Key result
Black patients with acute myocardial infarction or unstable angina underwent revascularization less often than white patients (28% vs 47%), a difference not fully explained by clinical appropriateness.
Why the study?
Does black race reduce the use of coronary revascularization procedures compared to white race in male patients with acute myocardial infarction or unstable angina?
Cohort (n=666)
Yes
Does black race reduce the use of coronary revascularization procedures compared to white race in male patients with acute myocardial infarction or unstable angina?
Absolute Event Rate: 28% vs 47%
Racial disparities in coronary revascularization rates persist even after adjusting for clinical appropriateness, though 1- and 5-year mortality rates were similar between black and white patients.
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Racial disparities in revascularization persist after appropriateness adjustment; leaves open unmeasured factors or bias and warrants prospective confirmation before practice implications.
Conigliaro et al. (2000) conducted a cohort in Acute myocardial infarction or unstable angina (n=666). Black race vs. White race was evaluated on Coronary revascularization procedure use (PTCA or CABG). Black patients with acute myocardial infarction or unstable angina underwent revascularization less often than white patients (28% vs 47%), a difference not fully explained by clinical appropriateness.
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