Underuse of cardiac procedures: Do women, ethnic minorities, and the uninsured fail to receive needed revascularization?

Annals of Internal Medicine

Volumn 130, Issue 3, 1999, Pages 183-192

  Leape, Lucian L ^b   Hilborne, Lee H ^b   Bell, Robert ^a   Kamberg, Caren ^a   Brook, Robert H ^a  

^a RAND CORPORATION   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ANGIOCARDIOGRAPHY; ARTICLE; CARDIOVASCULAR DISEASE; CARDIOVASCULAR SYSTEM EXAMINATION; CORONARY ARTERY BYPASS GRAFT; ETHNIC GROUP; FEMALE; HEALTH INSURANCE; HEART MUSCLE REVASCULARIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICAL RECORD; MEDICARE; PRIORITY JOURNAL; REGRESSION ANALYSIS; TRANSLUMINAL CORONARY ANGIOPLASTY;

EID: 0033514463     PISSN: 00034819     EISSN: None     Source Type: Journal    
DOI: 10.7326/0003-4819-130-3-199902020-00003     Document Type: Article

References (38)

1. Ayanian JZ, Epstein AM. Differences in the use of procedures between women and men hospitalized for coronary heart disease. N Engl J Med. 1991;325:221-5.
2. Steingart RM, Packer M, Hamm P, Coglianese ME, Gersh B, Geltman EM, et al. Sex differences in the management of coronary artery disease Survival and Ventricular Enlargement Investgators. N Engl J Med. 1991;325: 226-30.
3. Shaw LJ, Miller DD, Romeis JC, Kargl D, Younis LT, Chaitman BR. Gender differences in the noninvasive evaluation and management of patients with suspected coronary artery disease. Ann Intern Med 1994;120:559-66.
4. Bickell NA, Pieper KS, Lee KL, Mark DB, Glower DD, Pryor DB, et al. Referral patterns for coronary artery disease treatment gender bias or good clinical judgment? Ann Intern Med. 1992;116:791-7.
5. Ayanian JZ, Udvarhelyi IS, Gatsonis CA, Pashos CL, Epstein AM. Racial differences in the use of revascularization procedures after coronary angiography. JAMA. 1993;269:2642-6.
6. Lange RA, Hillis LD. Immediate angioplasty for acute myocardial infarction [Editorial]. N Engl J Med. 1993;328:726-8.
7. Escarce JJ, Epstein KR, Colby DC, Schwartz JS. Racial differences in the elderly's use of medical procedures and diagnostic tests. Am J Public Health 1993;83:948-54.
8. Wenneker MB, Epstein AM. Racial inequalities in the use of procedures for patients with ischemic heart disease in Massachusetts. JAMA. 1989;261:253-7.
9. Carlisle DM, Leake BD, Shapiro MF. Racial and ethnic differences in the use of invasive cardiac procedures among cardiac patients in Los Angeles County, 1986 through 1988. Am J Public Health. 1995;85:352-6.
10. Johnson PA, Lee TH, Cook EF, Rouan GW, Goldman L. Effect of race on the presentation and management of patients with acute chest pain. Ann Intern Med. 1993;118:593-601.
11. Whittle J, Conigliaro J, Good CB, Lofgren RP. Racial differences in the use of invasive cardiovascular procedures in the Department of Veterans Affairs medical system. N Engl J Med. 1993;329:621-7.
12. Hannan EL, Kilburn H Jr, O'Donnell JF, Lukacik G, Shields EP. Interracial access to selected cardiac procedures for patients hospitalized with coronary artery disease in New York State. Med Care. 1991;29:430-41.
13. Peterson ED, Wright SM, Daley J, Thibault GE. Racial variation in cardiac procedure use and survival following acute myocardial infarction in the Department of Veterans Affairs. JAMA. 1994;271:1175-80.
14. Gittelsohn AM, Halpern J, Sanchez RL. Income, race, and surgery in Maryland. Am J Public Health. 1991;81:1435-41.
15. Cornelius LJ. Access to medical care for black Americans with an episode of illness. J Natl Med Assoc. 1991;83:617-26.
16. Mort EA, Weissman JS, Epstein AM. Physician discretion and racial variation in the use of surgical procedures. Arch Intern Med. 1994;154:761-7.
17. Krumholz HM, Douglas PS, Lauer MS, Pasternak RC. Selection of patients for coronary angiography and coronary revascularization early after myocardial infarction: is there evidence for a gender bias? Ann Intern Med 1992;116:785-90.
18. Leape LL, Hilborne LH, Park RE, Bernstein SJ, Kamberg CJ, Sherwood M, et al. The appropriateness of use of coronary artery bypass graft surgery in New York State. JAMA. 1993;269:753-60.
19. Hilborne LH, Leaps LL, Bernstein SJ, Park RE, Fiske ME, Kamberg CJ, et al. The appropriateness of use of percutaneous transluminal coronary angioplasty in New York State. JAMA. 1993;269:761-5.
20. Bernstein SJ, Hilborne LH, Leape LL, Fiske ME, Park RE, Kamberg CJ, et al. The appropriateness of use of coronary angiography in New York State. JAMA. 1993;269:766-9.
21. Little RJ. Direct standardization. a tool for teaching linear models for unbalanced data. American Statistician. 1982;32:38-43.
22. Efron B, Tibshirani TJ. An Introduction to the Bootstrap. New York: Chapman & Hall; 1993.
23. Graubard BI, Korn EL. Modeling the sampling design in the analysis of health surveys. Stat Methods Med Res 1996;5:263-81.
24. Stata Reference Manual, Release 5. College Station, TX: Stata Corp.; 1997.
25. Peterson ED, Shaw LK, DeLong ER, Pryor DB, Califf RM, Mark DB. Racial variation in the use of coronary-revascularization procedures. Are the differences real? Do they matter? N Engl J Med. 1997;336:480-6.
26. Kravitz RL, Laouri M, Kahan JP, Guzy P, Sherman T, Hilborne L, et al. Validity of criteria used for detecting underuse of coronary revascularization. JAMA. 1995;274:632-8.
27. Selby JV, Fireman BH, Lundstrom RJ, Swain BE, Truman AF, Wang CC, et al. Variation among hospitals in coronary angiography practices and outcomes after myocardial infarction in a large health maintenance organization. N Engl J Med. 1996;335:1888-96.
28. Every NR, Larson EB, Litwin PE, Maynard C, Fihn SD, Eisenberg MS, et al. The association between on-site cardiac catheterization facilities and the use of coronary angiography after acute myocardial infarction. Myocardial Infarction Triage and Intervention Project Investigators. N Engl J Med. 1993; 329:546-51.
29. Brook RH, Kosecoff JB, Park RE, Chassin MR, Winslow CM, Hampton JR. Diagnosis and treatment of coronary disease: comparison of doctors' attitudes in the USA and the UK. Lancet. 1988;1:750-3.
30. Mort EA, Edwards JN, Emmons DW, Convery K, Blumenthal D. Physician response to patient insurance status in ambulatory care clinical decision-making. Med Care. 1996;34:783-97.
31. Schechter AD, Goldschmidt-Clermont PJ, McKee G, Hoffeld D, Myers M, Velez R, et al. Influence of gender, race, and education on patient preferences and receipt of cardiac catheterizations among coronary care unit patients. Am J Cardiol. 1996;78:996-1001.
32. Leape LL, Hilborne LH, Schwartz JS, Bates DW, Rubin HR, Slavin P, et al. The appropriateness of coronary artery bypass graft surgery in academic medical centers. Working Group of the Appropriateness Project of the Academic Medical Center Consortium. Ann Intern Med. 1996;125:8-18.
33. Carlisle DM, Leape LL, Bickel S, Bell RH, Kamberg C, Genovese B, et al. Underuse and overuse of diagnostic testing for coronary artery disease in patients presenting with new-onset chest pain. Am J Med [In press].
34. Park RE, Fink A, Brook RH, Chassin MR, Kahn KL, Merrick NJ, et al. Physician ratings of appropriate indications for six medical and surgical procedures. Am J Public Health. 1986;76:766-72.
35. Chassin MR, Park RE, Fink A, Rauchman S, Keesey J, Brook RH. Indications for Selected Medical and Surgical Procedures. A Literature Review and Ratings of Appropriateness. Coronary Artery Bypass Graft Surgery: Santa Monica, CA: RAND; 1986.
36. Shekelle PG, Kahan JP, Bernstein SJ, Leape LL, Kamberg CJ, Park RE. The reproducibility of a method to identify the overuse and underuse of medical procedures. N Engl J Med. 1998;338:1888-95.
37. Hilborne LH, Leape LL, Kahan JP, et al, eds. Percutaneous Transluminal Coronary Angioplasty: A Literature Review and Ratings of Appropriateness and Necessity. Santa Monica, CA: RAND; 1991.
38. Leape LL, Hilborne LH, Kahan JP, Stason WB, Park RE, Kamberg CJ, et al., eds. Coronary Artery Bypass Graft: A Literature Review and Ratings of Appropriateness and Necessity. Santa Monica, CA: RAND; 1991.