ORIGINAL RESEARCH article
Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Exploring Ethnic Differences in the Perioperative Course of Thoracic Aortopathy
Provisionally accepted
- 1Amsterdam University Medical Centers, location AMC, Amsterdam, Netherlands
- 2Onze Lieve Vrouwe Gasthuis, Amsterdam, Netherlands
- 3Leiden University Medical Center, Leiden, Netherlands
- 4Yale New Haven Hospital, New Haven, United States
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Background: In patients with thoracic aortopathy post-operative recovery can be complicated by a lack of consistent, clear communication and guidance. Despite the growing recognition of these challenges, the specific needs of patients undergoing aortic surgery, especially across different ethnic groups, remain insufficiently explored. This study aims to examine the peri-operative course in thoracic aortopathy in order to identify the specific needs of the patients, particularly across ethnic groups. Methods: This cross-sectional, retrospective study included patients who underwent aortic surgery between 2000 and 2023. Patients were asked to complete questionnaires assessing various parts of the pre-, peri-, and (long term) post-operative course. Results were compared between ethnic majority and ethnic minority patients, with further sub-categorization based on the type of aortopathy (aortic dissection vs. thoracic aortic aneurysm). Binary regression models were used, adjusted for age, sex, and follow-up duration when comparing aortopathy types, and additionally for aortic dissection diagnosis when comparing ethnic groups. Results: A total of 189 patients (174 ethnic majority, 15 minorities) were included. Of these, 115 had type A aortic dissection and 74 had a thoracic aortic aneurysm. Ethnic minority patients showed higher rates of post-operative anxiety (20.0% vs. 5.4%). Minority patients also reported less clarity in post-operative information (p = 0.035). Acute aortic dissection patients reported lower clarity of pre-operative information (7.0 vs. 9.0, p = 0.003) and worse understanding of recovery expectations before surgery (p<0.001). Conclusion: This study highlights the critical importance of pre- and post-operative education in thoracic aortopathy patients. Ethnic disparities in recovery experiences exist, particularly in the domains of post-operative anxiety and communication. Our findings highlight the need for tailored post-operative guidance in order to improve recovery outcomes, and ensure more equitable care.
Keywords: aortopathy, ethnicity, Health Disparities, pre- and post-operative course, Anxiety
Received: 19 Sep 2025; Accepted: 27 Oct 2025.
Copyright: © 2025 Bacour, Tirpan, Grewal, Klautz and Grewal. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Nimrat Grewal, n.grewal@amsterdamumc.nl
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