Evidence map›Paper›PMID 30881873›Full record

ArticleCardiovascular diagnosis and therapy2019

Racial and sex disparities in resource utilization and outcomes of multi-vessel percutaneous coronary interventions (a 5-year nationwide evaluation in the United States).

Rupak Desai, Sandeep Singh, Hee Kong Fong, Hemant Goyal, Sonu Gupta, Dipen Zalavadia, Rajkumar Doshi, Sejal Savani, Samir Pancholy, Rajesh Sachdeva and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Cardiovascular diagnosis and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
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  3. Disparities in heart transplant survival and graft rejection outcomes persist in the modern era: a call to race towards a more equitable future.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
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  6. Revascularization strategies for multivessel coronary artery disease based on sex and age.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2023
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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

11 authors at 8 institutions in 2 countries.

Rupak DesaiDivision of Cardiology, Atlanta VA Medical Center, Decatur, GA, USA.
Sandeep SinghDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Hee Kong FongDepartment of Internal Medicine, University of Missouri-Columbia, Columbia, MO, USA.
Hemant GoyalDepartment of Internal Medicine, Mercer University School of Medicine, Macon, GA, USA.
Sonu GuptaDivision of Cardiology, Andreas Gruentzig Cardiovascular Center, Emory University School of Medicine, Atlanta, GA, USA.
Dipen ZalavadiaDepartment of Internal Medicine, The Wright Center for Graduate Medical Education, Scranton, PA, USA.
Rajkumar DoshiDepartment of Internal Medicine, University of Nevada School of Medicine, Reno, NV, USA.
Sejal SavaniDepartment of Public Health, New York University, New York, NY, USA.
Samir PancholyDepartment of Cardiovascular Medicine, The Wright Center for Graduate Medical Education, Geisinger Commonwealth School of Medicine, Scranton, PA, USA.
Rajesh SachdevaDivision of Cardiology, Morehouse School of Medicine, Atlanta, GA, USA.
Gautam KumarDivision of Cardiology, Atlanta VA Medical Center, Decatur, GA, USA.
Atlanta VA Medical Center · USEmory University · USThe Wright Center for Graduate Medical Education · USAcademic Medical Center · NLMercer University · USNew York University · USUniversity of Missouri · USUniversity of Nevada, Reno · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a paucity of data regarding the racial and sex disparities in the outcomes of multi-vessel percutaneous coronary interventions (MVPCI).

methodsThe National Inpatient Sample (NIS) was examined for the years 2010 to 2014 to incorporate adult MVPCI-related hospitalizations using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) procedure codes. We excluded patients with the missing race or gender data from the final scrutiny. Discharge weights were used to obtain the national estimations. The principal outcomes were MVPCI-related racial and gender disparities in terms of the in-hospital mortality and complications, and diagnostic and therapeutic healthcare resource utilization. Secondary outcomes were the length of hospital stay (LOS) and hospitalization charges. We used the Chi-square test and

resultsAn estimated 769,502 MVPCI-related hospitalizations were recorded from 2010 to 2014 after excluding patients with the missing data (70,954; 8.4%). Black male and female were the youngest (62±13, 64±14 years). The highest non-elective admissions (M: 72.8%, F: 71.2%) were reported among Hispanics. Non-whites showed a higher proportion of comorbidities with lower resource utilization than whites. Hispanic males (OR 1.23) showed the highest odds of the in-hospital mortality whereas among females, Asians (OR 1.51), blacks (OR 1.35), followed by Hispanics (OR 1.22) revealed higher odds of in-hospital mortality. Odds of cardiac complications were highest amongst Asians (M: OR 1.19, F: OR 1.40). Black (6±8 days) and Hispanic (7±9 days) showed the highest length of stay among males and females respectively. Total hospitalization charges were highest among Asians. There was a greater increase in the all-cause mortality in non-whites from 2010 to 2014.

conclusionsThis study determines the existence of racial disparities in resource utilization and outcomes in MVPCI. There is an instant need for interventions designed to govern these healthcare discrepancies.

Indexed as

all-cause mortalityMultivessel coronary artery diseasemulti-vessel percutaneous coronary interventions (MVPCI)racial/ethnic disparitiessex/gender disparities

Identifiers

PMID30881873
PMCPMC6382662
OpenAlexW2894233111

What OpenQuestion holds

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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.