Why the study?
Does race influence the selection of mitral valve procedure (repair vs replacement) and short-term outcomes in patients undergoing mitral valve surgery?
Population
35,074 adults ≥ 30 years of age undergoing mitral valve repair or replacement for non-ischemic…
Comparison
African-American, Hispanic, and other minority… vs White race
Design
Cohort
Follow-up
In-hospital
Authors
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Disparities in mitral valve procedure selection attenuate after baseline adjustment; leaves open whether upstream risk modification narrows racial gaps.
Does race influence the selection of mitral valve procedure (repair vs replacement) and short-term outcomes in patients undergoing mitral valve surgery?
African-American and Hispanic patients present for mitral valve surgery with worse preoperative profiles and are less likely to undergo mitral repair than whites, though this disparity in procedure selection is attenuated after adjusting for baseline characteristics.
Vassileva et al. (2011) studied this question.
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