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Racial Disparities in 30 Day Outcomes Following Total Laryngectomy
Tatiana Ferraro1,2, Abdulla K Ahmed1, Weston L Niermeyer1
1Division of Otolaryngology-Head and Neck Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC, USA.
Ear, Nose, & Throat Journal
|November 12, 2024
Summary
Black patients undergoing total laryngectomy (TL) face higher surgical complication rates. Further research is needed to understand and address these postoperative disparities.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Health Disparities Research
Background:
- Existing research highlights racial disparities in laryngeal cancer treatment and survival.
- However, immediate postoperative outcomes following total laryngectomy (TL) lack comprehensive investigation regarding racial differences.
Purpose of the Study:
- To investigate racial and ethnic disparities in adverse outcomes within 30 days following total laryngectomy (TL).
Main Methods:
- A national multi-institutional cohort of 1493 patients undergoing TL between 2010 and 2021 was analyzed.
- Logistic regression models were used to assess the association between race/ethnicity and postoperative complications.
Main Results:
- Black patients were more likely to undergo flap reconstruction compared to other racial groups (P=.023).
- Black patients demonstrated a 1.532 times higher odds of experiencing surgical complications within 30 days post-TL (P<.001).
Conclusions:
- Black patients undergoing total laryngectomy experience significantly higher rates of surgical complications.
- Future research should explore socioeconomic and oncologic factors contributing to these disparities, given data limitations.
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