• Debanjan Haldar, Gregory Glauser, Eric Winter, Stephen Goodrich, Kaitlyn Shultz, Scott D McClintock, and Neil R Malhotra.
• Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA.
• World Neurosurg. 2020 Jul 1; 139: e663e671e663-e671.

BackgroundThis study assesses the influence of race on patient outcomes in a brain tumor surgery population.MethodsCoarsened exact matching was used to retrospectively analyze 1700 supratentorial brain tumor procedures over a 6-year period (June 7, 2013 to April 29, 2019) at a single, multihospital academic medical center. Outcome measures included readmission, mortality, emergency room visits, and reoperation.ResultsMcNemar test (mid-P) showed no significant difference in 90-day mortality between the 2 races (P = 0.3018). However, there was a significant difference in 90-day readmissions between the 2 races (P = 0.0237). There was no significant difference in 90-day emergency room visits (P = 0.0579), 90-day return to surgery after index admission (P = 0.6015), or return to surgery within 90 days (P = 0.6776) between the 2 races. There was also no significant difference in return to surgery for the duration of the follow-up period (P = 0.8728).ConclusionsThis study suggests that race alone does not result in disparate outcomes; however, there was an associated difference in 90-day postsurgical readmissions. Despite coarsened exact matching, persistent differences in median household income may play a role in the disparate outcome noted.Copyright © 2020 Elsevier Inc. All rights reserved.

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