PD10-10 AFRICAN AMERICAN RACE IS NOT ASSOCIATED WITH POST-OPERATIVE COMPLICATIONS FOLLOWING UROLOGIC ONCOLOGY PROCEDURES IN THE AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (2016)

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety III1 Apr 2016PD10-10 AFRICAN AMERICAN RACE IS NOT ASSOCIATED WITH POST-OPERATIVE COMPLICATIONS FOLLOWING UROLOGIC ONCOLOGY PROCEDURES IN THE AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM Daniel Parker, Elizabeth Handorf, Marc Smaldone, Robert G. Uzzo, and Adam Reese Daniel ParkerDaniel Parker More articles by this author , Elizabeth HandorfElizabeth Handorf More articles by this author , Marc SmaldoneMarc Smaldone More articles by this author , Robert G. UzzoRobert G. Uzzo More articles by this author , and Adam ReeseAdam Reese More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2918AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Population-based databases have previously been utilized to demonstrate disparities in complication rates between African American (AA) and Caucasian (CA) patients for a variety of surgical procedures. Our objective was to test the hypothesis that AA experience higher rates of 30 day post-operative complications following complex urologic oncology procedures captured by the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). METHODS All patients in ACS-NSQIP who underwent radical cystectomy, radical/partial nephrectomy, and radical prostatectomy between 2005-2013 were included. Complications were grouped according to Clavien-Dindo classification as minor (I-II), major (III-IV), or death (V), and were compared by race using the Cochrane-Armitage test for trend. Comorbidity burden (diabetes, COPD, ascites, CHF, hypertension, renal failure) was compared by race. Adjusting for comorbidity burden, smoking, functional status, and BMI, multivariable ordinal logistic regressions were performed to test the association between race and risk of complication. RESULTS 45,548 patients were included for analysis. Table 1 compares the number of graded complications encountered by race for each procedure type. AA experienced significantly more complications for cystectomy (p=0.03) and prostatectomy (p=0.03), but not nephrectomy (p=0.58). Compared to CA, a greater comorbidity burden was present in AA patients undergoing nephrectomy (p<0.01) and prostatectomy (p<0.01), but not cystectomy (p=0.13). After adjustment, no significant association was observed between AA race and risk of complication for cystectomy (p=0.08), nephrectomy (p=0.96), or prostatectomy (p=0.50) (Table 2). CONCLUSIONS After adjustment for a higher burden of co-morbidities, AA in the ACS-NSQIP database do not appear to be at a greater risk of post-operative complications following radical cystectomy, prostatectomy, or radical/partial nephrectomy. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e242-e243 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Daniel Parker More articles by this author Elizabeth Handorf More articles by this author Marc Smaldone More articles by this author Robert G. Uzzo More articles by this author Adam Reese More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...