Social determinants significantly affect short-term outcomes after gastrectomy for gastric adenocarcinoma, highlighting disparities in care.

• Black patients are 25% less likely and Hispanic patients are 29% less likely to experience extended hospital stays compared to white patients.
• Higher education levels correlate with a 19% increased risk of extended stays and a 26% increased risk of readmissions.

Surgeons should consider social factors in patient selection and postoperative planning to improve outcomes.

• Asian patients have 40% lower mortality rates compared to white patients.