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Obesity Surgery
Published in: Obesity Surgery 8/2020

01-08-2020 | Bariatric Surgery | Original Contributions

Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry

Authors: Leonard K. Welsh, Andrew R. Luhrs, Gerardo Davalos, Ramon Diaz, Andres Narvaez, Juan Esteban Perez, Reginald Lerebours, Maragatha Kuchibhatla, Dana D. Portenier, Alfredo D. Guerron

Published in: Obesity Surgery | Issue 8/2020

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Abstract

Background

Racial disparities in postoperative complications have been demonstrated in bariatric surgery, yet the relationship of race to complication severity is unknown.

Study Design

Adult laparoscopic primary bariatric procedures were queried from the 2015 and 2016 MBSAQIP registry. Adjusted logistic and multinomial regressions were used to examine the relationships between race and 30-day complications categorized by the Clavien-Dindo grading system.

Results

A total of 212,970 patients were included in the regression analyses. For Black patients, readmissions were higher (OR = 1.39, p < 0.0001) and the odds of a Grade 1, 3, 4, or 5 complication were increased compared with White patients (OR = 1.21, p < 0.0001; OR = 1.21, p < 0.0001; OR = 1.22, p = 0.01; and OR = 1.43, p = 0.04) respectively. The odds of a Grade 3 complication for Hispanic patients were higher compared with White patients (OR = 1.59, p < 0.0001).

Conclusion

Black patients have higher odds of readmission and multiple grades of complications (including death) compared with White patients. Hispanic patients have higher odds of a Grade 3 complication compared with White patients. No significant differences were found with other races. Specific causes of these disparities are beyond the limitations of the dataset and stand as a topic for future inquiry.
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Metadata
Title
Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry
Authors
Leonard K. Welsh
Andrew R. Luhrs
Gerardo Davalos
Ramon Diaz
Andres Narvaez
Juan Esteban Perez
Reginald Lerebours
Maragatha Kuchibhatla
Dana D. Portenier
Alfredo D. Guerron
Publication date
01-08-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 8/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04657-3

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