HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Carlisle, D M Articles by Shapiro, M F Search for Related Content PubMed PubMed Citation Articles by Carlisle, D M Articles by Shapiro, M F

Racial and ethnic differences in the use of invasive cardiac procedures among cardiac patients in Los Angeles County, 1986 through 1988.

D M Carlisle, B D Leake and M F Shapiro

Division of General Internal Medicine and Health Services Research, UCLA School of Medicine 90024-1736.

OBJECTIVES. The purpose of the study was to compare use of invasive cardiovascular procedures among Latino, Asian, African-American, and White patients. METHODS. In a cross-sectional study of hospital discharge data, multiple logistic regression was used to model use of coronary artery angiography, bypass graft surgery, and angioplasty among adult Los Angeles County residents discharged from California hospitals between 1986 and 1988 with primary diagnoses consistent with possible ischemic heart disease. RESULTS. After potential demographic, socioeconomic, and clinical confounders, including hospital procedure volume, were controlled, Latinos were less likely than Whites to undergo angiography (odds ratio [OR] = 0.90) and bypass graft surgery (OR = 0.87). African Americans were less likely to receive bypass graft surgery (OR = 0.62) and angioplasty (OR = 0.80). Asians were as likely as Whites to receive each procedure. The impact of adjustment for hospital procedure volume was greater for Latinos and Asians than for African Americans. CONCLUSIONS. Administrative data suggest that disparities in use of invasive cardiovascular procedures are not limited to African Americans. Hospital procedure volume appears to be an important factor related to such disparities. The causes of racial/ethnic differences in reported procedure rates remain unclear.

This article has been cited by other articles:

				D. J. Cegala and D. M. Post On Addressing Racial and Ethnic Health Disparities: The Potential Role of Patient Communication Skills Interventions American Behavioral Scientist, February 1, 2006; 49(6): 853 - 867. [Abstract] [PDF]

				R. L. Ferrer, S. J. Hambidge, and R. C. Maly The Essential Role of Generalists in Health Care Systems Ann Intern Med, April 19, 2005; 142(8): 691 - 699. [Abstract] [Full Text] [PDF]

				P. Kaul, B. L. Lytle, J. A. Spertus, E. R. DeLong, and E. D. Peterson Influence of Racial Disparities in Procedure Use on Functional Status Outcomes Among Patients With Coronary Artery Disease Circulation, March 15, 2005; 111(10): 1284 - 1290. [Abstract] [Full Text] [PDF]

				L. Shi, L. H. Green, and S. Kazakova Primary Care Experience and Racial Disparities in Self-Reported Health Status J Am Board Fam Med, November 1, 2004; 17(6): 443 - 452. [Abstract] [Full Text] [PDF]

				P. Sankar, M. K. Cho, C. M. Condit, L. M. Hunt, B. Koenig, P. Marshall, S. S.-J. Lee, and P. Spicer Genetic Research and Health Disparities JAMA, June 23, 2004; 291(24): 2985 - 2989. [Abstract] [Full Text] [PDF]

				C. R. Bridges Cardiac surgery in African Americans Ann. Thorac. Surg., October 1, 2003; 76(4): S1356 - 1362. [Abstract] [Full Text] [PDF]

				D. S. Bell, D. M. Daly, and P. Robinson Is There a Digital Divide among Physicians? A Geographic Analysis of Information Technology in Southern California Physician Offices J. Am. Med. Inform. Assoc., September 1, 2003; 10(5): 484 - 493. [Abstract] [Full Text] [PDF]

				T. A. LaVeist, M. Arthur, A. Morgan, M. Rubinstein, J. Kinder, L. M. Kinney, and S. Plantholt The cardiac access longitudinal study: A study of access to invasive cardiology among African American and white patients J. Am. Coll. Cardiol., April 2, 2003; 41(7): 1159 - 1166. [Abstract] [Full Text] [PDF]

				J. M. Barnhart, J. Fang, and M. H. Alderman Differential Use of Coronary Revascularization and Hospital Mortality Following Acute Myocardial Infarction Arch Intern Med, February 24, 2003; 163(4): 461 - 466. [Abstract] [Full Text] [PDF]

				K. Nelson, K. Norris, and C. M. Mangione Disparities in the Diagnosis and Pharmacologic Treatment of High Serum Cholesterol by Race and Ethnicity: Data From the Third National Health and Nutrition Examination Survey Arch Intern Med, April 22, 2002; 162(8): 929 - 935. [Abstract] [Full Text] [PDF]

				J. N. Katz Patient Preferences and Health Disparities JAMA, September 26, 2001; 286(12): 1506 - 1509. [Full Text] [PDF]

				N. R. Kressin and L. A. Petersen Racial Differences in the Use of Invasive Cardiovascular Procedures: Review of the Literature and Prescription for Future Research Ann Intern Med, September 4, 2001; 135(5): 352 - 366. [Abstract] [Full Text] [PDF]

				J. W. Jones The question of racial bias in thoracic surgery: appearances and realities Ann. Thorac. Surg., July 1, 2001; 72(1): 6 - 8. [Full Text] [PDF]

				K. D. GREGORY, L. M. KORST, M. KRYCHMAN, P. CANE, and L. D. PLATT Variation in Vaginal Breech Delivery Rates by Hospital Type Obstet. Gynecol., March 1, 2001; 97(3): 385 - 390. [Abstract] [Full Text] [PDF]

				A. D. Auerbach, M. B. Hamel, R. M. Califf, R. B. Davis, N. S. Wenger, N. Desbiens, L. Goldman, H. Vidaillet, A. F. Connors, J. Lynn, et al. Patient characteristics associated with care by a cardiologist among adults hospitalized with severe congestive heart failure J. Am. Coll. Cardiol., December 1, 2000; 36(7): 2119 - 2125. [Abstract] [Full Text] [PDF]

				C. R. Bridges, F. H. Edwards, E. D. Peterson, and L. P. Coombs The effect of race on coronary bypass operative mortality J. Am. Coll. Cardiol., November 15, 2000; 36(6): 1870 - 1876. [Abstract] [Full Text] [PDF]

				L. Crawley, R. Payne, J. Bolden, T. Payne, P. Washington, S. Williams, and for the Initiative to Improve Palliative and End-o Palliative and End-of-Life Care in the African American Community JAMA, November 15, 2000; 284(19): 2518 - 2521. [Full Text] [PDF]

				K. Fiscella, P. Franks, M. R. Gold, and C. M. Clancy Inequality in Quality: Addressing Socioeconomic, Racial, and Ethnic Disparities in Health Care JAMA, May 17, 2000; 283(19): 2579 - 2584. [Abstract] [Full Text] [PDF]

				M. G. Cohen, C. B. Granger, E. M. Ohman, A. L. Stebbins, L. R. Grinfeld, A. M. Cagide, M. V. Elizari, A. Betriu, D. F. Kong, E. J. Topol, et al. Outcome of hispanic patients treated with thrombolytic therapy for acute myocardial infarction: Results from the GUSTO-I and -III trials J. Am. Coll. Cardiol., November 15, 1999; 34(6): 1729 - 1737. [Abstract] [Full Text] [PDF]

				L. Cooper-Patrick, J. J. Gallo, J. J. Gonzales, H. T. Vu, N. R. Powe, C. Nelson, and D. E. Ford Race, Gender, and Partnership in the Patient-Physician Relationship JAMA, August 11, 1999; 282(6): 583 - 589. [Abstract] [Full Text] [PDF]

				G. L. Daumit, J. A. Hermann, J. Coresh, and N. R. Powe Use of Cardiovascular Procedures among Black Persons and White Persons: A 7-Year Nationwide Study in Patients with Renal Disease Ann Intern Med, February 2, 1999; 130(3): 173 - 182. [Abstract] [Full Text] [PDF]

				L. L. Leape, L. H. Hilborne, R. Bell, C. Kamberg, and R. H. Brook Underuse of Cardiac Procedures: Do Women, Ethnic Minorities, and the Uninsured Fail To Receive Needed Revascularization? Ann Intern Med, February 2, 1999; 130(3): 183 - 192. [Abstract] [Full Text] [PDF]

				R. L. Kravitz Ethnic Differences in Use of Cardiovascular Procedures: New Insights and New Challenges Ann Intern Med, February 2, 1999; 130(3): 231 - 233. [Full Text] [PDF]

				T. J. Wang and R. S. Stafford National Patterns and Predictors of {beta}-Blocker Use in Patients With Coronary Artery Disease Arch Intern Med, September 28, 1998; 158(17): 1901 - 1906. [Abstract] [Full Text]

				M. A. Winkleby, H. C. Kraemer, D. K. Ahn, and A. N. Varady Ethnic and Socioeconomic Differences in Cardiovascular Disease Risk Factors: Findings for Women From the Third National Health and Nutrition Examination Survey, 1988-1994 JAMA, July 22, 1998; 280(4): 356 - 362. [Abstract] [Full Text] [PDF]

				J. M. Barnhart, S. Wassertheil-Smoller, C. Fowler, E. D. Peterson, L. K. Shaw, and E. R. DeLong Racial Variation in the Use of Coronary-Revascularization Procedures N. Engl. J. Med., July 10, 1997; 337(2): 131 - 132. [Full Text]

				M. Komaromy, K. Grumbach, M. Drake, K. Vranizan, N. Lurie, D. Keane, and A. B. Bindman The Role of Black and Hispanic Physicians in Providing Health Care for Underserved Populations N. Engl. J. Med., May 16, 1996; 334(20): 1305 - 1310. [Abstract] [Full Text] [PDF]