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Racial Disparities in Access to Minimally Invasive Emergency General Surgery.

Bryce C Lambert1, Zahra A Fazal2, Elizabeth Wall-Wieler2

  • 1Division of Acute Care Surgery, Department of Surgery, Wake Forest School of Medicine, Charlotte, North Carolina.

JAMA Network Open
|April 3, 2026
PubMed
Summary
This summary is machine-generated.

Black patients experienced significant racial disparities in emergency general surgery (EGS), facing more emergency procedures and open surgeries. These findings underscore the need for interventions to improve surgical equity and outcomes for all populations.

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Area of Science:

  • Health Services Research
  • Surgical Outcomes
  • Health Equity

Background:

  • Disparities in emergency general surgery (EGS) outcomes may stem from systemic inequities in healthcare access and delivery.
  • Understanding the role of social and economic factors is crucial for reducing these disparities.

Purpose of the Study:

  • To examine racial disparities in surgical setting (elective vs. EGS) and modality (minimally invasive [MIS] vs. open) among adult patients.
  • To assess clinical outcomes of EGS procedures stratified by race and surgical modality.

Main Methods:

  • Retrospective cohort study utilizing the Premier Healthcare Database (2016-2022).
  • Included non-Hispanic Black and White adult patients undergoing specific general surgery procedures.
  • Multivariable logistic regression and propensity score matching were used for analysis.

Main Results:

  • Black patients had higher odds of undergoing emergency procedures and open surgery compared to White patients.
  • Black patients undergoing MIS procedures experienced higher readmission rates, longer hospital stays, and increased conversion to open surgery.
  • Black patients undergoing open surgery had longer lengths of stay.

Conclusions:

  • Racial disparities exist in surgical setting, access to MIS, and outcomes for Black patients undergoing general surgery.
  • Targeted, equity-focused interventions are necessary to improve access to MIS and enhance outcomes for diverse patient populations.