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:1/17/2017)... ... ... Today, FloSports , a global leader in live digital sports and ... a long-term extension of their media partnership. The partnership, which began in 2013, will ... premier events exclusively on FloWrestling.com as well as usage of the FloArena meet management ...
(Date:1/16/2017)... Costa Mesa, California (PRWEB) , ... January 16, 2017 , ... ... Since 2014, Dr. Beazley has served on CalSouthern’s Board of Trustees and as a ... Sciences. In addition, he has been a professor of psychology at Pepperdine University, where ...
(Date:1/16/2017)... ... January 16, 2017 , ... Anybody who may be looking for ... new video released by Serenity Recovery, a holistic treatment center for addiction located in ... features footage and testimonials from patients and staff that visited the 2016 Recovery Palooza ...
(Date:1/16/2017)... ... January 16, 2017 , ... ... the newly updated International Audit Protocol Consortium (IAPC) EHS audit protocol for ... understand the scope of their EHS regulatory obligations and rapidly collect, share, archive, ...
(Date:1/16/2017)... ... January 16, 2017 , ... Board-certified oculoplastic ... Journal , the official journal of The American Society for Aesthetic Plastic Surgery, ... The procedure is designed to correct drooping, retracted lower eyelids, which usually result ...
Breaking Medicine News(10 mins):
(Date:1/16/2017)... synthetic Fentanyl arrived on the streets in 2015, dealers were ... samples, inviting would-be customers to test a newly-created batch. They ... The rapidly-growing demand for the powerful ... has racked up a staggering death toll across ... fentanyl sales reveals that they have sold nearly 400 grams ...
(Date:1/16/2017)... and PUNE, India , January ... by Allied Market Research, titled, "Vital Signs Monitoring Devices Market ... Forecast, 2014-2022", projects that the global vital signs monitoring devices ... expected to reach $5,491 million by 2022, growing at a ... America was the leading regional market in global ...
(Date:1/16/2017)... 2017 The report "Cellulose ... (Methyl, Ethyl, Hydroxyethyl, Hydroxypropyl, Carboxymethyl Cellulose), Application ... Coatings & Paints), Region - Global Forecast ... was valued at USD 4.51 Billion in ... 6.41 Billion by 2021, at a CAGR ...
Breaking Medicine Technology: