Navigation Links
Teaching Hospitals' Post-Op Gains Not Extended to Blacks
Date:2/16/2009

Whites seem to benefit more from improved expertise after surgery, but reasons unclear, study finds

MONDAY, Feb. 16 (HealthDay News) -- White patients are less likely to die of post-surgery complications at teaching hospitals than at non-teaching hospitals, but that benefit doesn't apply to black patients, a U.S. study. finds.

A team at the Center for Outcomes Research at The Children's Hospital of Philadelphia and the University of Pennsylvania analyzed data on more than four million Medicare patients, ages 65 to 90, who had general, orthopedic or vascular surgery at 3,270 U.S. hospitals between 2000 and 2005.

Among all hospitals and all surgical procedures combined, the overall death rate in the 30 days after surgery was just over 4.2 percent, the complication rate was about 43.4 percent, and the death rate after complications was 9.75 percent.

"Combining all surgeries, compared with non-teaching hospitals, patients at very major teaching hospitals demonstrated a 15 percent lower odds of death, no difference in complications and a 15 percent lower odds of death after complications," the researchers wrote.

However, black patients had similar odds of death, complication and death after complications at teaching and non-teaching hospitals. This was true even when the researchers compared white and black patients inside the same hospital.

There may be a number of reasons for this disparity, the researchers said. For example, a previous study found that it took longer for black patients to receive heart defibrillation, which suggests potential differences in patient monitoring.

"Unintentional differences in communication might lead to less appropriate or less accurate monitoring of black patients or less involvement in their care by personnel who could make a difference in reducing" rates of death after complications.

There may also be varying levels of involvement by physicians-in-training in the care of patients in different racial groups, the researchers suggested.

The study was published in the February issue of the journal Archives of Surgery.

More information

The U.S. Agency for Healthcare Research and Quality has more about surgery.



-- Robert Preidt



SOURCE: JAMA/Archives journals, news release, Feb. 16, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Tips for Parents: Teaching Children to Resolve Conflicts
2. Vatican Affirms Church Teaching on Nutrition and Hydration for Individuals In Vegetative State
3. 10th Anniversary of Revolutionary Teaching Approach that Offers the Severely Disabled the Gift of Self-Expression - Through Painting
4. Risk of surgery for lung cancer lower at teaching hospitals
5. St. John Health Hospitals Honored as Nations Top 15 Major Teaching Hospitals
6. Johns Hopkins Medical School Sets Research and Teaching Collaboration with University of Patras in Greece
7. Fighting Childhood Obesity with Tools and Teaching
8. Game-Based Technology to Meet Demand for Improved Medical Teaching and Training
9. 80 Million Americans Can Benefit from New Diabetes Resource : Free Educational Website Created by UCSF Diabetes Teaching Center Goes Live
10. Internet-based instruction effective for teaching health-care professionals
11. Mayo Clinic, McMaster University Research Review Shows Internet-based Instruction Effective for Teaching Health Care Professionals
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Teaching Hospitals' Post-Op Gains Not Extended to Blacks
(Date:5/2/2016)... ... May 02, 2016 , ... Over $60 Billion is spent annually on products ... toys, leading product review site for Toys, Tots, Pets & More (TTPM) announced the ... Spring Showcase at the Metropolitan Pavilion in New York City. , Chosen from a ...
(Date:5/2/2016)... NY (PRWEB) , ... May 02, 2016 , ... This ... reopened for its 2016 guest season which runs through October. Omega is offering a ... . , “There has never been such widespread interest in or need ...
(Date:5/2/2016)... County, CA (PRWEB) , ... May 02, 2016 , ... ... now linking dental health and cognitive decline. According to the research, which was published ... have some degree of cognitive decline, and about 5.4 million Americans have Alzheimer’s disease. ...
(Date:5/2/2016)... (PRWEB) , ... May 02, ... ... researchers report that many commonly used prescription medications, including anxiolytics, painkillers, antidepressants ... mitigate these risks, Novus Medical Detox Center —a leading Florida-based drug ...
(Date:5/2/2016)... Brentwood, TN (PRWEB) , ... May 02, 2016 ... ... American Addiction Centers (AAC) event, will be held at the Bellagio Hotel in ... National Association of Social Work (NASW) will be co-hosting the event. , This ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... TOKYO , April 28, 2016 /PRNewswire/ ... Ahuja , George Phillips und ... wachsenden Unternehmens    ArisGlobal®, ein ... Life Sciences, gab heute bekannt, dass neue ... wachsenden Unternehmens gestoßen sind, die vielfältige Erfahrungen ...
(Date:4/28/2016)... JERUSALEM , April 28, 2016 ... ), a clinical-stage pharmaceutical company focused on the development of ... participate in the upcoming PIONEERS 2016 conference, presented by ... 5, 2016 in New York . ... overview at the conference. Presentation Details:   ...
(Date:4/27/2016)... April 27, 2016  Hologic, Inc. (Nasdaq: ... results for the fiscal second quarter ended March ... of $0.24 increased 41.2%, and non-GAAP diluted EPS ... increased 5.8% on a reported basis, and 6.3% ... "We posted another good quarter, highlighted by 14.6% ...
Breaking Medicine Technology: