Key result
White female sex is linked to ~56% lower mortality in HF disease management programs.
Why the study?
Data on racial and gender differences in mortality among patients followed in a standardized heart failure disease management program are scarce.
Does participation in a standardized heart failure disease management program eliminate racial and gender disparities in mortality among indigent outpatients?
Population
837 indigent African American and White heart failure outpatients (39% African American, 36% female) at Leonard J. Chabert Medical Center
Comparison
Race/ethnicity and gender groups within the HFDMP
Design
Cohort study
Authors
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May indicate partial mitigation of HF disparities; hypothesis-generating and should not change practice without prospective trials.
Cohort (n=837)
No
Does participation in a standardized heart failure disease management program eliminate racial and gender disparities in mortality among indigent outpatients?
Hazard Ratio: 0.44
p-value: p=<.01
In a standardized heart failure disease management program, racial and gender disparities in survival were largely mitigated, except for White females who demonstrated significantly lower mortality.
Hebert et al. (2010) conducted a cohort in Heart failure (n=837). White female demographic group vs. White males was evaluated on Mortality (HR 0.44, p=<.01). Among heart failure patients in a disease management program, White females had significantly lower mortality (multivariate HR 0.44, p<0.01) with no survival differences observed among other groups.
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