Highlights
- •African American patients may experience a higher rate of adverse events than Caucasian patients.
- •This racial discrepancy may be due to socioeconomic and psychosocial factors although the evidence is limited.
- •There are limited studies considering socioeconomic and psychosocial factors when examining racial disparities in adverse events.
- •This difference is not observed when comparing Hispanic and Caucasian patients.
- •Future research would benefit from standardized racial/ethnic terminology.
Abstract
Background
Studies have shown racial discrepancies in the rates of postoperative adverse events
following bariatric surgery (BS). We aim to systematically review the literature examining
racial disparities in postoperative adverse events.
Methods
PubMed, Embase, and SCOPUS databases were searched for studies that reported race,
postoperative adverse events and/or length of stay.
Results
Thirty-five studies were included. Most compared Black and White patients using standardized
databases. Racial/ethnic terminology varied. The majority found increased 30-day mortality
and morbidity and length of stay in Black relative to White patients. Differences
between White and Hipanic patients were mostly non-significant in these outcomes.
Conclusions
Black patients may experience higher rates of adverse events than White patients within
30 days following bariatric surgery. Given the limitations in the large multicenter
databases, explanations for this disparity were limited. Future research would benefit
from longer-term studies that include more races and ethnicities and consider socioeconomic
factors.
Keywords
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Article info
Publication history
Published online: July 26, 2021
Accepted:
July 17,
2021
Received in revised form:
June 23,
2021
Received:
May 9,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
