Do race and gender influence the use of invasive procedures?

Journal of General Internal Medicine
R E WatsonMichigan State University Inter-Institutional Collaborative Heart Study Group

Abstract

To assess the influence of race and gender influence on the use of invasive procedures in patients with acute myocardial infarction (AMI) in community hospitals. Prospective, observational. Five mid-Michigan community hospitals. All patients (838) identified with AMI between January 1994 and April 1995 in 1 of these hospitals. After adjusting for age, hospital of admission, insurance type, severity of AMI, and comorbidity, using white men as the reference group, the rate of being offered cardiac catheterization (CC) was 0.88 (95% confidence interval [95% CI], 0.60 to 1.29) for white women; 0.79 (95% CI, 0.41 to 1.50) for black men; and 1.14 (95% CI, 0.53 to 2.45)for black women. Among patients who underwent CC, after also adjusting for coronary artery anatomy, the rate of being offered angioplasty, using white men as the reference group, was 1.22 (95% CI, 0.75 to 1.98) for white women; 0.61 (5% CI, 0.29 to 1.28, P =.192) for black men; and 0.40 (95% CI, 0.14 to 1.13) for black women The adjusted rate of being offered bypass surgery was 0.47 (95% CI, 0.24 to 0.89) for white women; 0.36 (95% CI, 0.12 to 1.06) for black men; and 0.37 (95% CI, 0.11 to 1.28)for black women. Our study shows that white women are less likely than white...Continue Reading

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Citations

Jul 12, 2008·Journal of General Internal Medicine·Margaret Holmes-RovnerSusan L Dunn
Oct 9, 2002·Journal of Nursing Care Quality·Carol M MeilsCheryl L Mueller
Apr 6, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Brian C HiestandW Brian Gibler
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Oct 16, 2004·Journal of General Internal Medicine·Adesuwa B OlomuUNKNOWN Michigan State University Inter-Institutional Collaborative Heart (MICH) Study Group
Apr 21, 2001·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·P DodekR Hogg
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Jun 13, 2006·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Lisa R HirschhornPaul D Cleary
Oct 31, 2003·Archives of Physical Medicine and Rehabilitation·Yaacov DroryUNKNOWN Israel Study Group on First Acute Myocardial Infarction
Apr 25, 2001·Journal of General Internal Medicine·C M Mangione, E Reynolds

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