Perioperative medicine & outcomes
Enhanced Recovery after Surgery Protocol Compliance and Early Outcomes for Elective Colorectal Procedures by Race/Ethnicity and Socioeconomic Status
Authors' conclusion
Low SES was linked to lower compliance with important process measures, higher infectious and all in-hospital complication rates, and longer LOS. Despite high rates of protocol compliance, Black race/ethnicity showed an association with increased odds of respiratory complications and extended LOS.
Study context
- Population
- Patients undergoing elective colorectal surgery within an ERAS framework, 2018–2021analysed
- Participants
- 1,519 patients
- Exposure
- Low vs high socioeconomic status (SES); racial/ethnic cohorts
- Low SESn = 180
- High SESn = 1,339reference
- Outcome
- Perioperative metrics by SES
Methodological detailssingle-institution
- Single-institution
Main finding
As reported in the abstract
Low SES vs High SESOdds ratio (95% CI)
Infection; multivariate logistic regression
2.46(1.31–4.63)
All in-hospital complications; multivariate logistic regression
1.50(1.06–2.12)
Observational data: associations, not effects.
Further findings
LOS by SES
P < 0.001
Outcomes in Black patients vs other racial/ethnic cohorts
| OR (95% CI) | ||
|---|---|---|
| BlackRespiratory complications | 4.11 (1.56–10.85) | |
| 0.050.21520Odds ratio (log scale) |
- Outcomes in Black patients vs other racial/ethnic cohorts — Black patients: longer median length of stay (LOS) (5 vs 3-4 days)
- P = 0.002
Outcomes in Black patients vs other racial/ethnic cohorts
- Black patients: lower rates of documented preoperative patient education
Original publication
Enhanced Recovery after Surgery Protocol Compliance and Early Outcomes for Elective Colorectal Procedures by Race/Ethnicity and Socioeconomic Status. Ann Surg. Published 9 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →