Racial disparities in outcomes following coronary artery bypass grafting

Journal of Cardiovascular Nursing

Volumn 21, Issue 5, 2006, Pages 367-378

  Hravnak, Marilyn ^a   Ibrahim, Said ^b   Kaufer, Abigail ^a   Sonel, Ali ^b   Conigliaro, Joseph ^c  

^a UNIVERSITY OF PITTSBURGH   (United States)

^b UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF KENTUCKY MEDICAL CENTER   (United States)

Author keywords

Black African American; Coronary artery bypass; Coronary heart disease; Disparities; Population groups; Race

Indexed keywords

AFRICAN AMERICAN; AGED; COMPARATIVE STUDY; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY DISEASE; FEMALE; HEALTH CARE DELIVERY; HUMAN; MALE; MIDDLE AGED; MORTALITY; REVIEW; STATISTICS; TREATMENT OUTCOME;

AFRICAN AMERICANS; AGED; CORONARY ARTERY BYPASS; CORONARY DISEASE; DELIVERY OF HEALTH CARE; FEMALE; HUMANS; MALE; MIDDLE AGED; TREATMENT OUTCOME;

EID: 33748707622     PISSN: 08894655     EISSN: 15505049     Source Type: Journal    
DOI: 10.1097/00005082-200609000-00007     Document Type: Article

References (82)

1. Agency for Healthcare Research and Quality: Elixhauser A, Yu K, Steiner C, Bierman AL. Hospitalization in the United States, 1997, HCUP Fact Book No. 1. Rockville, Md: AHRQ Publication No. 00-0031; 2000.
2. U.S. Department of Health and Human Services. Healthy People 2010. McLean, Va: International Medical Publishing; 2000.
3. Kressin NR, Petersen LA. Racial differences in the use of invasive cardiovascular procedures: review of the literature and prescription for future research. Ann Intern Med. 2001;135:352-366.
4. Petersen LA, Wright SM, Peterson ED, Daley J. Impact of race on cardiac care and outcomes in veterans with acute myocardial infarction. Med Care. 2002;40(1 suppl): 186-196.
5. Conigliaro J, Whittle J, Good CB, et al. Understanding racial variation in the use of coronary revascularization procedures: the role of clinical factors. Arch Intern Med. 2000;160:1329-1335.
6. Society of Thoracic Surgeons National Database. Executive summary - STS Spring 2005 report. Available at: http://www.sts.org.documents.pdf/ spring2005STS-ExecutiveSummary.pdf. Accessed October 30, 2005.
7. Conigliaro J, Whittle J, Good CB, Skanderson M, Kelley M, Goldberg K. Delay in presentation for cardiac care by race, age, and site of care. Med Care. 2002;40(1 suppl): 197-1105.
8. Brooks MM, Jones RH, Bach RG, Chaitman BR, Kern MJ, Orszulak TA. Predictors of mortality and mortality from cardiac causes in the bypass angioplasty revascularization investigation (BARI) randomized trial and registry. Circulation. 2000;101:2682-2689.
9. Mayberry RM, Mili F, Ofioi E. Racial and ethnic differences in access to medical care. Med Care Res Rev. 2000; 57:108-145.
10. Sheifer SE, Rathore SS, Gersh BJ, et al. Time to presentation with acute myocardial infarction in the elderly: associations with race, sex and socioeconomic characteristics. Circulation. 2000;102:1651-1656.
11. Center for Health Equities Research and Promotion. Available at: http://www.cherp.research/med/va/gov/primer3.php. Accessed October 30, 2005.
12. Keppel KG, Pearcy JN, Wagener DK. Trends in racial and ethnic-specific rates for the health status indicators: United States, 1990-98. Healthy People 2000 Stat Notes. 2002;23:1-16.
13. Keppel K, Pamuk E, Lynch J, et al. Methodological issues in measuring health disparities. National Center for Health Statistics. Vital Health Stat 2. 2005;141:1-16.
14. Institute of Medicine. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academy Press; 2002.
15. Rumsfeld JS, Plomondon ME, Peterson ED, et al. The impact of ethnicity on outcomes following coronary artery bypass graft surgery in the Veterans Health Administration. J Am Coll Cardiol. 2002;40:1786-1793.
16. Hartz RS, Rao AV, Plomondon ME, Grover FL, Shroyer LW. Effects of race, with or without gender, on operative mortality after coronary artery bypass grafting: a study using the society of thoracic surgeons' national database. Ann Thorac Surg. 2001;71:512-520.
17. Benjamin EJ, Levy D. Why is left ventricular hypertrophy so predictive of morbidity and mortality? Am J Med Sci. 1999;317:168-175.
18. Maynard C, Ritchie JL. Racial differences in outcomes of veterans undergoing coronary artery bypass grafting. Am J Cardiol. 2001;88:893-895.
19. Gray RJ, Nessim S, Khan SS, Denton T, Matloff JM. Adverse 5-year outcome after coronary artery bypass surgery in blacks. Arch Intern Med. 1996;156:769-773.
20. Hannan E, Racz MJ, Walford G, et al. Predictors of readmission for complications of coronary artery bypass graft surgery. JAMA. 2003;290:773-780.
21. Pearson TA, Blair SN, Daniels SR, et al. AHA guidelines for primary prevention of cardiovascular disease and stroke: 2002 update: consensus panel guide to comprehensive risk reduction for adult patients without coronary or other atherosclerotic vascular diseases. Circulation. 2002;106:388-391.
22. Grundy SM, Pasternak R, Greenland P, Smith S, Fuster V. Assessment of cardiovascular risk by use of multiple-risk-factor assessment equations. J Am Coll Cardiol. 1999;34: 1348-1359.
23. Gillum RF, Mussolino ME, Madans JH. Coronary heart disease incidence and survival in African-American women and men: the NHANES I epidemiologic follow-up study. Ann Intern Med. 1997;127:111-118.
24. Harris-Hooker S, Sanford GL. Lipids, lipoproteins and coronary heart disease in minority populations. Atherosclerosis. 1994;108(suppl):S83-S104.
25. Zoratti R, Godsland IF, Chaturvedi N, Crook D, Crook D, Stevenson JC. Relation of plasma lipids to insulin resistance, nonesterified fatty acid levels, and body fat in men from three ethnic groups: relevance to variation in risk of diabetes and coronary disease. Metabolism. 2000; 49:245-252.
26. Zoratti R. A review on ethnic differences in plasma triglycerides and high-density-lipoprotein cholesterol: is the lipid pattern the key factor for the low coronary heart disease rate in people of Africa origin? Eur J Epidemiol. 1998;14:9-21.
27. Gillum RF, Mussolino ME, Madans JH. Diabetes mellitus, coronary heart disease incidence, and death from all causes in African American and European American women. The NHANES I epidemiologic follow-up study. J Clin Epidemiol. 2000;53:511-518.
28. Potts JL, Thomas J. Traditional coronary risk factors in African Americans. Am J Med Sci. 1999;317:189-192.
29. Thomas J, Semenya K, Thomas CB, et al. Precursors of hypertension in black compared to white medical students. J Chronic Dis. 1987;40:721-727.
30. Thomas J, Thomas DJ, Pearson T, Klag M, Mead L. Cardiovascular disease in African American and white physicians: the Meharry Cohort and Meharry-Hopkins Cohort Studies. J Health Care Poor Underserved. 1997;8: 270-283.
31. Maynard C, Fisher LD, Passamani ER. Survival of black persons compared with white persons in the coronary artery surgery study (CASS). Am J Cardiol. 1987;60: 513-518.
32. Bridges CR, Edwards FH, Peterson ED, Coombs LP. The effect of race on coronary bypass operative mortality. J Am Coll Cardiol. 2000;36:1870-1876.
33. Woods SE, Smith JM, Sohail S, Sarah A, Engle A. The influence of type 2 diabetes mellitus in patients undergoing coronary arty bypass graft surgery. Chest. 2004; 126:1789-1795.
34. Ibrahim SA, Whittle J, Bean-Mayberry B, Kelley ME, Good C, Conigliaro J. Racial/ethnic variations in physician recommendations in cardiac revascularization. Am J Public Health. 2003;3:1689-1693.
35. Newman AB, Naydeck BL, Whittle J, Sutton-Tyrell K, Edmunowicz D, Kuller LH. Racial differences in coronary artery calcification in older adults. Arterioscler Thromb Vasc Biol. 2002;22:424-430.
36. Whittle J, Conigliaro J, Good B, Hanusa BH, Macpherson DS. African-American-Caucasian differences in severity of coronary artery disease among individuals with acute coronary syndromes. J Gen Intern Med. 2002; 17: 876-882.
37. Ergul S, Parish CD, Puett D, Ergul A. Racial differences in plasma endothelin-1 concentrations in individuals with essential hypertension. Hypertension. 1996;28:652-655.
38. Ergul A, Tacket R, Puett D. Distribution of endothelin receptors in saphenous veins of African-Americans: implications of racial differences. J Cardiovasc Pharm. 1999; 34:327-332.
39. Grubbs AL, Anstadt MP, Ergul A. Saphenous vein endothelin system expression and activity in African-American patients. Arterioscler Thromb Vase Biol. 2002; 22:1122-1127.
40. Strong JP, McGill HC. The natural history of aortic atherosclerosis: relationship to race, sex and coronary lesions in New Orleans. Exp Mol Pathol. 1963;suppl 1:15-27.
41. Lee TC, O'Malley PG, Feuerstein I, Taylor AJ. The prevalence and severity of coronary artery calcification on coronary artery computed tomography in African-American and Caucasian patients. J Am Coll Cardiol. 2003;41:39-44.
42. Doherty TM, Tang W, Dascalos S, et al. Ethnic origin and serum levels of 1 alpha, 25-dihydroxyvitamin D3 are independent predictors of coronary calcium mass measured by electron-beam computed tomography. Circulation. 1997;96:1477-1481.
43. Manolio TA, Burke GL, Psaty BH, et al. African-American Caucasian differences in subclinical disease among older adults: the Cardiovascular Health Study (CHS) [abstract]. Circulation. 1993;88:1913.
44. Wade N. Race is seen as real guide to track roots of disease. The New York Times. July 30, 2002; Sect F: 1(col. 1).
45. Kelly RF, Hashim AS, Al-Sallow R. Recommendations and performance of coronary revascularization procedures in black and white patients. Am J Cardiol. 2005;96:215-217.
46. Hannan E, van Ryan M, Burke J, et al. Access to coronary artery bypass surgery by race/ethnicity and gender among patients who are appropriate for surgery. Med Care. 1999; 31:68-77.
47. Kelly RF, Hashim AS, Al-Dallow R. Recommendations and performance of coronary revascularization procedures in black and white patients. Am J Cardiol. 2005; 96:215-217.
48. Ferguson JA, Tierney WM, Westmorland GR, et al. Examination of racial differences in management of cardiac disease. J Am Coll Cardiol. 1994;24:1297-1304.
49. Whittle J, Conigliaro J, Good CB, Lofgren RP. Racial differences in the use of invasive cardiovascular procedures in the department of the Veterans Affairs medical system. N Engl J Med. 1993;329:621-627.
50. Whittle J, Conigliaro J, Good CB, Joswiak M. Do patient preferences contribute to racial differences in cardiovascular procedure use?. J Gen Intern Med. 1997;12:267-273.
51. Gordon HS, Paternitti DA, Wray NP. Race and patient refusal of invasive cardiac procedures. J Gen Intern Med. 2004;19:962-966.
52. Eagle KA, Guyton RA, Davidoff R, et al. ACC/AHA guidelines for coronary artery bypass graft surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 1999;34:1262-1347.
53. Schaff HV, Rosen AD, Shemin RJ, et al. Clinical and operative characteristics of patients randomized to coronary artery bypass surgery in the bypass angioplasty revascularization investigation (BARI). Am J Cardiol. 1995;75:18C-26C.
54. Groeneveld PW, Laufer SB, Garber AM. Technology diffusion, hospital variation, and racial disparities among elderly Medicare beneficiaries. Med Care. 2005;43: 320-329.
55. Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med. 1999;340:618-626.
56. Fiscella K. Is lower income associated with greater biopsychosocial morbidity? Implications for physicians working with underserved patients. J Fam Pract. 1999; 48:372-377.
57. Brodish PH, Massing M, Tyroler HA. Income inequality and all-cause mortality in the 100 counties of North Carolina. South Med J. 2000;93:386-391.
58. Fiscella K, Franks P, Doescher MP, Saver BG. Disparities in healthcare by race, ethnicity, and language among the insured: Findings from a national sample. Med Care. 2002;40:52-59.
59. Sorlie PD, Backlund E, Keller JB. US mortality by economic, demographic, and social characteristics: the national longitudinal mortality study. Am J Public Health. 1995;85:949-956.
60. Andrulis DP. Access to care is the centerpiece in the elimination of socioeconomic disparities in health. Ann Intern Med. 1998;129:412-416.
61. Shea S, Misra D, Ehrlich MH, Field L, Francis CK. Predisposing factors for severe, uncontrolled hypertension in an inner-city minority population. N Engl J Med. 1992; 327:776-781.
62. Saver BG, Peterfreund N. Insurance, income, and access to ambulatory care in King County, Washington. Am J Public Health. 1993;83:1583-1588.
63. Lesser CS, Cunningham PJ. Access to care: is it improving or declining? Center for Studying Health System Change Fall 1997, data bulletin no. 1. Available at: http://www.hschange.com. Accessed December 5, 2005.
64. Sung JF, Harris-Hooker S, Alema-Mensah E, Mayberry R. Is there a difference in hypertensive claim rates among Medicaid recipients? Ethn Dis. 1997;7:19-26.
65. Sedlis SP, Fisher VJ, Tice D, et al. Racial differences in performance of invasive cardiac procedures in a department of Veterans Affairs Medical Center. J Clin Epidemiol. 1997;50:899-901.
66. Rothenberg BM, Pearson T, Zwanziger J, Mukamel D. Explaining disparities in access to high-quality cardiac surgeons. Ann Thorac Surg. 2004;78:18-25.
67. Mukamel DB, Murthy AS, Weimer DL. Racial differences in access to high-quality cardiac surgeons. Am J Public Health. 2000;90:1774-1777.
68. Fiscella K, Franks P, Meldrum MS, Barnett S. Racial disparity in surgical complications in New York state. Ann Surg. 2005;242:151-155.
69. Konety SH, Sarrazin MS, Rosenthal GE. Patient and hospital differences underlying racial variations in outcomes after coronary artery bypass surgery. Circulation. 2005;111:1210-1216.
70. Fiscella K, Franks P, Gold M, Clancy CM. Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in healthcare. JAMA. 2000;283:2579-2584.
71. Johnston G, Goss R, Malmgren JA, Spertus JA. Health status and social risk correlates of extended length of stay following coronary artery bypass surgery. Am Thorac Surg. 2004;77:557-562.
72. Ware JR, Sherbourne CD. The MOS 36-Item Short Form Health Survey (SF-36): I. Conceptual framework and item selection. Med Care. 1992;30:473-483.
73. Boscarino JA, Chang J. Survival after coronary artery bypass graft surgery and community socioeconomic status: clinical and research implications. Med Care. 1999;37:210-216.
74. Taylor FC, Ascione R, Rees K, Narayan P, Angelini GD. Socioeconomic deprivation is a predictor of poor post-operative cardiovascular outcomes in patients undergoing coronary artery bypass grafting. Heart. 2003;89:1062-1066.
75. European System for Cardiac Operative Risk Evaluation (EuroSCORE). Available at: http://www.euroscore.org/euroscore_scoring.htm. Accessed March 6, 2006.
76. Higgins RSD, Paone G, Borzak S, et al. Effect of payer status on outcomes of coronary artery bypass surgery in blacks. Circulation. 1998;suppl 19:1146-1149.
77. Mancini MC, Cush P, Sweatman K, Dansby J. Coronary artery bypass surgery: are outcomes influenced by demographics or ability to pay? Ann Surg. 2001;233: 617-622.
78. Zacharias A, Schwann TA, Riordan CJ, Durham SJ, Shah A, Habib R. Operative and late coronary artery bypass grafting outcomes in matched African-American versus Caucasian patients. J Am Coll Cardiol. 2005;46: 1526-1535.
79. Bridges CR. Cardiac surgery in African-Americans. Ann Thorac Surg. 2003;76:S1356-S1362.
80. Lillie-Blanton M, Maddox TM, Rushing O, Mensah GA. Disparities in cardiac care: rising to the challenge of health people 2010. J Am Coll Cardiol. 2004;44:503-508.
81. Lillie-Blanton M, Rushing O, Ruiz A, Mayberry R, Boone L. Racial and ethnic differences in cardiac care: the weight of the evidence. The Henry J. Kaiser Family Foundation. 2002. Available at: http://www.kff.org/minorityhealth/ 6040-index.cfm. Accessed March 5, 2006.
82. U.S. Census Bureau. National population projections: 1. Summary files total population by race, Hispanic origin and nativity. (NP-T5) projections of the resident population by race, Hispanic origin and nativity: middle series: 1999-2100 [revised 2 Aug, 2002]. Available at: http://www.census.gov/population/ www/projections/natsum-T5.html. Accessed December 5, 2005.