Key result
Compared to Whites, Latinos were less likely to undergo angiography (OR 0.90) and bypass surgery (OR 0.87), and African Americans were less likely to receive bypass surgery (OR 0.62).
Why the study?
Are there racial and ethnic differences in the use of invasive cardiac procedures among adult patients with possible ischemic heart disease?
Population
Adult Los Angeles County residents discharged from California hospitals between 1986 and 1988 with primary…
Comparison
Latino, Asian, and African-American race/ethnicity vs White race/ethnicity
Design
Cross-sectional
Authors
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Observed disparities should not yet change practice; leaves open whether bias or clinical factors predominate.
Cross-Sectional
Yes
Are there racial and ethnic differences in the use of invasive cardiac procedures among adult patients with possible ischemic heart disease?
Effect estimate: OR 0.90
Significant racial and ethnic disparities exist in the utilization of invasive cardiovascular procedures for ischemic heart disease, with Latinos and African Americans receiving fewer procedures than Whites.
Carlisle et al. (1995) conducted a cross-sectional in possible ischemic heart disease. Latino, Asian, and African-American race/ethnicity vs. White race/ethnicity was evaluated on Use of coronary artery angiography, bypass graft surgery, and angioplasty (OR 0.90). Compared to Whites, Latinos were less likely to undergo angiography (OR 0.90) and bypass surgery (OR 0.87), and African Americans were less likely to receive bypass surgery (OR 0.62).
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