Liu Steven, Bramian Allen, Loyst Rachel A, Ling Kenny, Leonardo Christian, Komatsu David, Wang Edward D
Department of Orthopedic Surgery, Stony Brook University, Stony Brook, USA.
Department of Orthopedic Surgery, Stony Brook Hospital, Stony Brook, USA.
Cureus. 2024 Jul 29;16(7):e65673. doi: 10.7759/cureus.65673. eCollection 2024 Jul.
Background Racial disparities are prevalent within the field of orthopedics and include the utilization of varying resources as well as outcomes following surgery. This study investigates racial differences between Black and White patients in the surgical treatment of rotator cuff repair (RCR) and 30-day postoperative complications following RCR. Materials and methods Data were drawn from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database to create a study population consisting of Black and White patients who underwent RCR between 2015 and 2019. A bivariate analysis was conducted to compare patient demographics and comorbidities. Multivariate logistic regression, controlling for all significantly linked patient demographics and comorbidities, was performed to examine the relationships between Black race and complications. Results Our analysis included 32,073 patients, of whom 3,318 (10.3%) were Black and 28,755 (89.7%) were White. The female gender, younger age groups, greater BMI groups, ASA classification ≥3, cigarette use, and comorbid congestive heart failure (CHF), diabetes, and hypertension were all significantly associated with patients who identified as Black. We found no significant differences in 30-day postoperative complications between Black and White patients. Furthermore, Black patients were found to be independently associated with a greater likelihood of undergoing arthroscopic RCR versus open RCR, as well as experiencing a longer total operation time of ≥80 minutes. Conclusions We report no differences in 30-day postoperative complications between Black and White patients undergoing RCR between 2015 and 2019. However, Black race was independently associated with higher rates of arthroscopic RCR and longer operative times.
种族差异在骨科领域普遍存在，包括不同资源的利用以及手术后的结果。本研究调查了黑人和白人患者在肩袖修复术（RCR）手术治疗及RCR术后30天并发症方面的种族差异。
数据取自美国外科医师学会国家外科质量改进计划（ACS-NSQIP）数据库，以创建一个由2015年至2019年间接受RCR的黑人和白人患者组成的研究人群。进行双变量分析以比较患者人口统计学和合并症。进行多变量逻辑回归，控制所有显著相关的患者人口统计学和合并症，以检查黑人种族与并发症之间的关系。
我们的分析包括32073名患者，其中3318名（10.3%）为黑人，28755名（89.7%）为白人。女性、较年轻年龄组、较高BMI组、ASA分级≥3、吸烟以及合并充血性心力衰竭（CHF）、糖尿病和高血压均与黑人患者显著相关。我们发现黑人和白人患者术后30天并发症无显著差异。此外，发现黑人患者独立于接受关节镜下RCR而非开放RCR的可能性更大，以及总手术时间≥80分钟的可能性更大。
我们报告2015年至2019年间接受RCR的黑人和白人患者术后30天并发症无差异。然而，黑人种族与关节镜下RCR的较高发生率和较长手术时间独立相关。
