Effect of Difficulty Affording Health Care on Health Status After Coronary Revascularization
Why the study?
Does difficulty affording health care worsen health status outcomes in patients undergoing coronary revascularization?
Population
480 patients undergoing coronary revascularization in a consecutive, single-center cohort.
Comparison
Reporting somewhat of a burden to a severe… vs Not perceiving healthcare costs to be burdensome
Design
Cohort
Follow-up
6 months
Authors
Discussion
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Member takes
Implication
May signal need for affordability assessment before PCI; hypothesis-generating for equity-focused revascularization research.
Structured PICO
Does difficulty affording health care worsen health status outcomes in patients undergoing coronary revascularization?
P
Population
480 patients undergoing coronary revascularization (percutaneous coronary intervention or CABG) in a consecutive, single-center cohort.
I
Intervention
Reporting somewhat of a burden to a severe burden in affording health care
C
Comparator
Not perceiving healthcare costs to be burdensome
O
Outcome
Health status (symptoms, function, and quality of life) measured by the Seattle Angina Questionnaire at 6 monthspatient reported
Difficulty affording health care is associated with persistently worse health status after PCI, but not after CABG, highlighting a socioeconomic disparity in revascularization outcomes.
Cite This Study
Spertus et al. (2005) studied this question.