Racial Disparities In Surgical Outcomes Of Abdominal Contouring Procedures: A Retrospective Analysis Of 8,643 Patients From The ACS-NSQIP
Hani Y. Nasr, MD, Daniel J. Ceradini, MD, Pierre B. Saadeh, MD.
NYU Langone Department of Plastic Surgery, New York, NY, USA.
PURPOSE: The obesity pandemic has led to an influx of patients requiring abdominal contouring procedures due to massive weight loss. Previous studies have demonstrated high wound complication rates, however, there is a paucity of data with regards to racial disparities in postoperative outcomes. The purpose of this study is to evaluate the relationship between race and postoperative outcomes in patients undergoing abdominal contouring procedures.
METHODS: The American College of Surgeons National Quality Improvements (NSQIP) database was queried between the years of 2015 and 2019. All patients who underwent either panniculectomy (CPT 15830) or abdominoplasty (CPT 15847) were included. Postoperative outcomes amongst racial groups were compared. Univariate analysis was performed followed by multivariate logistic regression to control for all possible confounders.
RESULTS: Review of the Database identified 8,643 patients who underwent either abdominoplasty or panniculectomy between the years 2015 and 2019. Multivariate logistic regression adjusted for confounders revealed Black/African American and Hispanic White patients had decreased odds of superficial surgical site infections (SSSI) when compared to non-Hispanic White patients (OR=0.518, p<0.001 ; OR=0.615, p=0.045). Black/African American patients were also found to have decreased odds of post-operative pneumonia and unplanned readmission when compared to non-Hispanic White patients (OR=0.109, p=0.03 ; OR=0.607, p=0.001).
CONCLUSION: Despite lower average BMI and rates of HTN, well-documented risk factors for poor surgical outcomes, non-Hispanic White patients had increased odds of SSSI, pneumonia, and unplanned readmission. These findings warrant further investigation to identify other potential risk factors to improve the risk stratification and safety profile of these procedures.
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