Journal of the American College of Surgeons
Volume 207, Issue 3 , Pages 312-319 , September 2008

Racial Disparity in Surgical Mortality after Major Hepatectomy

Presented at the American College of Surgeons 93rd Annual Clinical Congress, New Orleans, LA, October 2007.

  • Hari Nathan, MD

      Affiliations

    • Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD
  • ,
  • Wayne Frederick, MD, FACS

      Affiliations

    • Department of Surgery, Howard University School of Medicine, Washington, DC
  • ,
  • Michael A. Choti, MD, FACS

      Affiliations

    • Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD
  • ,
  • Richard D. Schulick, MD, FACS

      Affiliations

    • Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD
  • ,
  • Timothy M. Pawlik, MD, MPH, FACS

      Affiliations

    • Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD
    • Corresponding Author InformationCorrespondence address: Timothy M Pawlik, MD, MPH, FACS, The Johns Hopkins Hospital, 600 North Wolfe St, Halsted 614, Baltimore, MD, 21287

Received 9 November 2007 ,Revised 3 April 2008 ,Accepted 8 April 2008.

References 

  1. National Healthcare Disparities Report (Agency for Healthcare Research and Quality (AHRQ), 2005). http://www.ahrq.gov/qual/nhdr05/nhdr05.htmAccessed October 15, 2007
  2. Smedley BD, Stith AY, Nelson AR. Unequal Treatment: Confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press; 2002;
  3. Kirby JB, Taliaferro G, Zuvekas SH. Explaining racial and ethnic disparities in health care. Med Care. 2006;44:164–172
  4. Bridges CR, Edwards FH, Peterson ED, Coombs LP. The effect of race on coronary bypass operative mortality. J Am Coll Cardiol. 2000;36:1870–1876
  5. Trivedi AN, Sequist TD, Ayanian JZ. Impact of hospital volume on racial disparities in cardiovascular procedure mortality. J Am Coll Cardiol. 2006;47:417–424
  6. Godley PA, Schenck AP, Amamoo MA, et al. Racial differences in mortality among Medicare recipients after treatment for localized prostate cancer. J Natl Cancer Inst. 2003;95:1702–1710
  7. Lucas FL, Stukel TA, Morris AM, et al. Race and surgical mortality in the United States. Ann Surg. 2006;243:281–286
  8. Dimick JB, Wainess RM, Cowan JA, et al. National trends in the use and outcomes of hepatic resection. J Am Coll Surg. 2004;199:31–38
  9. El-Serag HB, Davila JA, Petersen NJ, McGlynn KA. The continuing increase in the incidence of hepatocellular carcinoma in the United States: an update. Ann Intern Med. 2003;139:817–823
  10. Khatri VP, Petrelli NJ, Belghiti J. Extending the frontiers of surgical therapy for hepatic colorectal metastases: is there a limit?. J Clin Oncol. 2005;23:8490–8499
  11. Kuvshinoff B, Fong Y. Surgical therapy of liver metastases. Semin Oncol. 2007;34:177–185
  12. Pawlik TM, Choti MA. Surgical therapy for colorectal metastases to the liver. J Gastrointest Surg. 2007;11:1057–1077
  13. HCUP Databases (Healthcare Cost and Utilization Project (HCUP), 2007). http:/www.hcup-us.ahrq.gov/nisoverview.jspAccessed October 15, 2007
  14. Neighbors CJ, Rogers ML, Shenassa ED, et al. Ethnic/racial disparities in hospital procedure volume for lung resection for lung cancer. Med Care. 2007;45:655–663
  15. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613–619
  16. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–383
  17. Ghali WA, Hall RE, Rosen AK, et al. Searching for an improved clinical comorbidity index for use with ICD-9-CM administrative data. J Clin Epidemiol. 1996;49:273–278
  18. Martins M, Blais R. Evaluation of comorbidity indices for inpatient mortality prediction models. J Clin Epidemiol. 2006;59:665–669
  19. Romano PS, Roos LL, Jollis JG. Adapting a clinical comorbidity index for use with ICD-9-CM administrative data: differing perspectives. J Clin Epidemiol. 1993;46:1075–1079discussion 1081–1090
  20. HCUP NIS description of data elements (Healthcare Cost and Utilization Project (HCUP), 2007). http://www.hcup-us.ahrq.gov/db/nation/nis/nisdde.jspAccessed October 15, 2007
  21. Hosmer DW, Lemeshow S. Applied logistic regression. 2nd ed.. New York: Wiley; 2000;
  22. Akaike H. A new look at the statistical model identification. IEEE Trans Automat Contr. 1974;19:716–723
  23. Final report on calculating Nationwide Inpatient Sample (NIS) variances (Healthcare Cost and Utilization Project, 2005). http://www.hcup-us.ahrq.gov/reports/CalculatingNISVariances200106092005.pdfAccessed October 15, 2007
  24. Nathan H, Pawlik TM. Limitations of claims and registry data in surgical oncology research. Ann Surg Oncol. 2008;15:415–423
  25. Birkmeyer JD, Siewers AE, Finlayson EV, et al. Hospital volume and surgical mortality in the United States. N Engl J Med. 2002;346:1128–1137
  26. Birkmeyer JD, Stukel TA, Siewers AE, et al. Surgeon volume and operative mortality in the United States. N Engl J Med. 2003;349:2117–2127
  27. Choti MA, Bowman HM, Pitt HA, et al. Should hepatic resections be performed at high-volume referral centers?. J Gastrointest Surg. 1998;2:11–20
  28. Dimick JB, Cowan JA, Knol JA, Upchurch GR. Hepatic resection in the United States: indications, outcomes, and hospital procedural volumes from a nationally representative database. Arch Surg. 2003;138:185–191
  29. Dimick JB, Pronovost PJ, Cowan JA, Lipsett PA. Postoperative complication rates after hepatic resection in Maryland hospitals. Arch Surg. 2003;138:41–46
  30. Klabunde CN, Warren JL, Legler JM. Assessing comorbidity using claims data: an overview. Med Care. 2002;40:26–35

 Disclosure Information: Nothing to disclose.

 Drs Nathan and Pawlik are supported by grant number 1KL2RR025006–01 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official view of NCRR or NIH.

PII: S1072-7515(08)00390-6

doi: 10.1016/j.jamcollsurg.2008.04.015

Journal of the American College of Surgeons
Volume 207, Issue 3 , Pages 312-319 , September 2008