Evidence map›Paper›PMID 15451752›Full record

ArticleAmerican journal of public health2004

Changes in racial differences in use of medical procedures and diagnostic tests among elderly persons: 1986-1997.

José J Escarce, Thomas G McGuire

Abstract readComparative Study
In one paragraph

Article in American journal of public health, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
15.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Racial/Ethnic and Socioeconomic Disparities in Osteoarthritis Management.Rheumatic diseases clinics of North America · 2021
    Review
  3. Observational
  4. Comparing the use of diagnostic imaging and receipt of carotid endarterectomy in elderly black and white stroke patients.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2012
    Article
  5. Article
  6. Article
  7. Article
  8. Measuring trends in racial/ ethnic health care disparities.Medical care research and review : MCRR · 2009
    Article
  9. Review
  10. Article
  11. Article
  12. Racial disparities in the content of primary care office visits.Journal of general internal medicine · 2005
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

José J EscarceDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA.
Thomas G McGuire
RAND Corporation · US

Funding

TREATMENT OF DEPRESSIONP01MH059876 · NIMH · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI ALEGRIA, MARGARITA · 1999 to 2003
$3.7M
MH AND ADVERSE SELECTION IN MANAGED CARER01MH059254 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI MCGUIRE, THOMAS G · 1999 to 2001
$494k
NIMH NIH HHS P01 MH059876NIMH NIH HHS P01 MH59876NIMH NIH HHS R01 MH59254
6 · The paper itself

Abstract

objectivesWe used 1997 Medicare data to replicate an earlier study that used data from 1986 to examine racial differences in usage of specific medical procedures or tests among elderly persons.

methodsWe used 1997 physician claims data to obtain a random sample of 5% of Medicare beneficiaries aged 65 years and older. We used this sample to study 30 procedures and tests that were analyzed in the 1986 study, as well as several new procedures that became more widely used in the early 1990s.

resultsRacial differences remain in the rates of use of these procedures; in general, Blacks have lower rates of use than do Whites. Between 1986 and 1997, the ratio of White to Black use moved in favor of Blacks for all but 4 of the established procedures studied.

conclusionsThe White-Black gap in health care use under Medicare is narrowing.

Indexed as

AgedAged, 80 and overBlack or African AmericanFemaleHealth Services AccessibilityHealth Services for the AgedHumansMaleMedicaidMedicare Part BRural PopulationUnited StatesWhite People

Identifiers

PMID15451752
PMCPMC1448536
OpenAlexW2134262664

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.