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Racial variation in the use of coronary-revascularization procedures. Are the differences real? Do they matter?

Authors
  • Peterson, E D
  • Shaw, L K
  • DeLong, E R
  • Pryor, D B
  • Califf, R M
  • Mark, D B
Type
Published Article
Journal
The New England journal of medicine
Publication Date
Feb 13, 1997
Volume
336
Issue
7
Pages
480–486
Identifiers
PMID: 9017942
Source
Medline
Keywords
License
Unknown

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.

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