Key result
African American patients were less likely than Whites to be recommended for cardiac revascularization at a public hospital, but not at a private hospital.
Why the study?
Does patient race affect physician recommendations for cardiac revascularization in patients scheduled for coronary angiography?
Observational
Yes
Does patient race affect physician recommendations for cardiac revascularization in patients scheduled for coronary angiography?
Physician recommendations for cardiac revascularization show racial disparities, with African Americans being significantly less likely to be recommended for the procedure at a public hospital compared to Whites.
Answers are grounded in this paper and cite their sources.
May signal setting-specific racial bias in recommendations; hypothesis-generating and should not yet change practice.
OBJECTIVES: We sought to examine whether physician recommendations for cardiac revascularization vary according to patient race. METHODS: We studied patients scheduled for coronary angiography at 2 hospitals, one public and one private, between November 1997 and June 1999. Cardiologists were interviewed regarding their recommendations for cardiac resvacularization. RESULTS: African American patients were less likely than Whites to be recommended for revascularization at the public hospital (adjusted odds ratio [OR] = 0.31; 95% confidence interval [CI] = 0.12, 0.77) but not at the private hospital (adjusted OR = 1.69; 95% CI = 0.69, 4.14). CONCLUSIONS: Physician recommendations for cardiac revascularization vary by patient race. Further studies are needed to examine physician bias as a factor in racial disparities in cardiac care and outcomes.
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Ibrahim et al. (2003) conducted an observational in Scheduled for coronary angiography. African American race vs. White race was evaluated on Physician recommendation for cardiac revascularization (OR 0.31, 95% CI 0.12-0.77). African American patients were less likely than Whites to be recommended for cardiac revascularization at a public hospital, but not at a private hospital.
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