Navigation Links
African-Americans less likely to choose epidurals for postoperative pain relief
Date:1/31/2008

PHILADELPHIA Minority and low-income patients are less likely than those who are white or more well off to agree to post-surgery epidural pain relief, according to new research from physicians at the University of Pennsylvania School of Medicine. The study, published recently in the journal Anesthesia and Analgesia, examined how race, economic and educational status may influence health care choices when access to care isnt a factor. In the overall analysis, education and income were not as important as race in determining epidural acceptance, but the researchers say the costs of improper pain treatment after surgery are large for any patient group.

Epidurals are more effective for relieving postoperative pain, and higher levels of pain have been linked to the development of chronic pain, says E. Andrew Ochroch, MD, an associate professor and director of clinical research in the Department of Anesthesiology and Critical Care. Consequently, if African Americans are either denied or denying themselves epidural for pain relief, then they may be at greater risk for postoperative complications.

Patients who receive perioperative epidural analgesia during major upper abdominal or chest surgery, for instance, have improved lung function, which reduces their risk of pneumonia. And since theyre able to get out of bed to move around sooner, theyre primed to go home sooner than those who have severe pain. Research also shows that patients who have high levels of perioperative pain are more apt to suffer from chronic pain later on.

Using a short, scripted interview developed by a panel of anesthesiologists, neurologists and chronic pain specialists, prospective surgery patients were screened to assess what they already knew about epidurals and what experiences, if any, theyd had with the technique before.

Physicians collected data from 1,193 patients between late August 2004 and early January 2005. Sixty four percent of all patients said they would accept an epidural if it was recommended by an anesthesiologist, while 36 percent said they would refuse. When asked if an additional recommendation from the surgeon would make them consent, acceptance rose to 78 percent. But when examining differences based on race, African American patients were less likely to say they would accept an epidural under any circumstances.

Socio-economic status also appeared to influence consent. Participants who worked full- or part-time were more likely to accept an epidural compared to those who were unemployed. Even at higher income levels -- $50,000 to $75,000 -- white patients were more likely than black patients to accept an epidural.

The researchers hope to use this new data to help surgeons and other staff members find innovative ways to discuss perioperative anesthesia as a critical part of a patients care, and build anesthesia awareness components into Penns existing community and church-based health outreach initiatives.


'/>"/>

Contact: Holly Auer
holly.auer@uphs.upenn.edu
215-349-5659
University of Pennsylvania School of Medicine
Source:Eurekalert

Related medicine news :

1. Childhood sleep-disordered breathing disproportionately affects obese and African-Americans
2. Education program leads to lasting improvement of cancer knowledge in African-Americans
3. Sutter Admits: Closing St. Lukes Likely to Reduce Charity Care
4. More religious women less likely to get an abortion
5. Breakdown of kidneys ability to clean its own filters likely causes disease
6. Next Generation of Parents More Likely to Back Genetic Testing
7. Drugs to bulk up muscles may make injuries more likely
8. TABS Group Releases Intriguing Voting Trends Based on Vitamin and Supplement Usage: Republicans More Likely to Use Supplements
9. People with anorexia less likely to be blamed when biology, genetics explained
10. American women are more likely to choose overly aggressive treatments for breast cancer
11. Insights into cell movement likely to aid immune study, cancer research
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... Brooklyn, NY (PRWEB) , ... June 27, 2016 ... ... is using cutting edge technology to revolutionize the emergency ambulance transport experience for ... Many are aware of how Uber has disrupted the taxi industry through the ...
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet ... product that was developed to enhance the health of felines. The formula is all-natural ... two main herbs in the PawPaws Cat Kidney Support Supplement Soft Chews ...
(Date:6/25/2016)... ... , ... The temporary closing of Bruton Memorial Library on June 21 due to a possible ... often overlooked aspect of head lice: the parasite’s ability to live away from a human ... but a necessary one in the event that lice have simply gotten out of control. ...
(Date:6/25/2016)... , ... June 25, 2016 , ... On Friday, June ... a Bronze Wellness at Work award to iHire in recognition of their exemplary accomplishments ... of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI Marriott ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Marcy was in a crisis. Her son James, ... out at his family verbally and physically. , “When something upset him, he couldn’t control ... use it. He would throw rocks at my other children and say he was going ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Tenn. , June 24, 2016  Arkis ... providing less invasive and more durable cerebrospinal fluid ... in funding.  The Series-A funding is led by ... Lighthouse Fund, and other private investors.  Arkis, new ... neurosurgical instrumentation and the market release of its ...
(Date:6/23/2016)... , June 23, 2016 ... "Pharmaceutical Excipients Market by Type (Organic Chemical (Sugar, ... Formulation (Oral, Topical, Coating, Parenteral) - Global Forecast to ... The global pharmaceutical excipients market ... at a CAGR of 6.1% in the forecast period ...
(Date:6/23/2016)... , June 23, 2016 ... CAPR ), a biotechnology company focused on the ... announced that patient enrollment in its ongoing randomized ... has exceeded 50% of its 24-patient target. Capricor ... the third quarter of 2016, and to report ...
Breaking Medicine Technology: