ArticleThe New England journal of medicine2005
Racial trends in the use of major procedures among the elderly.
Article in The New England journal of medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 145 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
145 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Intrathecal Morphine for Cardiac Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Annals of cardiac anaesthesia · 2024Pooled it
- Racial and ethnic disparities in the treatment of cerebrovascular diseases: importance to the practicing neurosurgeon.Neurocritical care · 2008Pooled it
- Racial Variation in Total Knee Replacement in a Diverse Nationwide Clinical Trial.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2018Trial
- Differences in Physicians' Verbal and Nonverbal Communication With Black and White Patients at the End of Life.Journal of pain and symptom management · 2016Trial
- Do patient race and sex change surgeon recommendations for TKA?Clinical orthopaedics and related research · 2015Trial
- Article
- Evolving Demographics and Their Impact on General Surgery Operations: A 16-year Analysis from a Tertiary Center in Turkiye.BMC surgery · 2026Article
- The most important features in generalized additive models might be groups of features.Scientific reports · 2026Article
- Comparing Community-Level Social Determinants of Health With Patient Race in Total Hip Arthroplasty Outcomes.Arthritis care & research · 2025Article
- Patient race and ethnicity are associated with higher unplanned 90-day emergency department visits and readmissions but not 10-year all-cause complications or reoperations: a matched cohort analysis of primary shoulder arthroplasties.JSES reviews, reports, and techniques · 2025Article
- Trends in Racial and Ethnic Differences in Declined Surgery for Resectable Malignancies in the United States.Annals of surgery · 2025Article
- Racial Disparities in Surgical Versus Nonsurgical Management of Distal Radius Fractures in a Medicare Population.Hand (New York, N.Y.) · 2025Article
- Misunderstanding of race as biology has deep negative biological and social consequences.Experimental physiology · 2024Article
- Minimally Invasive Direct Coronary Artery Bypass Grafting: Sixteen Years of Single-Center Experience.Journal of clinical medicine · 2024Article
- Outcome Disparities in Total Knee and Total Hip Arthroplasty among Native American Populations.Journal of racial and ethnic health disparities · 2024Article
- The physician experience of patient to provider prejudice (PPtP).Frontiers in public health · 2024Article
- The COVID-19 Pandemic and Associated Inequities in Acute Myocardial Infarction Treatment and Outcomes.JAMA network open · 2023Article
- An Institutional Evaluation of Race and Ethnic Diversity in Pre-clerkship Lectures.Medical science educator · 2023Article
- Comparing Race/Ethnicity and Zip Code Socioeconomic Status for Surgical versus Nonsurgical Management of Proximal Humerus Fractures in a Medicare Population.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- The impact of the COVID-19 pandemic on racial disparities in patients undergoing total shoulder arthroplasty in the United States.JSES international · 2023Article
85 more citing papers are in PubMed but not listed here.
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5 authors.
Funding
Abstract
backgroundDifferences in the use of major procedures according to patients' race are well known. Whether national and local initiatives to reduce these differences have been successful is unknown.
methodsWe examined data for men and women enrolled in Medicare from 1992 through 2001 on annual age-standardized rates of receipt of nine surgical procedures previously shown to have disparities in the rates at which they were performed in black patients and in white patients. We also examined data according to hospital-referral region for three of the nine procedures: coronary-artery bypass grafting (CABG), carotid endarterectomy, and total hip replacement.
resultsNationally, in 1992, the rates of receipt for all the procedures examined were higher among white patients than among black patients. The difference between the rates among whites and blacks increased significantly between 1992 and 2001 for five of the nine procedures, remained unchanged for three procedures, and narrowed significantly for one procedure. We examined rates of CABG, carotid endarterectomy, and total hip replacement in 158 hospital-referral regions (79 hospital-referral regions for black men and white men and 79 for black women and white women) with an adequate number of persons for each procedure. We found that in the early 1990s, whites had higher rates for these procedures than blacks in every hospital-referral region. By 2001, the difference between whites and blacks (both men and women) in the rates of these procedures narrowed significantly in 22 hospital-referral regions, widened significantly in 42, and were not significantly changed in the remaining hospital-referral regions. At the end of the study period, we found no hospital-referral region in which the difference in rates between whites and blacks was eliminated for men or women with regard to any of these three procedures.
conclusionsFor the decade of the 1990s, we found no evidence, either nationally or locally, that efforts to eliminate racial disparities in the use of high-cost surgical procedures were successful.
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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.