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Analyzing racial and ethnic disparities among geriatric patients undergoing elective versus emergent colorectal procedures: A National Surgical Quality Improvement Program (NSQIP) analysis
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Analyzing racial and ethnic disparities among geriatric patients undergoing elective versus emergent colorectal procedures: A National Surgical Quality Improvement Program (NSQIP) analysis
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Journal Article
Analyzing racial and ethnic disparities among geriatric patients undergoing elective versus emergent colorectal procedures: A National Surgical Quality Improvement Program (NSQIP) analysis
2026
Overview
Non-elective colorectal surgeries are associated with an increased risk of complications compared to elective procedures, which is accentuated amongst geriatric patients. This study examines racial/ethnic disparities in rates of elective versus non-elective colorectal procedures among geriatric patients.
This retrospective cohort study included data from patients aged ≥65 registered in the National Surgical Quality Improvement Program database. Using multivariate logistic regression, we examined associations between race/ethnicity and elective versus non-elective surgical status.
Among 79,497 patients included, 24,544 (30.9 %) received non-elective colorectal surgery. 81.1 % of patients were White, 8.93 % were Black, 5.3 % were Hispanic, 4.1 % were Asian, and 0.6 % were NAPI. Multivariate analysis revealed higher odds ratios for receiving non-elective surgery amongst Black and Hispanic patients (Black = 1.38, 95 % CI 1.30–1.47, p < 0.01; Hispanic = 1.54, 95 % CI 1.43–1.67, p < 0.01).
Black and Hispanic geriatric patients were more likely to receive non-elective procedures.
•Black/Hispanic patients receive non-elective colon procedures at higher rates than peers.•Perioperative complications are more common amongst racial/ethnic minorities.•Non-elective colon procedures are most common in cases of inflammation and obstruction.
Publisher
Elsevier Inc,Elsevier Limited
Subject
/ Black or African American - statistics & numerical data
/ Disease
/ Elective Surgical Procedures - statistics & numerical data
/ Ethnicity - statistics & numerical data
/ Female
/ Healthcare Disparities - ethnology
/ Healthcare Disparities - statistics & numerical data
/ Hispanic or Latino - statistics & numerical data
/ Humans
/ Male
/ Patients
/ Race
/ Racial Groups - statistics & numerical data
/ Surgeons
/ Surgery
