Impact of race and ethnicity on clinical outcomes and recurrence post‐ureteral reconstruction

Introduction Ureteral stricture disease (UTSD) poses significant challenges in reconstructive urology, with recent advances highlighting disparities in healthcare outcomes based on race and ethnicity. This study investigates the impact of race and ethnicity on clinical outcomes following ureteral re...

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Vydáno v:	BJUI compass Ročník 5; číslo 12; s. 1255 - 1262
Hlavní autoři:	Puri, Dhruv, Cho, Eric, Ahmadieh, Kian, Garg, Nishant, Delgado, Cesar, Cedars, Benjamin, Witthaus, Michael, Pan, Michael, Buckley, Jill C.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States John Wiley & Sons, Inc 01.12.2024 John Wiley and Sons Inc Wiley
Témata:	Clinical outcomes Ethnicity health disparities Original race and ethnicity robot‐assisted ureteroplasty ureteral stricture disease health disparities ureteral stricture disease race and ethnicity robot‐assisted ureteroplasty
ISSN:	2688-4526, 2688-4526
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Shrnutí:	Introduction Ureteral stricture disease (UTSD) poses significant challenges in reconstructive urology, with recent advances highlighting disparities in healthcare outcomes based on race and ethnicity. This study investigates the impact of race and ethnicity on clinical outcomes following ureteral reconstruction. Methods We conducted a single‐centre prospective analysis of 233 patients who underwent ureteral reconstruction for UTSD from 2014 to 2023. Patient demographics, clinical characteristics, surgical details and outcomes were collected. Patients were stratified by race (White vs. non‐White) and ethnicity (Hispanic vs. non‐Hispanic). Statistical analyses included Kruskal–Wallis, Mann–Whitney U tests, ANOVA, Kaplan–Meier analysis and multivariate logistic regression. Results Our cohort included 233 patients who underwent ureteroplasty with 108 (46.4%) non‐White patients, and 71 (30.5%) were Hispanic. No significant differences were found in recurrence rates, complications, or stricture‐free survival between racial and ethnic groups. Prior reconstructions were more prevalent among non‐White patients (26.9% vs. 16.0%; p = 0.043). Unadjusted and adjusted regressions showed significant associations between non‐White race (unadjusted β = 0.76, p = 0.008; adjusted β = 0.82, p = 0.008) and Hispanic ethnicity (unadjusted β = 0.70, p = 0.025; adjusted β = 0.79, p = 0.020) with increased stricture lengths. Conclusion This study highlights that although recurrence and complication rates do not significantly differ by race or ethnicity, disparities exist in clinical presentations, with non‐White and Hispanic patients presenting with longer stricture lengths and higher body mass index. These findings underscore the need for targeted interventions to address underlying disparities in healthcare delivery and access.
Bibliografie:	Funding information Correction added on 21 December 2024, after first online publication: The pagination of this article has been revised in this version. None declared. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Funding information None declared.
ISSN:	2688-4526 2688-4526
DOI:	10.1002/bco2.450