Related Experiment Video

Updated: Aug 10, 2025

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
05:30

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

932

Trends in Outcomes and Variation by Race and Ethnicity in Pediatric Plastic Surgery in the United States

Rebecca A Netson1, Stephanie Miller1, Laura C Nuzzi1

  • 1Department of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Mass.

Plastic and Reconstructive Surgery. Global Open
|February 10, 2023
PubMed

Insights

Pediatric craniofacial and cleft lip and palate (CLP) surgeries improved in safety, with fewer readmissions and shorter hospital stays. However, racial disparities in outcomes persist, requiring further investigation and intervention.

Area of Science:

  • Pediatric Surgery
  • Plastic Surgery
  • Health Outcomes Research

Background:

  • The American College of Surgeons' National Surgical Quality Improvement Project-Pediatric Data (NSQIP-Pediatric) collects multicenter data on pediatric surgical care outcomes.
  • Monitoring trends in surgical procedures is crucial for improving patient safety and care quality.

Purpose of the Study:

  • To explore trends in outcomes for pediatric craniofacial and cleft lip and palate (CLP) surgical procedures.
  • To analyze readmission, reoperation, extended length of stay, morbidity, and racial/ethnic variations over a seven-year period.

Main Methods:

  • Utilized NSQIP-Pediatric data from 28,147 pediatric patients (2012-2018).
  • Selected 18 Current Procedural Terminology (CPT) codes, categorized into CLP and craniofacial groups.
  • Analyzed trends in key outcome measures and demographic variations.

Main Results:

  • Readmissions for CLP repair decreased significantly (3.6% to 1.7%).
  • African American/Black CLP patients experienced higher readmission and extended stay rates; Asian/White patients had lower extended stay rates.
  • Craniofacial cases showed a significant decrease in extended length of stay (7.7% to 2.8%), potentially linked to reduced transfusion rates (59% to 47%).

Conclusions:

  • Pediatric craniofacial and CLP surgeries demonstrated improved safety, marked by reduced readmissions and extended hospital stays.
  • Persistent racial disparities, particularly in CLP patient outcomes, highlight the need for continued research into healthcare racism.
  • Addressing systemic inequities is essential for equitable surgical care outcomes in pediatric populations.

More Related Videos

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

11.9K
Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology09:55

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology

Published on: September 28, 2022

1.7K

Related Concept Videos

Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
2.0K
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Regression Toward the Mean01:52

Regression Toward the Mean

Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
1.1K
Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
86
Ethnic Identity within a Larger Culture01:27

Ethnic Identity within a Larger Culture

Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
68