ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026
Assessing the impact of racial and ethnic disparities on 30-day emergency department visits after hysterectomy: A state-based retrospective cohort study.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThe purpose of this study was to assess the impact of racial/ethnic disparities and other variables in 30-day Emergency Department (ED) visits due to post-hysterectomy complications.
methodsWe conducted a retrospective cohort study of patients who underwent hysterectomy between 2017 and 2021 in Florida and Maryland using Healthcare Cost and Utilization Project (HCUP) databases. Multivariable logistic regression models estimated associations between race/ethnicity and 30-day ED visits, including interaction terms for state, surgery route, and setting. Generalized linear modeling was used to assess surgery costs.
resultsBlack patients had significantly higher odds of 30-day ED visits compared to White patients (odds ratio [OR] 1.16, 95% confidence interval [CI] 1.12-1.20, P < 0.001), while Asian or Pacific Islander patients had lower odds (OR 0.86, CI: 0.76-0.98, P = 0.020). Racial disparities differed by state. For example, the increased risk of 30-day ED visits among Hispanic patients was attenuated in Maryland compared to Florida (OR 0.85, CI: 0.73-0.98, P = 0.024). Black patients had consistently higher odds in both inpatient and outpatient settings, whereas elevated risk among Hispanic patients was limited to outpatient procedures. Racial compositions also varied by primary payer group. Total charges for index hysterectomy and 30-day ED utilization were lower in Maryland compared to Florida (OR 0.21, CI: 0.21-0.21, P < 0.001).
conclusionSignificant racial disparities in 30-day ED visits persist following hysterectomy. These disparities are associated with geographic, clinical, and socioeconomic factors. These findings highlight the necessity for interventions focused on promoting health equity.
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