Regional racial and ethnic differences in mortality for congenital heart surgery in children may reflect unequal access to care

Pediatric Cardiology

Volumn 24, Issue 2, 2003, Pages 103-108

  Gonzalez, P C ^a   Gauvreau, K ^a   DeMone, J A ^a   Piercey, G E ^a   Jenkins, K J ^a  

^a BOSTON CHILDREN S HOSPITAL   (United States)

Author keywords

Access to care; Congenital heart defect; Congenital heart surgery; Mortality; Racial differences

Indexed keywords

ADOLESCENT; ARTICLE; CHILD; CONGENITAL HEART DISEASE; CONTROLLED STUDY; ETHNIC DIFFERENCE; FEMALE; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HOSPITAL DISCHARGE; HUMAN; INFANT; MAJOR CLINICAL STUDY; MALE; MORTALITY; NEWBORN; PATIENT CARE; RACE DIFFERENCE; RISK ASSESSMENT; RISK FACTOR; SURGICAL RISK;

CARDIAC SURGICAL PROCEDURES; CAUSE OF DEATH; CHILD; CHILD, PRESCHOOL; COHORT STUDIES; CONTINENTAL POPULATION GROUPS; ETHNIC GROUPS; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEART DEFECTS, CONGENITAL; HOSPITAL MORTALITY; HUMANS; INFANT; INFANT, NEWBORN; MALE; MULTIVARIATE ANALYSIS; ODDS RATIO; OUTCOME ASSESSMENT (HEALTH CARE); PROBABILITY; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 0043246499     PISSN: 01720643     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00246-002-0244-y     Document Type: Article

References (27)

1. American Heart Association 2000 Heart and Stroke Statistical Update. American Heart Association, Dallas, TX
2. Ayanian JZ, Udvarhelyi IS, Gatsonis CA, Pashos CL, Epstein AM (1993) Racial differences in the use of revascularization procedures after coronary angiography. J Am Med Assoc 269:2642-2646
3. Braveman P, Oliva G, Miller MG, Reiter R, Egerter S (1989) Adverse outcomes and lack of health insurance among newborns in an eight-county area of California, 1982 to 1986. N Engl J Med 321:508-513
4. Bridges CR, Edwards FH, Peterson ED, Coombs LP (2000) The effect of race on coronary bypass operative mortality. J Am Coll Cardiol 36:1870-1876
5. Calmes D, Leake BD, Carlisle DM (1998) Adverse asthma outcomes among children hospitalized with asthma in California. Pediatrics 707:845-850
6. Carlisle DM, Leake BD, Shapiro MF (1995) 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 55:352-356
7. Carlisle DM, Leake BD, Shapiro MF (1997) Racial and ethnic disparities in the use of cardiovascular procedures: associations with type of health insurance. Am J Public Health 87:263-267
8. Carr W, Zeitel L, Weiss K (1992) Variations in asthma hospitalizations and deaths in New York City. Am J Public Health 52:59-65
9. Chang RK, Chen AY, Klitzner TS (2000) Factors associated with age at operation for children with congenital heart disease. Pediatrics 105:1073-1081
10. Chen J, Rathore SS, Radford MJ, Wang Y, Krumholz HM (2001) Racial differences in the use of cardiac catheterization after acute myocardial infarction. N Engl J Med 344:1443-1449
11. DeMone JA, Gonzalez PC, Gauvreau K, Piercey GE, Jenkins KJ (2003) Risk of death for medicaid recipients undergoing congenital heart surgery. Pediatr Cardiol 24:97-102
12. East MA, Peterson ED (2000) Understanding racial differences in cardiovascular care and outcomes: issues for the new millennium [editorial; comment]. Am Heart J 139:764-766
13. Epstein AM, Ayanian JZ (2001) Racial disparities in medical care. N Engl J Med 344:1471-1473
14. Erickson LC, Wise PH, Cook EF, Beiser A, Newburger JW (2000) The impact of managed care insurance on use of lower-mortality hospitals by children undergoing cardiac surgery in California. Pediatrics 105:1271-1278
15. Finkelstein BS, Silvers JB, Marrero U, Neuhauser D, Cuttler L (1998) Insurance coverage, physician recommendations, and access to emerging treatments: growth hormone therapy for childhood short stature. J Am Med Assoc 279:663-668
16. Hannan EL, Kilburn H Jr, O'Donnell JF, Lukacik G, Shields EP (1991) Interracial access to selected cardiac procedures for patients hospitalized with coronary artery disease in New York State. Med Care 29:430-441
17. Hannan EL, van Ryn M, Burke J, et al. (1999) Access to coronary artery bypass surgery by race/ethnicity and gender among patients who are appropriate for surgery. Med Care 37:68-77
18. Jenkins KJ, Gauvreau K, Newburger JW, et al. (2002) Consensus-based method for risk adjustment for surgery for congenital heart disease. J Thorac Cardiovasc Surg 123:110-118
19. Jenkins KJ, Newburger JW, Lock JE, et al. (1995) In-hospital mortality for surgical repair of congenital heart defects: preliminary observations of variation by hospital caseload. Pediatrics 95:323-330
20. Joseph JG, Frey C, Tian J, Kuehl K (2001) Correction of congenital heart disease: is there evidence of racial of socioeconomic disparities? [abstract]. Pediatr Res 49:194A
21. Milazzo AS, Armstrong BE, Li JS, Sanders SP (2001) Racial and geographic disparities in timing of bidirectional Glenn (BDG) and Fontan stages of single-ventricle palliation [abstract]. J Am Coll Cardiol 37:466A
22. Perlstein MA, Goldberg SJ, Meaney FJ, Davis MF, Zwerdling KC (1997) Factors influencing age at referral of children with congenital heart disease. Arch Pediatr Adolesc Med 757:892-897
23. Peterson ED, Shaw LK, DeLong ER, et al. (1997) Racial variation in the use of coronary-revascularization procedures. Are the differences real? Do they matter? N Engl J Med 336:480-486
24. Peterson ED, Wright SM, Daley J, Thibault GE (1994) Racial variation in cardiac procedure use and survival following acute myocardial infarction in the Department of Veterans Affairs. Ann Intern Med 135:328-337
25. Schneider EC, Leape LL, Weissman JS, et al. (2001) Racial differences in cardiac revascularization rates: does "overuse" explain higher rates among white patients? Ann Intern Med 135:328-337
26. Schulman KA, Berlin JA, Harless W, et al. (1999) The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med 340:618-626
27. Weitzman S, Cooper L, Chambless L, et al. (1997) Gender, racial, and geographic differences in the performance of cardiac diagnostic and therapeutic procedures for hospitalized acute myocardial infarction in four states. Am J Cardiol 79:722-726