Author(s)
Karandeep Singh Randhawa BS
Avneet Randhawa BS
Prayag Patel MD
Christina H. Fang MD
Jean Anderson Eloy MD FACS
Affiliation(s)
Rutgers New Jersey Medical School;
Abstract:
Educational Objective: At the conclusion of this presentation, the participants should be able to discuss the importance of race and its association with complications following resection of salivary gland neoplasms.
Objectives: To analyze the association between race and adverse outcomes in patients undergoing salivary gland tumor resection.
Study Design: Retrospective database review.
Methods: The 2003-2014 National Inpatient Sample was used to identify cases with a primary diagnosis code of benign and malignant salivary gland neoplasms and a primary procedure code for sialoadenectomy. Values greater than the 90th percentile of the sample defined high total charges and prolonged length of stay (LOS). Chi square analysis, ANOVA, and logistic regression were utilized.
Results: A total of 35,232 cases were identified, including 28,265 White, 3,743 Black, and 3,224 Hispanic cases. Chi square analysis showed that incidence of urinary complications was highest in Blacks (2.3%) and Hispanics (0.6%) compared to Whites (0.6%, p<0.001). Blacks had the highest mean LOS (Blacks 1.93 vs. Whites 1.69 vs. Hispanics 1.60 days, p=0.004), and Hispanics had the highest mean hospital charges (Hispanics $31,259 vs. Blacks $28,725 vs. Whites $26,579, p=0.001). Logistic regression analysis indicated Blacks experienced increased odds of acute venous embolism (OR 5.126, 95% CI 1.145-22.938, p=0.033), acute kidney failure (OR 10.991, 95% CI 2.663-45.358, p=0.001), and prolonged LOS (OR 1.558, 95% CI 1.234-1.967, p<0.001) compared to Whites. Hispanics faced higher odds of receiving hemodialysis (OR 5.827, 95% CI 1.942-17.482, p=0.002), operative wound disruption (OR 9.714, 95% CI 1.269-74.367, p=0.029), and high charges (OR 1.549, 95% CI 1.082-2.218, p=0.017) compared to Whites.
Conclusions: Race is an important factor associated with increased odds of complications, prolonged LOS, and high charges in Black and Hispanic patients undergoing salivary gland tumor resection.