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Racial Disparities in Pediatric Endoscopic Sinus Surgery
Phayvanh P Pecha1, Alexandra Hamberis1, Terral A Patel1
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
The Laryngoscope
|September 5, 2020
Summary
Racial and ethnic disparities exist in pediatric endoscopic sinus surgery (ESS). Hispanic children experienced higher 30-day complication rates after elective ESS, highlighting a need for further investigation.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Health Disparities
Background:
- Pediatric endoscopic sinus surgery (ESS) is a common procedure.
- Understanding demographic impacts on surgical outcomes is crucial for equitable care.
Purpose of the Study:
- To investigate the influence of race and ethnicity on 30-day postoperative complications in pediatric ESS.
- To identify potential disparities in surgical outcomes based on patient demographics.
Main Methods:
- A cross-sectional cohort study analyzed data from the Pediatric National Surgical Improvement Program-Pediatric database (2015-2017).
- Included patients were 18 years or younger undergoing ESS.
- Multivariable logistic regression assessed race/ethnicity as a predictor of complications, adjusting for covariates.
Main Results:
- The study included 4,337 pediatric patients.
- Black and Hispanic children had higher rates of urgent and emergent ESS compared to non-Hispanic white children.
- Hispanic ethnicity was significantly associated with increased 30-day postoperative complications following elective ESS (OR: 1.57, 95% CI: 1.04-2.37).
Conclusions:
- Black and Hispanic children undergo a disproportionate number of urgent and emergent ESS procedures.
- Hispanic ethnicity is linked to higher complication rates after elective pediatric ESS.
- Further research is necessary to understand the underlying causes of these disparities and to develop targeted interventions.
