Racial disparity in the clinical determinants and outcomes of cesarean hysterectomy

Anthony N. Imudia, Awoniyi O. Awonuga, Tarek Dbouk, Sanjeev Kumar, Marcos Cordoba, Michael Peter Diamond, Ray O. Bahado-Singh

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

This study was undertaken to compare the risk factors, indications for and complications rates of cesarean hysterectomy in patient from two different ethnic backgrounds - whites and nonwhites - using patients who had cesarean hysterectomy in the Detroit Medical Center from 1991-2007. During the study period, there were 42 599 cesarean deliveries, making the incidence of cesarean hysterectomy to be 3.7 per 1000 cesarean deliveries. Of the 158 cases, 8.9% were planned, while 91.1% were emergent. Among the emergent cases, nonwhites were more likely to have a higher parity (median [range], 3 [0-13] vs 2 [0-9]; p = .025), while whites were more likely to have a private insurance (64.7% vs 29.1%; p = .001; OR, 4.47; 95% CI, 1.98-10.09]. There were no significant differences in the indications for cesarean hysterectomy among the racial groups. Whites were more likely to have composite cardiopulmonary complications and urological injury compared to nonwhites, (17.6% vs 3.6%; P = .012; OR, 5.68; 95% CI, 1.50-21.51) and (26.5% vs 10.9%; P = .05; OR 2.94; CI, 1.12-7.75), respectively. In conclusion, beyond higher rates of cardiopulmonary complications and urological injury among whites, no significant racial differences exist in the risk factors, indications for, and complications from cesarean hysterectomy.

Original languageEnglish (US)
Pages (from-to)565-568
Number of pages4
JournalJournal of the National Medical Association
Volume101
Issue number6
DOIs
StatePublished - Jan 1 2009
Externally publishedYes

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Hysterectomy
Wounds and Injuries
Parity
Insurance
Incidence

Keywords

  • Health disparities
  • Obstetrics/gynecology
  • Race/ethnicity

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Racial disparity in the clinical determinants and outcomes of cesarean hysterectomy. / Imudia, Anthony N.; Awonuga, Awoniyi O.; Dbouk, Tarek; Kumar, Sanjeev; Cordoba, Marcos; Diamond, Michael Peter; Bahado-Singh, Ray O.

In: Journal of the National Medical Association, Vol. 101, No. 6, 01.01.2009, p. 565-568.

Research output: Contribution to journalArticle

Imudia, Anthony N. ; Awonuga, Awoniyi O. ; Dbouk, Tarek ; Kumar, Sanjeev ; Cordoba, Marcos ; Diamond, Michael Peter ; Bahado-Singh, Ray O. / Racial disparity in the clinical determinants and outcomes of cesarean hysterectomy. In: Journal of the National Medical Association. 2009 ; Vol. 101, No. 6. pp. 565-568.
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