@article{TEXTUAL,
      recid = {10501},
      author = {Kent, Johnathan R. and Silver, Emily M. and Nordgren,  Rachel and Edobor, Arianna and Fenton, David and Kerstiens,  Savanna and Rubin, Daniel and Gleason, Lauren J. and Landi,  Justine and Huisingh-Scheetz, Megan and Bryan, Darren S.  and Ferguson, Mark K. and Donington, Jessica S. and  Madariaga, Maria Lucia L.},
      title = {Racial differences in phenotypic frailty assessment among  general thoracic surgery patients},
      journal = {JTCVS Open},
      address = {2023-11-07},
      number = {TEXTUAL},
      abstract = {&lt;p&gt;Objectives: The American Association for Thoracic  Surgery recommends using frailty assessments to identify  patients at higher risk of perioperative morbidity and  mortality. We evaluated what patient factors are associated  with frailty in a thoracic surgery patient population.&lt;/p&gt;  &lt;p&gt;Methods: New patients aged more than 50 years who were  evaluated in a thoracic surgery clinic underwent routine  frailty screening with a modified Fried's Frailty  Phenotype. Differences in demographics and comorbid  conditions among frailty status groups were assessed with  chi-square and Student t tests. Logistic regressions  performed with binomial distribution assessed the  association of demographic and clinical characteristics  with nonfrail, frail, prefrail, and any frailty  (prefrail/frail) status.&lt;/p&gt; &lt;p&gt;Results: The study  population included 317 patients screened over 19 months.  Of patients screened, 198 (62.5%) were frail or prefrail.  Frail patients undergoing thoracic surgery were older, were  more likely single or never married, had lower median  income, and had lower percent predicted diffusion capacity  of the lungs for carbon monoxide and forced expiratory  volume during 1 second (all P &lt; .05). More non-Hispanic  Black patients were frail and prefrail compared with  non-Hispanic White patients (P = .003) and were more likely  to score at least 1 point on Fried's Frailty Phenotype  (adjusted odds ratio, 3.77; P = .02) when controlling for  age, sex, number of comorbidities, median income, diffusion  capacity of the lungs for carbon monoxide, and forced  expiratory volume during 1 second. Non-Hispanic Black  patients were more likely than non-Hispanic White patients  to score points for slow gait and low activity (both P &lt;  .05).&lt;/p&gt; &lt;p&gt;Conclusions: Non-Hispanic Black patients  undergoing thoracic surgery are more likely to score as  frail or prefrail than non-Hispanic White patients. This  disparity stems from differences in activity and gait  speed. Frailty tools should be examined for factors  contributing to this disparity, including bias.&lt;/p&gt;},
      url = {http://knowledge.uchicago.edu/record/10501},
}