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Analyzing racial and ethnic disparities among geriatric patients undergoing elective versus emergent colorectal
Spencer T Johnson1, Venu Bangla2, Adriano Cuadros1
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Objective:
Non-elective colorectal surgeries are associated with an increased risk of complications compared to elective procedures, which is accentuated amongst geriatric patients. This study examines racial/ethnic disparities in rates of elective versus non-elective colorectal procedures among geriatric patients.
Methods:
This retrospective cohort study included data from patients aged ≥65 registered in the National Surgical Quality Improvement Program database. Using multivariate logistic regression, we examined associations between race/ethnicity and elective versus non-elective surgical status.
Results:
Among 79,497 patients included, 24,544 (30.9 %) received non-elective colorectal surgery. 81.1 % of patients were White, 8.93 % were Black, 5.3 % were Hispanic, 4.1 % were Asian, and 0.6 % were NAPI. Multivariate analysis revealed higher odds ratios for receiving non-elective surgery amongst Black and Hispanic patients (Black = 1.38, 95 % CI 1.30-1.47, p < 0.01; Hispanic = 1.54, 95 % CI 1.43-1.67, p < 0.01).
Conclusions:
Black and Hispanic geriatric patients were more likely to receive non-elective procedures.
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