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U.S News Analysis Finds Disparities in Mortality, Readmissions for Several Widely Performed Procedures

To examine whether different subgroups experience differential treatment once they arrive at the hospital, U.S News examined racial differences in health outcomes for eight widely performed procedures, focusing on death and unplanned readmission. The eight procedures include Aortic valve surgery (AVR), Heart bypass surgery (CABG), Lung cancer surgery, Abdominal aortic aneurysm repair (AAA), Knee replacement, Hip replacement, Colon cancer surgery and Transcatheter aortic valve replacement (TAVR). Their analysis found, after accounting for common comorbidities, there remained an excess risk of mortality among black patients compared to white patients in six of the eight procedures rated. The most striking differences are observed in aortic valve surgery and heart bypass surgery, where being black was associated with 17 and eight more deaths per 1,000 inpatient admissions, respectively. In addition, for procedures where Black patients were not at an increased risk of death, such as transcatheter aortic valve replacement and colon cancer surgery, there was still an increased likelihood for them to be readmitted to a hospital for an unscheduled reason.

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