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Community-based Health Preferences for Proctocolectomy: A Race Comparison

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Abstract

Our objective was to determine whether there are dominating racial differences in patient preferences for surgery that may explain the disparities in proctocolectomy utilization between African Americans (AA) and whites. We used the time trade-off technique to measure health preferences for undergoing ileal pouch anal anastomosis (IPAA) and ileostomy among a community sample of 23 white and 16 AA participants who were unaffected by colorectal disease. Our results show that African Americans were similar to whites with respect to baseline quality of life and comorbidities. There were no differences in health utility ratings for IPAA between AA and whites (0.49 ± 0.34 vs 0.51 ± 0.31, P = 0.95). The health preference for ileostomy among AA (0.52 ± 0.32) was also similar to that in whites (0.54 ± 0.32). We conclude that patient preferences for proctocolectomy are unlikely to be a dominant contributing factor to racial disparities in total proctocolectomy for diseases of the colon.

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Acknowledgements

This work is supported by an unrestricted educational grant from Procter and Gamble (G.C.N.), a Ruth L. Kirschstein individual postdoctoral fellowship grant by the National Institutes of Health (F32DK076257, G.C.N.) and by a Crohn’s and Colitis Foundation of America Senior Research Award (S.R.B., T.A.L., G.C.N.).

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Authors and Affiliations

  1. Harvey M. and Lyn P. Meyerhoff Inflammatory Bowel Disease Center, Department of Medicine, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD, USA

    Geoffrey C. Nguyen, Anne Tuskey, Theodore M. Bayless & Steven R. Brant

  2. Mount Sinai IBD Centre, University of Toronto School of Medicine, 600 University Ave., Toronto, Ontario, Canada

    Geoffrey C. Nguyen

  3. 600 University Ave., Ste. 437, Toronto, Ontario, Canada, M5G 1X5

    Geoffrey C. Nguyen

  4. Center for Health Disparities Solutions, Johns Hopkins University Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, USA

    Thomas A. LaVeist

  5. Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA

    Steven R. Brant

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  1. Geoffrey C. Nguyen
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  2. Anne Tuskey
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  3. Theodore M. Bayless
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  4. Thomas A. LaVeist
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  5. Steven R. Brant
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Correspondence to Geoffrey C. Nguyen.

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Nguyen, G.C., Tuskey, A., Bayless, T.M. et al. Community-based Health Preferences for Proctocolectomy: A Race Comparison. Dig Dis Sci 53, 741–746 (2008). https://doi.org/10.1007/s10620-007-9915-0

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  • DOI: https://doi.org/10.1007/s10620-007-9915-0

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