Do Race and Gender Influence the Use of Invasive Procedures?
OBJECTIVE: To assess the influence of race and gender influence on the use of invasive procedures in patients with acute myocardial infarction (AMI) in community hospitals. DESIGN: Prospective, observational. SETTING: Five mid‐Michigan community hospitals. PATIENTS: All patients (838) identified wit...
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creator | Watson, Ralph E. Stein, Aryeh D. Dwamena, Francesca C. Kroll, Jill Mitra, Raj McIntosh, Barbara A. Vasilenko, Peter Holmes‐Rovner, Margaret M. Chen, Qin Kupersmith, Joel |
description | OBJECTIVE: To assess the influence of race and gender influence on the use of invasive procedures in patients with acute myocardial infarction (AMI) in community hospitals.
DESIGN: Prospective, observational.
SETTING: Five mid‐Michigan community hospitals.
PATIENTS: All patients (838) identified with AMI between January 1994 and April 1995 in 1 of these hospitals.
MEASUREMENTS AND MAIN RESULTS: After adjusting for age, hospital of admission, insurance type, severity of AMI, and comorbidity, using white men as the reference group, the rate of being offered cardiac catheterization (CC) was 0.88 (95% confidence interval [95% CI], 0.60 to 1.29) for white women; 0.79 (95% CI, 0.41 to 1.50) for black men; and 1.14 (95% CI, 0.53 to 2.45)for black women. Among patients who underwent CC, after also adjusting for coronary artery anatomy, the rate of being offered angioplasty, using white men as the reference group, was 1.22 (95% CI, 0.75 to 1.98) for white women; 0.61 (5% CI, 0.29 to 1.28, P = .192) for black men; and 0.40 (95% CI, 0.14 to 1.13) for black women The adjusted rate of being offered bypass surgery was 0.47 (95% CI, 0.24 to 0.89) for white women; 0.36 (95% CI, 0.12 to 1.06) for black men; and 0.37 (95% CI, 0.11 to 1.28)for black women.
CONCLUSIONS: Our study shows that white women are less likely than white men to be offered bypass surgery after AMI. Although black men and women with AMI are less likely than white men to be offered percutaneous transluminal coronary angioplasty or coronary artery bypass grafting in both unadjusted and adjusted analyses, these findings did not reach statistical significance. Our study is limited in power due to the small number of blacks in the sample. |
doi_str_mv | 10.1046/j.1525-1497.2001.016004227.x |
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fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1495197</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2395996611</sourcerecordid><originalsourceid>FETCH-LOGICAL-p3480-ba8992d406db9892dbd232945770cbe02d635ffebfffaef1b8811735830f3d693</originalsourceid><addsrcrecordid>eNpdkV1L3EAUhodSqav2L5QgpXeJZz6SmYFSsWu7rgiWUq-HSeaMZskma2az6r93grpVrw6c9-E9Hy8hXylkFERxtMhozvKUCi0zBkAzoAWAYExm9x_IZCt-JBNQSqRKcrFL9kJYRJgzpj6RXUo5VZrxCfl-2iV_bYWJbV0yw9Zhn8xb3wzYxub6BpOrgEnnY3NjQ73B5E_fVeiGHsPxAdnxtgn4-bnuk6vfv_5Nz9KLy9l8enKRrrhQkJZWac2cgMKVOo51pWOcaZFLCVWJwFzBc--x9N5b9LRUilLJc8XBc1dovk9-PPmuhnKJrsJ23dvGrPp6afsH09navFXa-sZcdxsT_5BTLaPBt2eDvrsdMKzNsg4VNo1tsRuCkRAncjGCh-_ARTf0bTzOKJnHM3RRROjL63W2e7x8NQI_n4C7usGH_zqYMUGzMGNI43LSjAmabYLm3pzP5hokA_4IdgaOPg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>875899966</pqid></control><display><type>article</type><title>Do Race and Gender Influence the Use of Invasive Procedures?</title><source>MEDLINE</source><source>Springer Online Journals Complete</source><source>Access via Wiley Online Library</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Watson, Ralph E. ; Stein, Aryeh D. ; Dwamena, Francesca C. ; Kroll, Jill ; Mitra, Raj ; McIntosh, Barbara A. ; Vasilenko, Peter ; Holmes‐Rovner, Margaret M. ; Chen, Qin ; Kupersmith, Joel</creator><creatorcontrib>Watson, Ralph E. ; Stein, Aryeh D. ; Dwamena, Francesca C. ; Kroll, Jill ; Mitra, Raj ; McIntosh, Barbara A. ; Vasilenko, Peter ; Holmes‐Rovner, Margaret M. ; Chen, Qin ; Kupersmith, Joel ; Michigan State University Inter-Institutional Collaborative Heart Study Group</creatorcontrib><description>OBJECTIVE: To assess the influence of race and gender influence on the use of invasive procedures in patients with acute myocardial infarction (AMI) in community hospitals.
DESIGN: Prospective, observational.
SETTING: Five mid‐Michigan community hospitals.
PATIENTS: All patients (838) identified with AMI between January 1994 and April 1995 in 1 of these hospitals.
MEASUREMENTS AND MAIN RESULTS: After adjusting for age, hospital of admission, insurance type, severity of AMI, and comorbidity, using white men as the reference group, the rate of being offered cardiac catheterization (CC) was 0.88 (95% confidence interval [95% CI], 0.60 to 1.29) for white women; 0.79 (95% CI, 0.41 to 1.50) for black men; and 1.14 (95% CI, 0.53 to 2.45)for black women. Among patients who underwent CC, after also adjusting for coronary artery anatomy, the rate of being offered angioplasty, using white men as the reference group, was 1.22 (95% CI, 0.75 to 1.98) for white women; 0.61 (5% CI, 0.29 to 1.28, P = .192) for black men; and 0.40 (95% CI, 0.14 to 1.13) for black women The adjusted rate of being offered bypass surgery was 0.47 (95% CI, 0.24 to 0.89) for white women; 0.36 (95% CI, 0.12 to 1.06) for black men; and 0.37 (95% CI, 0.11 to 1.28)for black women.
CONCLUSIONS: Our study shows that white women are less likely than white men to be offered bypass surgery after AMI. Although black men and women with AMI are less likely than white men to be offered percutaneous transluminal coronary angioplasty or coronary artery bypass grafting in both unadjusted and adjusted analyses, these findings did not reach statistical significance. Our study is limited in power due to the small number of blacks in the sample.</description><identifier>ISSN: 0884-8734</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1046/j.1525-1497.2001.016004227.x</identifier><identifier>PMID: 11318923</identifier><language>eng</language><publisher>Boston, MA, USA: Blackwell Science, Inc</publisher><subject>African Americans ; African Continental Ancestry Group ; Aged ; Angioplasty ; Angioplasty, Balloon, Coronary - statistics & numerical data ; Bioethics ; Black people ; blacks ; Cardiac catheterization ; Cardiac Catheterization - statistics & numerical data ; Cardiovascular disease ; Collaboration ; Comorbidity ; coronary ; Coronary Artery Bypass - statistics & numerical data ; coronary artery bypass utilization ; Coronary vessels ; Enzymes ; European Continental Ancestry Group ; Female ; Gender ; Heart attacks ; heart catheterization utilization ; Heart surgery ; Hospitals ; Humans ; Internal medicine ; Intubation ; Kinases ; Male ; Michigan ; Middle Aged ; Mortality ; Myocardial Infarction - ethnology ; Myocardial Infarction - therapy ; Nurses ; Original ; Physicians, Women ; Prospective Studies ; Race ; Sex Factors ; transluminal ; utilization ; Veins & arteries ; White people ; Women</subject><ispartof>Journal of general internal medicine : JGIM, 2001-04, Vol.16 (4), p.227-234</ispartof><rights>Blackwell Science Inc 2001</rights><rights>2001 by the Society of General Internal Medicine 2001</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495197/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495197/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,27924,27925,45574,45575,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11318923$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Watson, Ralph E.</creatorcontrib><creatorcontrib>Stein, Aryeh D.</creatorcontrib><creatorcontrib>Dwamena, Francesca C.</creatorcontrib><creatorcontrib>Kroll, Jill</creatorcontrib><creatorcontrib>Mitra, Raj</creatorcontrib><creatorcontrib>McIntosh, Barbara A.</creatorcontrib><creatorcontrib>Vasilenko, Peter</creatorcontrib><creatorcontrib>Holmes‐Rovner, Margaret M.</creatorcontrib><creatorcontrib>Chen, Qin</creatorcontrib><creatorcontrib>Kupersmith, Joel</creatorcontrib><creatorcontrib>Michigan State University Inter-Institutional Collaborative Heart Study Group</creatorcontrib><title>Do Race and Gender Influence the Use of Invasive Procedures?</title><title>Journal of general internal medicine : JGIM</title><addtitle>J Gen Intern Med</addtitle><description>OBJECTIVE: To assess the influence of race and gender influence on the use of invasive procedures in patients with acute myocardial infarction (AMI) in community hospitals.
DESIGN: Prospective, observational.
SETTING: Five mid‐Michigan community hospitals.
PATIENTS: All patients (838) identified with AMI between January 1994 and April 1995 in 1 of these hospitals.
MEASUREMENTS AND MAIN RESULTS: After adjusting for age, hospital of admission, insurance type, severity of AMI, and comorbidity, using white men as the reference group, the rate of being offered cardiac catheterization (CC) was 0.88 (95% confidence interval [95% CI], 0.60 to 1.29) for white women; 0.79 (95% CI, 0.41 to 1.50) for black men; and 1.14 (95% CI, 0.53 to 2.45)for black women. Among patients who underwent CC, after also adjusting for coronary artery anatomy, the rate of being offered angioplasty, using white men as the reference group, was 1.22 (95% CI, 0.75 to 1.98) for white women; 0.61 (5% CI, 0.29 to 1.28, P = .192) for black men; and 0.40 (95% CI, 0.14 to 1.13) for black women The adjusted rate of being offered bypass surgery was 0.47 (95% CI, 0.24 to 0.89) for white women; 0.36 (95% CI, 0.12 to 1.06) for black men; and 0.37 (95% CI, 0.11 to 1.28)for black women.
CONCLUSIONS: Our study shows that white women are less likely than white men to be offered bypass surgery after AMI. Although black men and women with AMI are less likely than white men to be offered percutaneous transluminal coronary angioplasty or coronary artery bypass grafting in both unadjusted and adjusted analyses, these findings did not reach statistical significance. Our study is limited in power due to the small number of blacks in the sample.</description><subject>African Americans</subject><subject>African Continental Ancestry Group</subject><subject>Aged</subject><subject>Angioplasty</subject><subject>Angioplasty, Balloon, Coronary - statistics & numerical data</subject><subject>Bioethics</subject><subject>Black people</subject><subject>blacks</subject><subject>Cardiac catheterization</subject><subject>Cardiac Catheterization - statistics & numerical data</subject><subject>Cardiovascular disease</subject><subject>Collaboration</subject><subject>Comorbidity</subject><subject>coronary</subject><subject>Coronary Artery Bypass - statistics & numerical data</subject><subject>coronary artery bypass utilization</subject><subject>Coronary vessels</subject><subject>Enzymes</subject><subject>European Continental Ancestry Group</subject><subject>Female</subject><subject>Gender</subject><subject>Heart attacks</subject><subject>heart catheterization utilization</subject><subject>Heart surgery</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Intubation</subject><subject>Kinases</subject><subject>Male</subject><subject>Michigan</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Myocardial Infarction - ethnology</subject><subject>Myocardial Infarction - therapy</subject><subject>Nurses</subject><subject>Original</subject><subject>Physicians, Women</subject><subject>Prospective Studies</subject><subject>Race</subject><subject>Sex Factors</subject><subject>transluminal</subject><subject>utilization</subject><subject>Veins & arteries</subject><subject>White people</subject><subject>Women</subject><issn>0884-8734</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkV1L3EAUhodSqav2L5QgpXeJZz6SmYFSsWu7rgiWUq-HSeaMZskma2az6r93grpVrw6c9-E9Hy8hXylkFERxtMhozvKUCi0zBkAzoAWAYExm9x_IZCt-JBNQSqRKcrFL9kJYRJgzpj6RXUo5VZrxCfl-2iV_bYWJbV0yw9Zhn8xb3wzYxub6BpOrgEnnY3NjQ73B5E_fVeiGHsPxAdnxtgn4-bnuk6vfv_5Nz9KLy9l8enKRrrhQkJZWac2cgMKVOo51pWOcaZFLCVWJwFzBc--x9N5b9LRUilLJc8XBc1dovk9-PPmuhnKJrsJ23dvGrPp6afsH09navFXa-sZcdxsT_5BTLaPBt2eDvrsdMKzNsg4VNo1tsRuCkRAncjGCh-_ARTf0bTzOKJnHM3RRROjL63W2e7x8NQI_n4C7usGH_zqYMUGzMGNI43LSjAmabYLm3pzP5hokA_4IdgaOPg</recordid><startdate>200104</startdate><enddate>200104</enddate><creator>Watson, Ralph E.</creator><creator>Stein, Aryeh D.</creator><creator>Dwamena, Francesca C.</creator><creator>Kroll, Jill</creator><creator>Mitra, Raj</creator><creator>McIntosh, Barbara A.</creator><creator>Vasilenko, Peter</creator><creator>Holmes‐Rovner, Margaret M.</creator><creator>Chen, Qin</creator><creator>Kupersmith, Joel</creator><general>Blackwell Science, Inc</general><general>Springer Nature B.V</general><general>Blackwell Science Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200104</creationdate><title>Do Race and Gender Influence the Use of Invasive Procedures?</title><author>Watson, Ralph E. ; Stein, Aryeh D. ; Dwamena, Francesca C. ; Kroll, Jill ; Mitra, Raj ; McIntosh, Barbara A. ; Vasilenko, Peter ; Holmes‐Rovner, Margaret M. ; Chen, Qin ; Kupersmith, Joel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p3480-ba8992d406db9892dbd232945770cbe02d635ffebfffaef1b8811735830f3d693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>African Americans</topic><topic>African Continental Ancestry Group</topic><topic>Aged</topic><topic>Angioplasty</topic><topic>Angioplasty, Balloon, Coronary - statistics & numerical data</topic><topic>Bioethics</topic><topic>Black people</topic><topic>blacks</topic><topic>Cardiac catheterization</topic><topic>Cardiac Catheterization - statistics & numerical data</topic><topic>Cardiovascular disease</topic><topic>Collaboration</topic><topic>Comorbidity</topic><topic>coronary</topic><topic>Coronary Artery Bypass - statistics & numerical data</topic><topic>coronary artery bypass utilization</topic><topic>Coronary vessels</topic><topic>Enzymes</topic><topic>European Continental Ancestry Group</topic><topic>Female</topic><topic>Gender</topic><topic>Heart attacks</topic><topic>heart catheterization utilization</topic><topic>Heart surgery</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Intubation</topic><topic>Kinases</topic><topic>Male</topic><topic>Michigan</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Myocardial Infarction - ethnology</topic><topic>Myocardial Infarction - therapy</topic><topic>Nurses</topic><topic>Original</topic><topic>Physicians, Women</topic><topic>Prospective Studies</topic><topic>Race</topic><topic>Sex Factors</topic><topic>transluminal</topic><topic>utilization</topic><topic>Veins & arteries</topic><topic>White people</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Watson, Ralph E.</creatorcontrib><creatorcontrib>Stein, Aryeh D.</creatorcontrib><creatorcontrib>Dwamena, Francesca C.</creatorcontrib><creatorcontrib>Kroll, Jill</creatorcontrib><creatorcontrib>Mitra, Raj</creatorcontrib><creatorcontrib>McIntosh, Barbara A.</creatorcontrib><creatorcontrib>Vasilenko, Peter</creatorcontrib><creatorcontrib>Holmes‐Rovner, Margaret M.</creatorcontrib><creatorcontrib>Chen, Qin</creatorcontrib><creatorcontrib>Kupersmith, Joel</creatorcontrib><creatorcontrib>Michigan State University Inter-Institutional Collaborative Heart Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of general internal medicine : JGIM</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Watson, Ralph E.</au><au>Stein, Aryeh D.</au><au>Dwamena, Francesca C.</au><au>Kroll, Jill</au><au>Mitra, Raj</au><au>McIntosh, Barbara A.</au><au>Vasilenko, Peter</au><au>Holmes‐Rovner, Margaret M.</au><au>Chen, Qin</au><au>Kupersmith, Joel</au><aucorp>Michigan State University Inter-Institutional Collaborative Heart Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do Race and Gender Influence the Use of Invasive Procedures?</atitle><jtitle>Journal of general internal medicine : JGIM</jtitle><addtitle>J Gen Intern Med</addtitle><date>2001-04</date><risdate>2001</risdate><volume>16</volume><issue>4</issue><spage>227</spage><epage>234</epage><pages>227-234</pages><issn>0884-8734</issn><eissn>1525-1497</eissn><abstract>OBJECTIVE: To assess the influence of race and gender influence on the use of invasive procedures in patients with acute myocardial infarction (AMI) in community hospitals.
DESIGN: Prospective, observational.
SETTING: Five mid‐Michigan community hospitals.
PATIENTS: All patients (838) identified with AMI between January 1994 and April 1995 in 1 of these hospitals.
MEASUREMENTS AND MAIN RESULTS: After adjusting for age, hospital of admission, insurance type, severity of AMI, and comorbidity, using white men as the reference group, the rate of being offered cardiac catheterization (CC) was 0.88 (95% confidence interval [95% CI], 0.60 to 1.29) for white women; 0.79 (95% CI, 0.41 to 1.50) for black men; and 1.14 (95% CI, 0.53 to 2.45)for black women. Among patients who underwent CC, after also adjusting for coronary artery anatomy, the rate of being offered angioplasty, using white men as the reference group, was 1.22 (95% CI, 0.75 to 1.98) for white women; 0.61 (5% CI, 0.29 to 1.28, P = .192) for black men; and 0.40 (95% CI, 0.14 to 1.13) for black women The adjusted rate of being offered bypass surgery was 0.47 (95% CI, 0.24 to 0.89) for white women; 0.36 (95% CI, 0.12 to 1.06) for black men; and 0.37 (95% CI, 0.11 to 1.28)for black women.
CONCLUSIONS: Our study shows that white women are less likely than white men to be offered bypass surgery after AMI. Although black men and women with AMI are less likely than white men to be offered percutaneous transluminal coronary angioplasty or coronary artery bypass grafting in both unadjusted and adjusted analyses, these findings did not reach statistical significance. Our study is limited in power due to the small number of blacks in the sample.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science, Inc</pub><pmid>11318923</pmid><doi>10.1046/j.1525-1497.2001.016004227.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | African Americans African Continental Ancestry Group Aged Angioplasty Angioplasty, Balloon, Coronary - statistics & numerical data Bioethics Black people blacks Cardiac catheterization Cardiac Catheterization - statistics & numerical data Cardiovascular disease Collaboration Comorbidity coronary Coronary Artery Bypass - statistics & numerical data coronary artery bypass utilization Coronary vessels Enzymes European Continental Ancestry Group Female Gender Heart attacks heart catheterization utilization Heart surgery Hospitals Humans Internal medicine Intubation Kinases Male Michigan Middle Aged Mortality Myocardial Infarction - ethnology Myocardial Infarction - therapy Nurses Original Physicians, Women Prospective Studies Race Sex Factors transluminal utilization Veins & arteries White people Women |
title | Do Race and Gender Influence the Use of Invasive Procedures? |
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