Author(s)
Karandeep S. Randhawa, BS
Chris B. Choi, BS
Aksha Parray, BA
Aakash Shah, BS
Christina H. Fang, MD
Jordon G. Grube, DO
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 adverse outcomes following meningioma surgery.
Objectives: To analyze the association between race and adverse outcomes in patients who underwent meningioma surgery
Study Design: Retrospective database review.
Methods: The 2012-2014 National Inpatient Sample (NIS) database was used. High total charges and prolonged length of stay (LOS) were indicated by values greater than the 90th percentile. Chi-squared and ANOVA were used to compare demographics, hospital characteristics, comorbidity, and complications amongst race cohorts. Logistic regression was used analyze the independent effect of race on outcomes.
Results: After selecting for patients with a primary diagnosis of intracranial meningioma who underwent surgical resection and excluding cases with missing race data, 7,274 individuals were identified. Demographics, hospital characteristics, and comorbidity as significantly different amongst the cohorts. Black patients had increased odds of perioperative complications, including pulmonary (OR 1.588, 95%CI 1.201-3.021, p<0.001), urinary/renal (OR 1.799, 95%CI 1.217-2.657, p=0.003), infectious (OR 2.021, 95%CI 1.114-3.666, p=0.021), and operative complications (OR 1.287, 95%CI 1.038-1.595, p=0.021) compared to white patients. Blacks additionally experienced higher odds of prolonged LOS (OR 1.910, 95%CI 1.493-2.443, p<0.001) and higher total charges (OR 1.870, 95%CI 1.494-2.341, p<0.001) compared to whites. Similarly, Hispanics were more likely than whites to experience higher total charges (OR 1.418, 95%CI 1.077-1.866, p=0.013) and prolonged LOS (OR 1.529, 95%CI 1.119-2.088, p=0.008). Asians and Pacific Islanders were more likely than white patients to have operative complications (OR 1.578, 95%CI 1.136-2.192, p=0.006).
Conclusions: Race is an important factor associated with increased incidence of complications in patients with intracranial meningioma who undergo surgical resection.