Association of median household income with burden of coronary artery disease among individuals with diabetes

Circulation. Cardiovascular Quality and Outcomes
Doreen M RabiAlberta Provincial Project for Assessing Outcomes in Coronary Heart Disease Investigators

Abstract

Low income is associated with adverse cardiovascular outcomes. Diabetes is more prevalent among low income groups, and low income patients with diabetes have been shown to have a greater burden of cardiovascular risk factors and worse cardiovascular outcomes. The objective of this study was to determine whether income status was associated with burden of coronary atherosclerosis in patients with diabetes. All patients with diabetes presenting for cardiac catheterization between January 1, 2000, and December 31, 2002, in Calgary, Canada, were identified through the use of the Alberta Provincial Project for Assessing Outcomes in Coronary Heart Disease (APPROACH) database. This clinical database was merged with Canadian 2001 Census data on median household income per dissemination area using patient postal code data, and income quintiles were derived. Clinical profiles, severity of coronary atherosclerosis, and myocardial jeopardy were compared across income quintiles. Mean scores for severity and jeopardy were compared across income quintiles using analysis of variance. Multivariate linear regression was used to control for baseline differences across income groups. A total of 4596 patients were eligible for inclusion in this stu...Continue Reading

References

Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Apr 9, 1999·International Journal of Epidemiology·M BobakM Marmot
Aug 2, 2001·American Heart Journal·M M GrahamUNKNOWN APPROACH Investigators (Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease
Mar 5, 2004·JAMA : the Journal of the American Medical Association·David A AlterUNKNOWN SESAMI Study Group
Sep 1, 2004·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Sheldon M SinghLinda Rabeneck
Jan 12, 2005·The American Journal of Cardiology·Alf Inge LarsenUNKNOWN APPROACH Investigators
Oct 29, 2005·American Journal of Human Biology : the Official Journal of the Human Biology Council·Non-Eleri ThomasBruce Davies
Oct 5, 2006·BMC Health Services Research·Doreen M RabiWilliam A Ghali
Apr 3, 2007·Cardiovascular Diabetology·Doreen M RabiWilliam A Ghali

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Citations

Jul 24, 2012·Journal of General Internal Medicine·Derek K NgJ Hunter Young
Dec 3, 2014·The American Journal of Cardiology·Min Chul KimYoungkeun Ahn
Sep 21, 2010·General Hospital Psychiatry·Clara E Dismuke, Leonard E Egede
Mar 7, 2019·Reviews on Recent Clinical Trials·Adriana Roncella
Nov 24, 2019·Diabetes & Metabolism·S TatulashviliH Bihan

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