The droll line “Houston, we have a problem” by the commander of Apollo 13 announced some troubling observations of unknown significance and impact, and set in motion an urgent but deliberate search for understanding the problem’s meaning for the crew, and to engineer solutions. Although the outcome of the Apollo 13 mission is known, the “we have problem” phrase has become a clarion call for focused attention to a perceived problem, its meaning, and a reliable solution in a hurry. In this issue of Anesthesiology, White et al. observe in a large retrospective cohort that black patients receive perioperative antiemetic administration at a lower rate than white patients. This result should be shocking, but like most retrospective research, this study has too many limitations to make definite conclusions about causation, and therefore we are inevitably left somewhat unsure what to do with these data. However, these data...

You do not currently have access to this content.