T1552 Racial Disparities in Complicated Colorectal Cancer

Bowman, Kimberly; Tabrizian, Parissa; Telem, Dana A.; Boudourakis, Leon; Divino, Celia M.

doi:10.1016/s0016-5085(09)64205-0

Cited by 2 publications

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“…It is also a risk factor for poor survival in patients with cancer of lung[7], stomach[8], and breast[9], as well as hepatocellular carcinoma[10]. Furthermore it is associated with late presentation and recurrence in colorectal cancer[11]. …”

Section: Introductionmentioning

confidence: 99%

The Impact of Socioeconomic Status, Surgical Resection and Type of Hospital on Survival in Patients with Pancreatic Cancer. A Population-Based Study in The Netherlands

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Geest

et al. 2016

PLoS ONE

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The influence of socioeconomic inequalities in pancreatic cancer patients and especially its effect in patients who had a resection is not known. Hospital type in which resection is performed might also influence outcome. Patients diagnosed with pancreatic cancer from 1989 to 2011 (n = 34,757) were selected from the population-based Netherlands Cancer Registry. Postal code was used to determine SES. Multivariable survival analyses using Cox regression were conducted to discriminate independent risk factors for death. Patients living in a high SES neighborhood more often underwent resection and more often were operated in a university hospital. After adjustment for clinicopathological factors, risk of dying was increased independently for patients with intermediate and low SES compared to patients with high SES. After resection, no survival difference was found among patients in the three SES groups. However, survival was better for patients treated in university hospitals compared to patients treated in non-university hospitals. Low SES was an independent risk factor for poor survival in patients with pancreatic cancer. SES was not an adverse risk factor after resection. Resection in non-university hospitals was associated with a worse prognosis.

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Section: Introductionmentioning

confidence: 99%

The Impact of Socioeconomic Status, Surgical Resection and Type of Hospital on Survival in Patients with Pancreatic Cancer. A Population-Based Study in The Netherlands

Roest

Geest

et al. 2016

PLoS ONE

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“…R acial disparities after operative procedures have been widely documented in the health sciences literature. [1][2][3][4][5][6][7] Black Americans are less likely to undergo necessary operative procedures 8 and are at greater risk of experiencing poorer outcomes than their white counterparts, including excess mortality. 3,5,6,9 and complications after surgery.…”

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confidence: 99%

Nurse Staffing and Postsurgical Outcomes in Black Adults

Carthon

Kutney-Lee

Jarrín

et al. 2012

J American Geriatrics Society

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Objectives To determine the association between nurse staffing and postsurgical outcomes, including 30-day mortality and failure-to-rescue among older black patients. Design and Setting A cross-sectional study of University of Pennsylvania Multi-State Nursing Care & Patient Safety Survey data, linked to 2006–07 administrative patient discharge data from four states (CA, PA, NJ, FL), American Hospital Association Annual Survey data, and a U.S. Census-derived measure of socioeconomic status (SES). Risk-adjusted logistic regression models with correction for clustering were used for the analysis. Participants Patients age 65 and over having general, orthopedic and vascular surgeries. Our final sample included 548,397 patients: 94% white and 6% black. Measurements and Results In models adjusting for sex and age, 30-day mortality was significantly higher for black than white patients [Odds Ratio (OR)=1.42, 95% confidence interval (CI) 1.32–1.52]. In fully adjusted models that accounted for patient SES, surgery type, and comorbidities, as well as hospital characteristics, including nurse staffing, the odds of 30-day mortality were not significantly different for black than white patients. In the fully adjusted models, one additional patient in the average nurse’s workload was associated with higher odds of 30-day mortality for all patients [OR 1.03, 95% CI 1.01–1.05]. We detected a significant interaction between race and nurse staffing for 30-day mortality, such that blacks experienced higher odds of death with each additional patient per nurse (OR=1.10; 95% CI 1.03–1.18) compared to whites (OR=1.03; 95% CI 1.01–1.06). Similar patterns were detected in failure-torescue models. Conclusion Older surgical patients experience poorer post surgical outcomes, including mortality and failure-to-rescue, when cared for by nurses with higher workloads. The impact of nurse staffing inadequacies is more significant in older black patients.

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T1552 Racial Disparities in Complicated Colorectal Cancer

Cited by 2 publications

References 0 publications

The Impact of Socioeconomic Status, Surgical Resection and Type of Hospital on Survival in Patients with Pancreatic Cancer. A Population-Based Study in The Netherlands

The Impact of Socioeconomic Status, Surgical Resection and Type of Hospital on Survival in Patients with Pancreatic Cancer. A Population-Based Study in The Netherlands

Nurse Staffing and Postsurgical Outcomes in Black Adults

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