19 Harley St, London, W1G 9QJ, UK

Postoperative Racial Disparities Following Spine Surgery Are Less Pronounced In The Outpatient Setting – Cervical Disc Replacement

This article discusses racial disparities in postoperative outcomes following spine surgery in the outpatient (OP) and inpatient (IP) settings. The study aimed to investigate the differences in outcomes between Black and White patients who underwent lumbar and cervical spine surgery. The researchers conducted a retrospective review of patients who underwent surgery between 2017 and 2021 and measured disparities in adverse events, readmission rates, reoperation rates, non-home discharge rates, mortality rates, operative times, and hospital length of stay. The results showed that Black patients experienced greater odds of serious and minor adverse events, readmission, reoperation, and non-home discharge following IP surgery compared to White patients. However, disparities were less prominent in the OP setting. The study suggests that further work is needed to understand and mitigate racial disparities in the inpatient setting, but the decreased differences in the OP setting provide promising indications of progress towards reducing inequality

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best situated treatment hospital in London

Published article

CONCLUSIONS: Racial inequality in postoperative complications following spine surgery is evident, however disparities in complication rates are relatively less following OP compared to IP procedures. Further work may be beneficial in elucidating the causes of these differences to better understand and mitigate overall racial disparities within the inpatient setting. These decreased differences may also provide promising indication that progress towards reducing inequality is possible as spine…

Cervical Disc Replacement Surgery Expert. Best Spinal Surgeon UK
Abstract Background context: Racial disparities in spine surgery have been thoroughly documented in the inpatient (IP) setting. However, despite an increasing proportion of procedures being performed as same-day surgeries, whether similar differences have developed in the outpatient (OP) setting remains to be elucidated. Purpose: This study aimed to investigate racial differences in postoperative outcomes between,

Abstract

Background context: Racial disparities in spine surgery have been thoroughly documented in the inpatient (IP) setting. However, despite an increasing proportion of procedures being performed as same-day surgeries, whether similar differences have developed in the outpatient (OP) setting remains to be elucidated.

Purpose: This study aimed to investigate racial differences in postoperative outcomes between Black and White patients following OP and IP lumbar and cervical spine surgery.

Study design/setting: Retrospective cohort study.

Patient sample: Patients who underwent IP or OP microdiscectomy, laminectomy, anterior cervical discectomy and fusion (ACDF), or cervical disc replacement (CDR) between 2017 and 2021.

Outcome measures: Thirty-day rates of serious and minor adverse events, readmission, reoperation, non-home discharge, and mortality.

Methods: A retrospective review of patients who underwent IP or OP microdiscectomy, laminectomy, anterior cervical discectomy and fusion (ACDF), or cervical disc replacement (CDR) between 2017 and 2021 was conducted using the National Surgical Quality Improvement Program (NSQIP) database. Disparities between Black and White patients in (1) adverse event rates, (2) readmission rates, (3) reoperation rates, (4) non-home discharge rates, (5) mortality rates, (6) operative times, and (7) hospital LOS between Black and White patients were measured and compared between IP and OP surgical settings. Multivariable logistic regression analyses were used to adjust for potential effects of baseline demographic and clinical differences.

Results: Of 81,696 total surgeries, 49,351 (60.4%) were performed as IP and 32,345 (39.6%) were performed as OP procedures. White patients accounted for a greater proportion of IP (88.2% vs. 11.8%) and OP (92.7% vs. 7.3%) procedures than Black patients. Following IP surgery, Black patients experienced greater odds of serious (OR 1.214, 95% CI 1.077 – 1.370, p = 0.002) and minor adverse events (OR 1.377, 95% CI 1.113 – 1.705, p = 0.003), readmission (OR 1.284, 95% CI 1.130 – 1.459, p < 0.001), reoperation (OR 1.194, 95% CI 1.013 - 1.407, p = 0.035), and non-home discharge (OR 2.304, 95% CI 2.101 - 2.528, p < 0.001) after baseline adjustment. Disparities were less prominent in the OP setting, as Black patients exhibited greater odds of readmission (OR 1.341, 95% CI 1.036 - 1.735, p = 0.026) but were no more likely than White patients to experience adverse events, reoperation, individual complications, non-home discharge, or death (p > 0.050 for all).

Conclusions: Racial inequality in postoperative complications following spine surgery is evident, however disparities in complication rates are relatively less following OP compared to IP procedures. Further work may be beneficial in elucidating the causes of these differences to better understand and mitigate overall racial disparities within the inpatient setting. These decreased differences may also provide promising indication that progress towards reducing inequality is possible as spine care transitions to the OP setting.

Keywords: cervical spine; complications; lumbar spine; outcomes; outpatient; racial disparity.

The London Spine Unit : best situated treatment hospital in London

Read the original publication:

Postoperative Racial Disparities Following Spine Surgery Are Less Pronounced in the Outpatient Setting

Related Posts

0/5 (0 Reviews)

Trusindex Reviews

London Spine Unit Harley Street Hospital

A Focus on High Quality Specialised Care

We are a specialist Private Hospital based on Harley Street, London UK The Harley Street Hospital, Day Surgery Hospital

We provide exclusive health services for individuals seeking Advanced medical, non-surgical or minimally invasive treatments. We are covered by All Insurance Companies apart from AXA PPP

Our Medical Director and Lead Spinal Surgeon Mr Mo Akmal MD is a world renowned Spine Specialist Consultant with over 20 years of experience. He and his team have developed revolutionary techniques to perform all types of Spinal Surgery as a Day Case procedure without traditional General Anaesthetic.

We are constantly improving our techniques for treatment and improving facilities for our patients.

Book your Appointment Now 
Check out our Reviews 
Check out our Patient Videos 
Check our Mr Akmal’s Profile

 

What our patients say ...

Abstract Background context: Racial disparities in spine surgery have been thoroughly documented in the inpatient (IP) setting. However, despite an increasing proportion of procedures being performed as same-day surgeries, whether similar differences have developed in the outpatient (OP) setting remains to be elucidated. Purpose: This study aimed to investigate racial differences in postoperative outcomes between
long-term-residual-mobility-and-adjacent-segment-disease-after-total-lumbar-disc-replacement

Revolutionary Keyhole surgical technique to vaporise bulging discs

Dr Mo Akmal Medical Director
Dr Mo Akmal MD - Lead Spinal Surgeon

Laser Disc Surgery can be performed under local anaesthetic at The Harley Street Hospital.

Initial Consultation

with Consultant Spine Surgeon
£ 250
  • No Waiting Times
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion
  • Review of Previous Scans and Reports

Follow up Consultation

any appointment after initial consultation
£ 180
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion

High Resolution MRI Scan

any Single Region (3.0 Tesla)
£ 600
  • No waiting times
  • Includes Full Radiologist Report
  • Open or Closed MRI scan types
  • Copy of Scan on CD

Website Offer

Pre-Booked Online
£1130
£ 800
  • Initial Consultation
  • MRI Scan (Single Region)
  • Follow Up consultation
  • Same Day One Stop Visit
  • Full Medical and MRI scan Report
  • Copy of scan on CD
Popular

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810