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Disparities in peptic ulcer disease: A nationwide study

American Journal of Surgery Sep 13, 2018

Havens JM, et al. - This retrospectively designed cohort study used the National Inpatient Sample from 2012-2013, including all patients that were admitted for peptic ulcer disease, to compare the types of ulcer-related complications, the rates of intervention, and the outcomes based on race and insurance status. Among 52,396 patients admitted for peptic ulcer disease, the ulcer-related complication was noted in 80.25%. Despite being similar to white patients regarding mortality, black patients had the lowest rates of bleeding and highest rates of perforation, and less frequently underwent surgery for their complication. Lower rates of bleeding, higher rates of perforation, and an increased risk for death were also observed among uninsured patients. These findings suggested that, in peptic ulcer disease, mortality could be predicted via insurance status, not race.

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