PMID: 8958979Nov 18, 1996Paper

Relationship of cardiovascular risk factors to racial differences in femoral bypass surgery and abdominal aortic aneurysmectomy in Massachusetts

Annals of the New York Academy of Sciences
W W LaMorteJ O Menzoian

Abstract

Atherosclerosis is more severe in blacks than in whites, but abdominal aortic aneurysms, which have traditionally been thought to have an atherosclerotic etiology, appear to be less common in blacks. Because of this incongruity, we compared risk factor profiles in patients undergoing abdominal aortic aneurysm repair and patients undergoing femoral bypass for atherosclerotic occlusive disease. A dual case-control study was conducted, first, comparing patients who had undergone aneurysmectomy to a control group of patients who had undergone appendectomy; and then comparing patients who had undergone femoral bypass surgery to the same appendectomy controls. We initially used hospital discharge data for the entire state of Massachusetts and, in a second phase, data obtained from a review of medical records from Boston University Medical Center Hospital and Boston City Hospital. The statewide database indicated that rates of femoral bypass surgery were higher in blacks than in whites, but after adjusting for differences in hypertension, diabetes, and low socioeconomic status, the black/white odds ratio for femoral bypass fell to 1.44 (95% confidence interval: 1.08, 1.92). A similar analysis based on the hospital chart review, provid...Continue Reading

References

Jul 1, 1976·American Journal of Epidemiology·S L Syme, L F Berkman
Jan 1, 1992·Circulation·D ReedT Hayashi
Mar 12, 1992·The New England Journal of Medicine·J P BroderickR Miller
Mar 1, 1989·Journal of the Royal Society of Medicine·N D Kitchen
Feb 1, 1987·European Journal of Vascular Surgery·J T Powell, R M Greenhalgh
Jul 1, 1986·The British Journal of Surgery·M Costa, J V Robbs
Aug 1, 1969·Archives of Environmental Health·E C Hammond, L Garfinkel
Oct 1, 1984·Medicine and Science in Sports and Exercise·B Zarins, C R Rowe
Apr 1, 1984·American Journal of Surgery·M D Tilson, M R Seashore
Jul 8, 1993·The New England Journal of Medicine·J M GuralnikL G Branch
Jul 8, 1993·The New England Journal of Medicine·M Angell

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Citations

Apr 1, 2005·AORN Journal·Robin P NewhouseElizabeth Johnson
Sep 8, 1999·Journal of Vascular Surgery·T S HuberJ M Seeger
Sep 21, 2001·Vascular Surgery·B ToursarkissianM T Sykes

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