BACKGROUND: The influence of non-white race on outcomes following @entity130 has been described in the past. The impact of such factors on hospital processes and quality of care after spinal @entity130 is less well understood. STUDY DESIGN: A cohort control study using the Massachusetts Statewide Inpatient Dataset (2003-2010) was used as the study design. PURPOSE: This study aimed to determine whether (1) hospital processes and quality of care associated with the treatment of cervical spine fractures was significantly altered by non-white race and (2) whether findings were different among those treated at academic medical centers (AMCs). SAMPLE: The study comprised 10,841 @entity1 . OUTCOMES: Surgical rate, postoperative morbidity, mortality, and length of stay (LOS) were the outcome measures. METHODS: Baseline differences between cohorts were evaluated using chi-square or Wilcoxon rank sum tests. Logistic and negative binomial regression techniques were used to adjust for confounders, including whether a surgical intervention was performed. Subset analyses were performed to evaluate whether findings were different for individuals treated at AMCs. RESULTS: The rate of surgical intervention was not significantly different between non-whites and whites (odds ratio [OR] 0.92, 95% confidence interval [CI] 0.82-1.04). LOS (regression coefficient [RC] 0.18, 95% CI 0.13-0.23), mortality (OR 1.49, 95% CI 1.20-1.85), and complications (OR 1.17, 95% CI 1.02-1.33) were significantly increased among non-white @entity1 . These findings were largely preserved among those treated at AMCs. CONCLUSIONS: Our results reinforce the fact that efforts at universal access to care may be insufficient to reduce differences in care among minority @entity1 following cervical @entity130 . Future mixed-methods research is necessary to more effectively evaluate the etiologies behind health-care disparities associated with race in different health-care environments. LEVEL OF EVIDENCE: The level of evidence is Level III, prognostic study.

The influence of race and hospital environment on the care of XXXX with cervical spine fractures.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma', 'orthopedic injury']
@entity1 :: (9606,Species) :: ['patients']
