Perioperative medicine & outcomes
Evidence-based Perioperative Practice Utilization among Various Racial Populations—A Retrospective Cohort Trending Analysis of Lower Extremity Total Joint Arthroplasty Patients
Main finding · Evidence-based perioperative practice utilization, 2006–2021Result — go to the resultOdds ratio 0.94 95% CI 0.93–0.95Authors' conclusion
Black patients (compared to the White patients) exhibited higher odds of composite major complications, mortality, and prolonged length of stay, independent of evidence-based perioperative practice use, suggesting that evidence-based perioperative practice did not impact racial disparities regarding particularly the Black patients in this surgical cohort.
Study context
- Population
- Lower extremity total joint arthroplasty patients, US Premier Healthcare database
- Participants
- 3,356,805 patients
- Exposure
- Black, Asian, other vs White race
- Outcome
- Evidence-based perioperative practice adherence (8 care components; >80% implemented = high evidence-based perioperative practice)
Methodological detailstrending analysis, Premier Healthcare database
- Trending analysis
- Premier Healthcare database
Main finding
As reported in the abstract
Evidence-based perioperative practice utilization, 2006–2021
Odds ratio
0.94
95% CI 0.93–0.95
By group
Black vs White
OR 0.94 (95% CI 0.93–0.95)
Observational data: associations, not effects.
Further findings
| Outcome | Odds (95% CI) |
|---|---|
| Any major complicationBlack vs White · with high evidence-based perioperative practice | 1.61 (1.55–1.67) |
| Any major complicationBlack vs White · without high evidence-based perioperative practice | 1.43 (1.39–1.48) |
| MortalityBlack vs White · with high evidence-based perioperative practice | 1.70 (1.29–2.25) |
| MortalityBlack vs White · without high evidence-based perioperative practice | 1.29 (1.10–1.51) |
| Prolonged LOSBlack vs White · with high evidence-based perioperative practice | 1.45 (1.42–1.48) |
| Prolonged LOSBlack vs White · without high evidence-based perioperative practice | 1.38 (1.37–1.40) |
Original publication
Evidence-based Perioperative Practice Utilization among Various Racial Populations—A Retrospective Cohort Trending Analysis of Lower Extremity Total Joint Arthroplasty Patients. Anesthesiology. Published 31 August 2023. doi:10.
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