What does this research mean for the field?

Blacks with coronary disease are significantly less likely to undergo coronary revascularization compared to whites, which correlates with a lower survival rate. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.CHALLENGES_CONSENSUS.

February 13, 1997Open Access

Racial Variation in the Use of Coronary-Revascularization Procedures — Are the Differences Real? Do They Matter?

Key Result

Blacks with coronary disease were significantly less likely to undergo revascularization compared to whites, correlating with a lower survival rate.

Structured PICO

Does race affect the likelihood of undergoing coronary revascularization and subsequent survival in patients with coronary disease?

Population

Patients with coronary disease

Intervention

Black race

Comparator

White race

Outcome

Use of coronary revascularization procedures and survival ratehard clinical

Coronary revascularization appears to be underused in Black patients with coronary disease, which correlates with lower survival rates compared to White patients.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

Blacks with coronary disease were significantly less likely than whites to undergo coronary revascularization, particularly bypass surgery - a difference that could not be explained by the clinical features of their disease. The differences in treatment were most pronounced among those predicted to benefit the most from revascularization. Since these differences also correlated with a lower survival rate in blacks, we conclude that coronary revascularization appears to be underused in blacks.