The authors test the hypothesis that African American (AA) race confers a lower success
rate on urethral reconstruction for stricture using a retrospective case series design.
Detailed preoperative stricture information show that Caucasian (CA) and AA patients
have similar stricture length and undergo equivalent surgical reconstructions (eg
anastomotic versus substitution urethroplasty). The ability to answer questions about
disparate outcomes depends on a sufficient number of events (eg complications or stricture
recurrences) and the authors are hampered by their own success. With an equal and
low recurrence rate amongst CA and AA patients, it us very unlikely that race is contributing
a large amount of variance. Only vastly larger numbers in each group would provide
the statistical power for the authors to conclude that there is smaller, and thus
harder to detect, effect of race on these outcomes.
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Article info
Publication history
Accepted:
October 19,
2021
Received:
March 3,
2021
Identification
Copyright
© 2022 Published by Elsevier Inc.
