Article
Obstetrics & Gynecology
Allison Lankford, Laura Roland, Christopher Jackson, Jonathan Chow, Ryan Keneally, Amanda Jackson, Rundell Douglas, Jeffrey Berger, Michael Mazzeffi
Summary: This study aimed to explore whether there are racial-ethnic disparities in potentially preventable complications after Cesarean delivery in Maryland. The results showed that Hispanic and Non-Hispanic Black patients had a higher risk of experiencing these complications, indicating the need for further efforts to reduce these complications and obstetric disparities in Maryland.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Public, Environmental & Occupational Health
Ijeoma C. Okwandu, Meredith Anderson, Debbie Postlethwaite, Aida Shirazi, Sandra Torrente
Summary: This study compared cesarean delivery rates and indications by race/ethnicity among nulliparous women with term, singleton, vertex presentation deliveries. It found that all non-White race/ethnicity groups had higher odds of cesarean deliveries compared with White women. Black women had the highest odds of cesarean delivery, followed by Asian, multiple race/other, and Hispanic women.
JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
(2022)
Review
Anesthesiology
Mary E. Morales, R. Jason Yong
Summary: Studies have shown an adverse association between non-White race and treatment of chronic pain, as well as racial differences in monitoring opioid misuse. The influence of a patient's sociodemographic profile on the relationship between chronic pain and quality of life has also been highlighted. It is unclear how best to address these disparities, and further research is needed to understand their causes and identify vulnerable points in patient care.
Article
Obstetrics & Gynecology
Megan S. Orlando, Miguel A. Luna Russo, Elliott G. Richards, Cara R. King, Amy J. Park, Linda D. Bradley, Graham C. Chapman
Summary: This study investigated racial and ethnic disparities in surgical interventions and complications among patients undergoing endometriosis surgery in the United States. The study found that Hispanic, Black or African American, Native Hawaiian or Pacific Islander, and American Indian or Alaska Native patients had higher rates of surgical complications.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Ayisha Buckley, Stephanie Sestito, Tonia Ogundipe, Jacqueline Roig, Henri Mitchell Rosenberg, Natalie Cohen, Kelly Wang, Guillaume Stoffels, Teresa Janevic, Chelsea DeBolt, Camila Cabrera, Elizabeth Cochrane, Jill Berkin, Angela Bianco, Luciana Vieira
Summary: A study found that the inclusion of race and ethnicity in the VBAC calculator resulted in biased predictions. The use of race and ethnicity did not contribute to the accuracy of VBAC prediction and should be omitted to prevent inherent bias and discrimination. Furthermore, significant racial and ethnic differences were observed in overall postpartum complication rates.
REPRODUCTIVE SCIENCES
(2022)
Article
Obstetrics & Gynecology
Ozlem Ozgun Uyaniklar, Pinar Turk, Kiper Aslan, Elif Kulahci Aslan, Okan Ozden, Jale Gurluer, Orhan Orhan, Nazli Aylin Vural, Tugba Kilik, Isil Kasapoglu, Gurkan Uncu
Summary: This multicenter prospective cohort study assessed the effect of enhanced recovery after surgery (ERAS) protocol on postoperative outcomes of cesarean deliveries. The results showed that implementing the ERAS protocol enabled early recovery and faster return of bowel function, but did not significantly affect patient satisfaction and the frequency of postoperative complications.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Medicine, General & Internal
Awais Ahmed, Nicole McHenry, Shivani Gulati, Ishani Shah, Sunil G. Sheth
Summary: This study examined racial/ethnic disparities in opioid prescriptions for abdominal pain patients in ambulatory clinics. The results showed that Hispanic patients had lower odds of receiving opioid prescriptions compared to non-Hispanic White patients and non-Hispanic patients overall. Further research is needed to understand the root causes of this disparity and ensure equitable access to pain management.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Ellen Brazier, Luisa N. Borrell, Mary Huynh, Elizabeth A. Kelly, Denis Nash
Summary: This study aimed to quantify the contextual effects associated with Cesarean delivery at New York City hospitals, finding that the association between hospital characteristics and Cesarean delivery differed by maternal race/ethnicity. The results showed that delivery in teaching hospitals reduced the odds of Cesarean delivery for White and Asian women, but not for Black or Hispanic women. Hospital ownership and caseloads were not associated with Cesarean delivery for any group.
ANNALS OF EPIDEMIOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Katie J. Suda, Taylor L. Boyer, John R. Blosnich, John P. Cashy, Colin C. Hubbard, Lisa K. Sharp
Summary: This study examines the differences in opioid prescribing and high-risk prescribing among different races and ethnicities in a cohort of U.S. veterans. The findings indicate that non-Hispanic White and non-Hispanic American Indian/Alaska Native veterans are more likely to receive opioid prescriptions. When opioids are prescribed, high-risk prescribing is more common in White and American Indian/Alaska Native veterans.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2023)
Article
Oncology
Ana R. Acuna-Villaorduna, Juan Lin, Mimi Kim, Sanjay Goel
Summary: Early-onset colorectal cancer is more common in Non-Hispanic Black and Hispanic populations, with differences in clinical/pathological features and cancer-specific survival compared to Non-Hispanic White populations.
Article
Anesthesiology
Robert Louis, David W. Boorman, Ashley Rogers, Vinita Singh
Summary: This study investigated the utilization rates of physical therapy, epidural steroid injection, surgery, and spinal cord stimulation in hospitalized patients with lumbar radiculopathy across different races, ethnicities, and genders. The findings revealed disparities in the treatment of lumbar radiculopathy among different racial and ethnic groups.
Article
Medicine, General & Internal
Alexander Pomerantz, Heidi G. De Souza, Matthew Hall, Mark I. Neuman, Monika K. Goyal, Margaret E. Samuels-Kalow, Paul L. Aronson, Elizabeth R. Alpern, Harold K. Simon, Jennifer A. Hoffmann, Jordee M. Wells, Kristen H. Shanahan, Colleen K. Gutman, Alon Peltz
Summary: Government and commercial health insurers have implemented policies to reduce or deny claims for nonemergent emergency department (ED) visits using retrospective claims algorithms. There are concerns about the unequal impact on low-income Black and Hispanic pediatric patients who often have limited access to primary care services.
Article
Emergency Medicine
Ezra S. Hornik, Henry C. Thode Jr, Adam J. Singer
Summary: There were no significant sex, ethnic, or racial disparities in administration or prescription of analgesics or opioids in ED adult patients with long-bone fractures between 2016 and 2019.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Health Care Sciences & Services
Lawrence Baker, Brian Phillips, Laura J. Faherty, Jeanne S. Ringel, Ashley M. Kranz
Summary: This study investigated racial and ethnic disparities in COVID-19 vaccine uptake. The findings showed that the uptake rate of the first dose was higher among Hispanic and Asian individuals compared to White and Black individuals, while the uptake rate of the booster dose was higher among Asian and White individuals compared to Black and Hispanic individuals.
Article
Obstetrics & Gynecology
Funda Akpinar, Fatih Kilic, Neslihan Ozturk, Bora Coskun, Mustafa Aksar, Salim Erkaya
Summary: In a country where the national cesarean delivery rate increased steadily, fear of fetal risk and/or fear of litigation was found to be the major factor influencing provider's decisions on method of delivery. This fear not only increases the CDR but also results in loss of training in breech delivery and operative vaginal delivery, forming a vicious cycle.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2021)
