Outcomes after spine surgery among racial/ethnic minorities: a meta-analysis of the literature

摘要: Abstract Background context Prior research has identified disparities in access to care, resource utilization, and outcomes members of racial ethnic minorities. However, the role that race/ethnicity may play influencing after spine surgery not been previously studied. Purpose To characterize effect race ethnicity on outcome surgery. Study design Systematic literature review meta-analysis. Patient sample Of 11 investigations selected initial analysis, four reported results a fashion enabled their inclusion These studies included total 128,635 patients. Outcome measures “Favorable” or “unfavorable” postsurgical were determined based parameters described each investigation. Methods A systematic was performed identify all documenting outcomes, complications, mortality surgical procedures. Eligible had include raw data separate analysis white nonwhite categorized as “favorable” scales The Q-statistic used determine heterogeneity, meta-analysis assess relative risk for unfavorable among patients Results Eleven met selection criteria but only eligible whom 12,194 (9.5%) outcomes. Among patients, 9.4% sustained an compared with 10.4% nonwhites. Conclusions In light small number able be meta-analysis, no firm conclusions can drawn regarding spinal There is pressing need more robust different minority groups.