2023 ISAKOS Biennial Congress ePoster
Utilization and Perioperative Outcomes in Arthroscopic Rotator Cuff Repair: An Analysis of Racial Disparities
Jacob Linker, BA, Dalton, PA UNITED STATES
Christopher T Eberlin, BS, Boston, MA UNITED STATES
Sara Naessig, BS, New York, Ny UNITED STATES
Samuel S Rudisill, BS, Chicago, IL UNITED STATES
Michael Peter Kucharik, BS, Boston, Massachusetts UNITED STATES
Wendy Madeline Meek, BBA, Boston, Massachusetts UNITED STATES
Nathan J Cherian, MD, Somerville, Massachusetts UNITED STATES
Kieran Sinclair Dowley, BA, Boston, Massachusetts UNITED STATES
Matthew J Best, MD, Baltimore, MD UNITED STATES
Scott D Martin, MD, Boston, MA UNITED STATES
Department of Orthopaedic Surgery, Massachusetts General Hospital / Harvard Medical School, Boston, MA, UNITED STATES
FDA Status Not Applicable
Summary
Racial disparities among patients undergoing arthroscopic rotator cuff repair are evident, indicating the need for further research to fully understand and address root causes of inequality and optimize care for all.
ePosters will be available shortly before Congress
Abstract
Introduction
Despite the increase in arthroscopic rotator cuff repair procedures, there
continues to be a paucity of literature addressing the impact of racial disparities on
utilization and perioperative outcomes.
Methods
The American College of Surgeons National Surgical Quality Improvement
Program (ACS-NSQIP) database was utilized to evaluate patients undergoing
arthroscopic rotator cuff repair procedures from 2010 – 2019 using the current
procedural terminology code 29827. Baseline demographics, utilization trends, and
perioperative outcomes including adverse events, length of hospital stay, days from
operation to discharge, operative time, and readmission were analyzed by race.
Results
Of the 42,443 patients included in this study, there were 38,090 (89.7%)
White and 4,353 (10.3%) Black or African American patients. Black or African
American patients had a significantly higher percentage of diabetes mellitus (23.6% vs.
15.6%), smoking within the past year (16.9% vs. 14.8%), CHF (0.3% vs. 0.1%), and
hypertension requiring medication (59.2% vs. 45.9%). Additionally, Black or African
American patients had significantly longer mean operative times [mean difference
(MD) 6.3 minutes] and time from operation to discharge [MD 0.05 days]. Moreover,
Black or African American patients had increased odds of longer operative times
[adjusted rate ratio (ARR) 1.07] and time from operation to discharge [ARR 1.19].
However, disparities in relative utilization decreased as the proportion of Black or
African American patients significantly increased (7.4% vs. 10.4%) compared to White
patients from 2010 to 2019.
Discussion And Conclusion
Racial disparities among patients undergoing
arthroscopic rotator cuff repair are evident, indicating the need for further research to
fully understand and address root causes of inequality and optimize care for all.
ACKNOWLEDGEMENTS: Conine Family Foundation for Joint Preservation; Yanzhi Wang, PhD from the University of Illinois College of Medicine Research Services for her assistance with statistical analyses.