Key result
Blacks with coronary disease were significantly less likely to undergo revascularization compared to whites, correlating with a lower survival rate.
Why the study?
Does race affect the likelihood of undergoing coronary revascularization and subsequent survival in patients with coronary disease?
Does race affect the likelihood of undergoing coronary revascularization and subsequent survival in patients with coronary disease?
Coronary revascularization appears to be underused in Black patients with coronary disease, which correlates with lower survival rates compared to White patients.
May indicate underuse of revascularization worsening Black patient survival; leaves open causal mechanisms and equity interventions.
Blacks with coronary disease were significantly less likely than whites to undergo coronary revascularization, particularly bypass surgery - a difference that could not be explained by the clinical features of their disease. The differences in treatment were most pronounced among those predicted to benefit the most from revascularization. Since these differences also correlated with a lower survival rate in blacks, we conclude that coronary revascularization appears to be underused in blacks.
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Peterson et al. (1997) studied this question. Blacks with coronary disease were significantly less likely to undergo revascularization compared to whites, correlating with a lower survival rate.
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