Effect of payer status on outcomes of coronary artery bypass surgery in blacks. Commentary.
Council on Cardio-Thoracic and Vascular Surgery. American Heart Association. Scientific Sessions. Orlando, FL, USA, 1997/11/09.
Background-Black patients with coronary artery disease have a higher mortality rate than white Americans.
They also have a higher prevalence of hypertension, diabetes mellitus, and renal disease, which may have an effect on mortality rates.
The deleterious effect of these comorbidities may be exacerbated by impaired access to secondary prevention strategies and longitudinal care.
Therefore, the presence or absence of comprehensive care as indicated by payer status may then affect survival on surgically treated patients.
In this study we examined the role of cardiovascular risk factors and insurance carrier status on early outcomes of coronary artery bypass grafting (CABG) surgery in blacks versus white Americans.
Methods and Results-From January 1990 to December 1996,2776 patients (2003 men, 773 women ; mean age 63±10 years), underwent isolated CABG in a multispecialty practice serving a major metropolitan population.
There were 494 (17.8%) black patients and 2282 (82.2%) white patients.
The proportion of black patients in each payer category was 17.8% commercial, 14.1% managed care, 52.9% Medicaid, and 19.5% Medicare. (...)
Mots-clés Pascal : Dérivation, Aortocoronaire, Assurance maladie, Traitement, Facteur risque, Pronostic, Homme, Race, Négroïde, Chirurgie
Mots-clés Pascal anglais : Bypass, Aortocoronary, Health insurance, Treatment, Risk factor, Prognosis, Human, Race, Negroid, Surgery
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0069521
Code Inist : 002B25E. Création : 31/05/1999.