title: No racial or ethnic disparity in treatment of long-bone fractures.
abstract: Studies of data from the 1990s are often cited as evidence of racial and ethnic disparities in pain management. Subsequent evidence supporting this association has not been consistent. The objective was to assess whether there are racial or ethnic disparities in receipt of analgesics for pain from long-bone fractures more recently and in a different region of the United States. We conducted a retrospective chart review of 449 patients. Twenty-three percent (53/235) of Hispanic patients, 31% (41/133) of African American patients, and 26% (21/81) of white patients did not receive analgesics. Compared with white patients, the relative risk of not receiving analgesics was 1.31 (95% confidence interval, 0.74-2.03) for African Americans and 0.90 (95% confidence interval, 0.05-1.47) for Hispanic patients after controlling for age, sex, mechanism, marital status, mode of arrival, fracture reduction, fracture type, disposition, and insurance status. We did not find evidence of racial or ethnic disparities in the management of pain from long-bone fractures.
authors: Department of Emergency Medicine, Albert Einstein College of Medicine, Rose F. Kennedy Center, Bronx, NY 10461, USA. bijur@aecom.yu.edu
authors: Polly
authors: P
authors: Bijur
authors: Anick
authors: A
authors: Bérard
authors: Jordan
authors: J
authors: Nestor
authors: Yvette
authors: Y
authors: Calderon
authors: Michelle
authors: M
authors: Davitt
authors: E John
authors: EJ
authors: Gallagher
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000700:Analgesics / Q000627:therapeutic use*; D016009:Chi-Square Distribution; D004636:Emergency Service, Hospital / Q000592:standards*; D005121:Extremities / Q000293:injuries; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000208:ethnology; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy* / Q000208:ethnology / Q000209:etiology; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D044465:White People / Q000706:statistics & numerical data
chemical_list: D000700:Analgesics