Racial Disparities in 30 Day Outcomes Following Total Laryngectomy.

Ear, nose, & throat journal Pub Date : 2024-11-11 DOI:10.1177/01455613241298094

Tatiana Ferraro, Abdulla K Ahmed, Weston L Niermeyer, Esther Lee, Punam Thakkar, Arjun S Joshi, Robert T Sataloff

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Abstract

Background: Despite the growing literature on racial disparities in the utilization of total laryngectomy (TL), and survival following the treatment of laryngeal cancers, there is a paucity of research in TL cohorts evaluating disparities in the immediate postoperative setting.

Methods: In a national multi-institutional cohort, TL cases between 2010 and 2021 were identified using relevant Current Procedural Terminology (CPT) codes. Logistic regression analyses investigated the association between race/ethnicity and adverse outcomes within 30 days postoperatively.

Results: This study consisted of 1493 patients who underwent TL with or without radical neck dissection. Black patients underwent free flap and pedicled flap reconstruction more frequently than their counterparts (P = .023) and exhibited a 1.532 times higher odds of surgical complications (P < .001).

Conclusions: There are increased rates of surgical complications in Black patients undergoing TL. Given the limited oncologic and socioeconomic variables available through National Surgical Quality Improvement Program, future study of disparate postoperative outcomes in this population is recommended.

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全喉切除术后 30 天疗效的种族差异。

背景：尽管有关全喉切除术（TL）使用率和喉癌治疗后存活率的种族差异的文献越来越多，但有关全喉切除术队列中评估术后即时环境差异的研究却很少：在一个全国性多机构队列中，使用相关的《现行手术术语》（CPT）代码确定了 2010 年至 2021 年间的喉癌病例。逻辑回归分析调查了种族/民族与术后 30 天内不良后果之间的关联：这项研究包括1493名接受TL手术并进行或不进行颈部根治性切除术的患者。黑人患者接受游离皮瓣和带蒂皮瓣重建的频率高于黑人患者（P = .023），出现手术并发症的几率是黑人患者的 1.532 倍（P 结论：黑人患者的手术并发症发生率较高：接受TL手术的黑人患者的手术并发症发生率更高。鉴于国家手术质量改进计划提供的肿瘤学和社会经济变量有限，建议今后对这一人群的不同术后结果进行研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Ear, nose, & throat journal

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