Department of Surgery, Duke University Medical Center, Durham, NC, USA.
Am J Surg. 2012 Jul;204(1):11-7. doi: 10.1016/j.amjsurg.2011.05.020. Epub 2011 Dec 7.
Although black patients with acute appendicitis have been shown to be less likely than whites to undergo laparoscopic appendectomy, it is unknown whether they suffer increased complications after surgical management of acute appendicitis.
A retrospective analysis of all patients undergoing appendectomy for acute appendicitis from 2005 through 2009, using the National Surgical Quality Improvement Program database, was conducted. Rates of serious and overall morbidity were compared between blacks and whites, with adjustment for preoperative risk factors, the severity of appendicitis, and surgical approach.
Blacks were more likely than whites to suffer serious postoperative complications (4.8% vs 3.3%; adjusted odds ratio vs whites, 1.39; 95% confidence interval, 1.16-1.67; P = .0002) or any complication (8.4% vs 6.0%; adjusted odds ratio vs whites, 1.31; 95% confidence interval, 1.14-1.50; P = .0007).
Racial disparities in postoperative outcomes exist for even a procedure as ubiquitous as appendectomy. More research is needed to determine the underlying reasons for these disparities.
尽管黑人急性阑尾炎患者接受腹腔镜阑尾切除术的可能性低于白人，但尚不清楚他们在接受急性阑尾炎手术治疗后是否会出现更多并发症。
对 2005 年至 2009 年期间使用国家手术质量改进计划数据库进行的所有因急性阑尾炎而行阑尾切除术的患者进行回顾性分析。比较了黑人和白人之间严重和总发病率的差异，并根据术前危险因素、阑尾炎的严重程度和手术方式进行了调整。
黑人患者比白人患者更容易发生严重的术后并发症（4.8% vs. 3.3%；调整后与白人相比的优势比，1.39；95%置信区间，1.16-1.67；P =.0002）或任何并发症（8.4% vs. 6.0%；调整后与白人相比的优势比，1.31；95%置信区间，1.14-1.50；P =.0007）。
即使是像阑尾切除术这样普遍的手术，术后结果也存在种族差异。需要进一步研究确定这些差异的根本原因。
