnic disparities in pediatric anesthesia health services.
- Utilized the Institute of Medicine's definition of disparities.
Main Results:
- 10 studies met inclusion criteria out of 2110 identified.
- Most studies were single-institutional observational, with heterogeneous conclusions.
- Evidence regarding pediatric anesthesia disparities was of low quality.
Conclusions:
- A significant paucity of research exists on racial and ethnic disparities in pediatric anesthesia.
- Current literature provides low-quality and diverse evidence.
- Future research requires improved data and rigorous study designs.
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