Insurance Type Influences the Use of Drug-Eluting Stents

Objectives We sought to examine the effect of insurance type upon the likelihood of receiving a drug-eluting stent (DES). Background Recent guidelines suggest that consideration of a patient's resources should play a role in decisions to use DES. Previous studies have also documented disparitie...

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Veröffentlicht in:	JACC. Cardiovascular interventions 2010-07, Vol.3 (7), p.773-779
Hauptverfasser:	Gaglia, Michael A., MD, MSc, Torguson, Rebecca, MPH, Xue, Zhenyi, MS, Gonzalez, Manuel A., MD, MPH, Collins, Sara D., MD, Ben-Dor, Itsik, MD, Syed, Asmir I., MD, Maluenda, Gabriel, MD, Delhaye, Cedric, MD, Hanna, Nicholas, MD, Wakabayashi, Kohei, MD, Kaneshige, Kimberly, BS, Suddath, William O., MD, Kent, Kenneth M., MD, PhD, Satler, Lowell F., MD, Pichard, Augusto D., MD, Waksman, Ron, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	access Aged Aged, 80 and over Angioplasty, Balloon, Coronary - economics Angioplasty, Balloon, Coronary - instrumentation Cardiovascular District of Columbia Drug Costs drug-eluting stent Drug-Eluting Stents - economics Female health care Health Care Costs health insurance Health Services Accessibility - economics Healthcare Disparities - economics Humans Insurance, Health - economics Logistic Models Male Medicaid - economics Medicare - economics Middle Aged Odds Ratio Patient Selection Platelet Aggregation Inhibitors - economics Private Sector - economics Retrospective Studies Risk Assessment Risk Factors socioeconomic status United States
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Zusammenfassung:	Objectives We sought to examine the effect of insurance type upon the likelihood of receiving a drug-eluting stent (DES). Background Recent guidelines suggest that consideration of a patient's resources should play a role in decisions to use DES. Previous studies have also documented disparities in both access to care and cardiovascular outcomes according to race, insurance, and socioeconomic status. The effect of insurance status upon the decision to use DES is unclear. Methods Patients undergoing percutaneous coronary intervention (PCI) with stenting from April 2003 to June 2009, the so-called DES era, were retrospectively analyzed. Multivariable logistic regression was performed separately for patients
ISSN:	1936-8798 1876-7605
DOI:	10.1016/j.jcin.2010.04.011