Racial disparities in readmission, complications, and procedures in children with Crohn's disease

Inflammatory Bowel Diseases
Jennifer L DotsonWallace V Crandall

Abstract

Racial disparities in care and outcomes contribute to mortality and morbidity in children; however, the role in pediatric Crohn's disease is unclear. In this study, we compared cohorts of black and white children with Crohn's disease to determine the extent race is associated with differences in readmissions, complications, and procedures among hospitalizations in the United States. Data were extracted from the Pediatric Health Information System (January 1, 2004-June 30, 2012) for patients with 21 years or younger hospitalized with a diagnosis of Crohn's disease. White and black cohorts were randomly selected in a 2:1 ratio by hospital. The primary outcome was time from index hospital discharge to readmission. The most frequent complications and procedures were evaluated by race. There were 4377 patients. Black children had a shorter time to first readmission and higher probability of readmission (P = 0.009) and a 16% increase in risk of readmission compared with white children (P = 0.01). Black children had longer length of stay and higher frequency of overall and late (30-d to 12-mo postdischarge) readmissions (P < 0.001). During index hospitalization, more black children had perianal disease and anemia (P < 0.001). During a...Continue Reading

References

Aug 1, 1995·Journal of Pediatric Gastroenterology and Nutrition·J MarkowitzF Daum
Sep 28, 1998·JAMA : the Journal of the American Medical Association·M R Chassin, R W Galvin
Feb 24, 2000·The American Journal of Gastroenterology·W L StrausJ T Sessions
Jul 19, 2002·Gastroenterology Clinics of North America·Edward V Loftus, William J Sandborn
May 21, 2005·Diseases of the Colon and Rectum·Peter G DeveauxSusan Galandiuk
Sep 27, 2005·The American Journal of Gastroenterology·Dhiman BasuJoseph H Sellin
Sep 27, 2005·The Journal of Pediatrics·Michael S Schechter, Peter Margolis
Oct 27, 2006·Journal of Pediatric Orthopedics·Josh FreedmanRicardo Pietrobon
Nov 18, 2006·The Journal of Surgical Research·Evan R KokoskaBrendan T Campbell
Mar 27, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Meenakshi BewtraJames D Lewis
Apr 27, 2007·Journal of Pediatric Gastroenterology and Nutrition·Alexandra P EidelweinMaria Oliva-Hemker
Jun 15, 2007·Inflammatory Bowel Diseases·Geoffrey C NguyenSteven R Brant
Sep 11, 2007·Inflammatory Bowel Diseases·Geoffrey C NguyenSteven R Brant
Nov 18, 2008·The American Journal of the Medical Sciences·James F JacksonShanthi Sitaraman
Nov 5, 2009·Pediatrics·Paula Braveman, Colleen Barclay
Nov 26, 2009·Journal of Pediatric Gastroenterology and Nutrition·Hoda M MalatyGeorge D Ferry
Feb 4, 2010·Journal of Pediatric Psychology·Rachel Neff GreenleyLaura Mackner
Jun 22, 2010·Inflammatory Bowel Diseases·Michael D KappelmanJonathan A Finkelstein
Jun 22, 2010·Inflammatory Bowel Diseases·Eric I BenchimolAnne M Griffiths
Jun 23, 2010·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Marc E SchaeferNeal S Leleiko
Oct 12, 2010·Digestive Diseases and Sciences·Justin L SewellHal F Yee
Dec 9, 2010·Pediatrics·Jay G BerryJudith S Palfrey
Feb 16, 2011·Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie·Birinder K MangatBaljinder Salh
Sep 3, 2011·Southern Medical Journal·Dawn TurnerMichael W Quasney
Mar 6, 2012·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Jeannie S HuangTrevor Tompane
May 25, 2012·Inflammatory Bowel Diseases·Justin L Sewell, Fernando S Velayos
Nov 21, 2012·Journal of Pediatric Surgery·Lorraine I Kelley-QuonStephen B Shew
Feb 4, 2014·Pediatrics·Andrew F BeckRobert S Kahn

❮ Previous
Next ❯

Citations

Jan 9, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Drew J GunnellsDaniel I Chu
Dec 20, 2015·The Journal of Pediatrics·Eric W Christensen, Nathaniel R Payne
Mar 24, 2016·The American Journal of Gastroenterology·Philip N OkaforJayant A Talwalkar
Feb 26, 2016·Inflammatory Bowel Diseases·Mark H FlasarRaymond Cross
Nov 16, 2017·Inflammatory Bowel Diseases·Edward L BarnesMichael D Kappelman
Oct 14, 2017·Journal of Neurosurgery. Pediatrics·Silky ChotaiRobert P Naftel
Aug 21, 2018·Alimentary Pharmacology & Therapeutics·Adjoa Anyane-YeboaAtsushi Sakuraba
Nov 12, 2016·World Journal of Gastroenterology : WJG·James Wt TohChristopher J Young
Jan 27, 2016·World Journal of Gastroenterology : WJG·Andrzej WędrychowiczPrzemysław Tomasik
Mar 15, 2020·Pediatric Research·Robert J McLoughlinJeremy T Aidlen
Jul 9, 2020·Digestive Diseases and Sciences·Adjoa Anyane-YeboaDavid T Rubin
Jan 22, 2019·Alimentary Pharmacology & Therapeutics·Manasi AgrawalRyan C Ungaro
Apr 21, 2017·Inflammatory Bowel Diseases·Jennifer L DotsonUNKNOWN ImproveCareNow Pediatric IBD Learning Health System
Aug 17, 2020·Digestive Diseases and Sciences·Melissa MartinMindie H Nguyen
Mar 22, 2018·Inflammatory Bowel Diseases·Siobhan S ProksellMiguel D Regueiro
Oct 26, 2020·Gastroenterology·Edward L BarnesMichael D Kappelman
Mar 17, 2020·Journal of Pediatric Surgery·Naomi-Liza DenningBarrie S Rich
Jun 13, 2017·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Hai Yun ShiAshwin N Ananthakrishnan
Dec 15, 2020·American Journal of Surgery·Isabel C Dos Santos MarquesDaniel I Chu
Oct 26, 2021·International Journal of Colorectal Disease·Jennifer C AsotibeSatya Mishra
Dec 28, 2016·Pediatrics·Jeffrey H SilberOrit Even-Shoshan

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.