Racial disparities exist in outcomes of spinal surgery

June 18, 2013
Racial disparities exist in outcomes of spinal surgery
The rate of complications, length of stay, and costs associated with surgery for lumbar spinal stenosis differ for African-American patients compared with white patients, according to research published in the May 15 issue of Spine.

(HealthDay)—The rate of complications, length of stay, and costs associated with surgery for lumbar spinal stenosis differ for African-American patients compared with white patients, according to research published in the May 15 issue of Spine.

Shivanand P. Lad, M.D., Ph.D., of Duke University in Durham, N.C., and colleagues conducted a retrospective, cross-sectional study to evaluate racial disparities in outcomes of lumbar stenosis surgery. Medicaid data were examined for African-American and non-Hispanic white patients who underwent laminectomy or fusion for lumbar stenosis. The effect of race on rate of reoperations, complications, and costs associated with surgery was examined.

The researchers found comparable rates of reoperation in African-American and white patients within two years after an operation for lumbar stenosis (7.14 and 7.89 percent, respectively). After adjusting for length of hospital stay, comorbidities, sex, and age, the risk of postoperative complications was higher in African-American patients compared with white patients immediately after surgery (adjusted odds ratio [aOR], 1.819), at 30 days (aOR, 1.746), and at 90 days (aOR, 1.611). Other significant differences included longer length of stay (five versus three days), higher hospital-related costs ($24,267 versus $16,148) and, at two years, fewer overall prescriptions (91 versus 138) and lower ($5,297 versus $8,450), in African-American patients compared with white patients.

"At the national level, there are several in the rate of complications, length of stay, and costs after surgery for ," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

More complications for inpatient lumbar discectomy

February 4, 2013

(HealthDay)—Patients undergoing inpatient lumbar discectomy have significantly higher overall complication rates than those treated as outpatients, according to a study published in the Feb. 1 issue of Spine.

Fusion rate up for lumbar spinal stenosis, 2004 to 2009

June 13, 2013

(HealthDay)—For patients hospitalized for lumbar spinal stenosis (LSS), the rate of fusions significantly increased and the rate of decompressions significantly decreased from 2004 to 2009 in the United States, according ...

Recommended for you

A recipe for long-lasting livers

April 22, 2015

People waiting for organ transplants may soon have higher hopes of getting the help that they need in time. Researchers at the RIKEN Center for Developmental Biology have developed a new technique that extends the time that ...

Surgeon to offer ideas on a way to do human head transplants

February 26, 2015

Sergio Canavero of the Turin Advanced Neuromodulation Group has made it known that he intends to announce at this summer's American Academy of Neurological and Orthopedic Surgeons meeting, that he believes he has put together ...

New tool helps guide brain cancer surgery

July 3, 2014

A tool to help brain surgeons test and more precisely remove cancerous tissue was successfully used during surgery, according to a Purdue University and Brigham and Women's Hospital study.

New imaging technique sharpens surgeons' vision

February 11, 2014

Which superhuman power would you choose for help on the job? For Dr. Julie Margenthaler, it's a technology that brings to mind X-ray vision, used for the first time Monday during an operation to remove a patient's lymph node.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.