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:8/19/2017)... ... August 19, 2017 , ... Praeclarus ... breastfeeding mothers. These illustrations show the diversity of the breastfeeding mothers, using ... wide range of sizes. These illustrations are also available on tote bags, notepads, ...
(Date:8/18/2017)... ... August 19, 2017 , ... ... Thailand presided over the Amazing Thailand Health and Wellness Tourism Showcase 2017 yesterday, ... Noppadon Pakprot, Deputy Governor for Tourism Products and Business at TAT said, “Thailand ...
(Date:8/18/2017)... York, NY (PRWEB) , ... August 18, 2017 ... ... launch of this summer’s edition of “Vision & Hearing,” advocating for active, healthy ... campaign focuses on resources available for individuals with hearing impairments and shares the ...
(Date:8/18/2017)... ... August 18, 2017 , ... ... and asset protection assistance to communities in North-Central West Virginia, is embarking on ... to at-risk boys in the area. , The Chestnut Mountain Ranch (CMR) is ...
(Date:8/18/2017)... ... ... The Golseth Agency, a Texas based insurance management and financial planning assistance ... campaign organized to provide support to Christina Upchurch and her two children after the ... children returned from out of town to find her husband passed away and their ...
Breaking Medicine News(10 mins):
(Date:8/10/2017)... Colo. , Aug. 10, 2017  Physical Rehabilitation Network ... located in Lakewood, Colorado . The reputable ... Jeff Lipkin , PT, DPT with his staff of four ... University of Pittsburgh and brings over 10 years of experience ... Belmar PT marks the 10th PRN clinic in ...
(Date:8/7/2017)... Md. , Aug. 7, 2017 ... healthcare member acquisition, retention, and engagement, announced the ... of Strategy and Product Development, effective as of ... consulting and technology implementation strategy for our clients. ... of experience in consulting and business analytics within ...
(Date:8/7/2017)... Inc. (NYSE: DPLO), the nation,s largest independent specialty pharmacy, announced ... comparisons, unless otherwise noted, are to the quarter ended June ... Quarter 2017 Highlights include: Revenue of ... Total prescriptions dispensed of 220,000, compared to ... Gross profit per prescription dispensed of ...
Breaking Medicine Technology: