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Racial Disparities in 30‐day Readmissions after Surgery for Head and Neck Cancer by Alice E Huang; Jonathan J. Shih; John B. Sunwoo; Erqi Pollom; Kekoa Taparra is a Medicine article available to read on EtoBox.

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## Background Native Hawaiians and other Pacific Islanders (NHPI) patients with head and neck cancer are often aggregated with Asian individuals despite evidence of heterogeneous health outcomes and mortality. The aim of this study was to determine the association of race with unplanned 30‐day hospital readmission rate after head and neck surgery across the five federally recognized racial categories. ## Methods This retrospective cohort study used a national hospital‐based database and included patients ≥18 years old with diagnostically confirmed, nonmetastatic head and neck cancer of any subsite treated surgically between 2004 and 2017. The primary endpoint was unplanned readmission within 30 days of discharge after primary surgery. ## Results A total of 365,834 patients were included who were predominantly White (87%), treated at academic cancer centers (47%), lower income (63%), with early‐stage disease (60%), and with thyroid (47%) or oral cavity (23%) cancers. Median follow‐up duration was 47 months. Of the 10,717 (3%) readmissions, 5,845 (1.6%) were unplanned. Adjusted for confounders and compared with White patients, NHPI patients had the highest likelihood of unplanned (aO

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Author

Alice E Huang; Jonathan J. Shih; John B. Sunwoo; Erqi Pollom; Kekoa Taparra

Publisher

Wiley

Published

2023

Field

Medicine (Health Sciences)