{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,13]],"date-time":"2025-07-13T10:10:04Z","timestamp":1752401404014,"version":"3.41.2"},"reference-count":0,"publisher":"Canadian Urological Association Journal","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CUAJ"],"abstract":"<jats:p>Introduction: We aimed to evaluate the association between race and postoperative complications in patients undergoing urologic cancer surgeries, comparing 30-day outcomes between black and white-identifying patients using propensity-score matching.\nMethods: Adult patients undergoing urologic cancer surgeries from 2015-2019 were identified from the National Surgical Quality Improvement Program database. Black-identifying patients were matched 1:1 with white-identifying patients based on surgical procedure, demographics, and medical history. The primary outcome was 30-day mortality. Secondary outcomes included specific complications, such as unplanned readmission, reintubation, and reoperation; myocardial infarction; renal insufficiency; cardiac arrest; surgical site infections (SSIs) and septic shock. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated using logistic regression.\nResults: Among 110 028 patients (mean age 46.8 years; 79.1% male; 12.7% black-identifying), a matched cohort of 28 056 was analyzed. No significant difference in 30-day mortality (OR 1.18, 95% CI 0.86-1.63, p=0.296) was observed. Secondary outcomes showed higher odds of unplanned readmission (OR 1.12, 95% CI 1.02-1.24, p=0.018), reintubation (OR 1.36, 95% CI 1.03-1.81, p=0.032), renal insufficiency (OR 1.84, 95% CI 1.37-2.47, p&lt;0.001), and cardiac arrest (OR 1.49, 95% CI 1.01-2.20, p=0.043), but lower odds of myocardial infarction (OR 0.65, 95% CI 0.43-0.99, p=0.048), superficial SSIs (OR 0.65, 95% CI 0.50-0.85 p=0.001), and septic shock (OR 0.67, 95% CI 0.45-0.98, p=0.041) among black-identifying patients.\nConclusions: While no significant difference in 30-day mortality was observed, black-identifying patients were at an increased risk of several postoperative complications compared to white-identifying patients. These observations warrant further investigations into health equity within urology.<\/jats:p>","DOI":"10.5489\/cuaj.9201","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T09:49:56Z","timestamp":1752140996000},"source":"Crossref","is-referenced-by-count":0,"title":["Association of race and 30-day postoperative complications after urologic oncology surgery"],"prefix":"10.5489","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4482-4792","authenticated-orcid":false,"given":"Alex","family":"Bak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiran J.C.","family":"Pace","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0290-4316","authenticated-orcid":false,"given":"Bruce","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5990-4026","authenticated-orcid":false,"given":"Christopher","family":"Wallis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3456","published-online":{"date-parts":[[2025,7,8]]},"container-title":["Canadian Urological Association Journal"],"original-title":[],"link":[{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/9201\/6492","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/9201\/6492","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,13]],"date-time":"2025-07-13T09:50:33Z","timestamp":1752400233000},"score":1,"resource":{"primary":{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/view\/9201"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,8]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,7,8]]}},"URL":"https:\/\/doi.org\/10.5489\/cuaj.9201","relation":{},"ISSN":["1920-1214","1911-6470"],"issn-type":[{"type":"electronic","value":"1920-1214"},{"type":"print","value":"1911-6470"}],"subject":[],"published":{"date-parts":[[2025,7,8]]}}}