Racial/ethnic variations in physician recommendations for cardiac revascularization. Am J Public Health 2003 Oct;93(10):1689-93
Date
10/10/2003Pubmed ID
14534223Pubmed Central ID
PMC1448035DOI
10.2105/ajph.93.10.1689Scopus ID
2-s2.0-0344150964 (requires institutional sign-in at Scopus site) 69 CitationsAbstract
OBJECTIVES: We sought to examine whether physician recommendations for cardiac revascularization vary according to patient race.
METHODS: We studied patients scheduled for coronary angiography at 2 hospitals, one public and one private, between November 1997 and June 1999. Cardiologists were interviewed regarding their recommendations for cardiac resvacularization.
RESULTS: African American patients were less likely than Whites to be recommended for revascularization at the public hospital (adjusted odds ratio [OR] = 0.31; 95% confidence interval [CI] = 0.12, 0.77) but not at the private hospital (adjusted OR = 1.69; 95% CI = 0.69, 4.14).
CONCLUSIONS: Physician recommendations for cardiac revascularization vary by patient race. Further studies are needed to examine physician bias as a factor in racial disparities in cardiac care and outcomes.
Author List
Ibrahim SA, Whittle J, Bean-Mayberry B, Kelley ME, Good C, Conigliaro JAuthor
Jeffrey Whittle MD Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedAngioplasty, Balloon, Coronary
Cardiac Catheterization
Cardiology Service, Hospital
Coronary Angiography
Coronary Artery Bypass
Coronary Stenosis
Hospitals, Private
Hospitals, University
Hospitals, Veterans
Humans
Middle Aged
Myocardial Revascularization
Practice Patterns, Physicians'
Socioeconomic Factors
