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Published on: June 21, 2024
Racial and Ethnic Differences in Postoperative Nausea and Vomiting Care
Pascal Owusu-Agyemang1, Olakunle Idowu1, Arun Muthukumar1
1From the Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Black patients were less likely to receive antiemetic medication compared to other racial and ethnic groups. This study highlights disparities in perioperative antiemetic administration based on race and ethnicity.
Area of Science:
- Health Services Research
- Health Disparities
- Anesthesiology
Background:
- Racial and ethnic disparities in healthcare can lead to increased patient morbidity.
- Investigating variations in antiemetic administration across different patient demographics is crucial for equitable care.
Purpose of the Study:
- To examine the association between patient race/ethnicity and the receipt of antiemetic agents.
- To identify potential disparities in perioperative antiemetic administration.
Main Methods:
- Retrospective study of adult cancer patients undergoing surgery under anesthesia (March 2016 - August 2021).
- Utilized multivariable logistic regression to analyze antiemetic administration based on race and ethnicity.
Main Results:
- Significant associations were found between race/ethnicity and antiemetic receipt across all perioperative phases (P < .001).
- Black patients had lower odds of receiving antiemetics compared to White patients preoperatively.
- Intraoperatively and in the recovery room, Black patients received antiemetics less frequently than Asian, Hispanic/Latino, and White patients.
Conclusions:
- Significant racial and ethnic differences exist in the administration of perioperative antiemetics.
- Black patients were consistently less likely to receive antiemetic medication compared to other racial and ethnic groups.
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