Influence of ethnicity on the perception and treatment of early post-operative XXXX .

@entity1 @entity1286 @entity158
BACKGROUND: Previous studies indicated that @entity1 from Black, Asian and minority ethnic (BAME) groups tend to receive less analgesics compared to Caucasian (White) @entity1 after similar surgical procedures. Most such data originated from North America and suggested that health-care professionals may perceive the expression of excessive @entity158 by BAME @entity1 groups as an exaggerated response to @entity158 , rather than sub-optimal treatment. There are limited data comparing acute @entity158 management between South Asian and White British @entity1 . OBJECTIVE: We aimed to investigate correlation between @entity1 ' ethnicity and disparities of early post-operative @entity158 perception/management, in an ethnically diverse population. METHODS: We conducted a retrospective case note review of acute post-operative @entity158 after total abdominal hysterectomy (TAH) in 60 South Asian and 60 age-matched White British females. Data for 140 variables (pre-, intra- and post-operative) for each @entity1 were recorded. We used propensity score matching to produce 30 closely matched @entity1 in each group minimizing effects of recorded co-variates. Data were analysed with and without propensity score matching. RESULTS: There were no significant differences in acute post-operative @entity158 scores, @entity1286 requirements, @entity158 management, adverse effects or duration of post-operative care unit stay between South Asian and White British @entity1 . The median duration of hospital stay of South Asian @entity1 was longer (4.5   days versus 3.0   days, p   <   0.001). CONCLUSION: We conclude that in an institution where both @entity1 and health-care professionals are from an ethnically diverse population, neither post-operative @entity158 nor @entity158 management are influenced significantly by South Asian ethnicity.
