ArticleThe Journal of thoracic and cardiovascular surgery2023
Racial/ethnic differences persist in treatment choice and outcomes in isolated intervention for coronary artery disease.
Article in The Journal of thoracic and cardiovascular surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 20 citations in OpenAlex.
- The impact of race and sex on recent mortality trends after coronary artery bypass grafting.JTCVS open · 2026Article
- Racial and ethnic disparities in utilization of mechanical circulatory support for cardiogenic shock following acute myocardial infarction: a retrospective cross-sectional study.Annals of medicine and surgery (2012) · 2026Article
- Influence of Sex and Race or Ethnicity on Major Adverse Cardiovascular Outcomes Following Coronary Artery Bypass Surgery in a Large Integrated Health Care System.Journal of the American Heart Association · 2025Article
- Race based disparities in clinical and financial outcomes associated with major elective and emergent surgery.Surgery open science · 2025Article
- Racial, ethnic, and sex disparities in the utilization and outcomes of tricuspid valve surgery.Annals of medicine and surgery (2012) · 2024Article
- Causal fairness assessment of treatment allocation with electronic health records.Journal of biomedical informatics · 2024Article
- Ethnic differences in the lifestyle behaviors and premature coronary artery disease: a multi-center study.BMC cardiovascular disorders · 2023Article
- Vulnerable Patient Intensified Protocol to Reduce Readmission Disparities After Coronary Artery Bypass Grafting: Design, Implementation, and Lessons Learned from a Quality Initiative.Journal of healthcare management / American College of Healthcare ExecutivesArticle
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11 authors at 2 institutions in 1 country.
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Abstract
objectiveStudies have noted racial/ethnic disparities in coronary artery disease intervention strategies. We investigated trends and outcomes of coronary artery disease treatment choice (coronary artery bypass grafting or percutaneous coronary intervention) stratified by race/ethnicity.
methodsWe queried the National Inpatient Sample for patients who underwent isolated coronary artery bypass grafting or percutaneous coronary intervention (2002-2017). Outcomes were stratified by race/ethnicity (White, African American, Hispanic, Asian). Multivariable logistic regression evaluated associations between race/ethnicity and receiving coronary artery bypass grafting versus percutaneous coronary intervention, in-hospital mortality, and costs.
resultsOver the 15-year period, 2,426,917 isolated coronary artery bypass grafting surgeries and 7,184,515 percutaneous coronary interventions were performed. Compared with White patients, African American patients were younger (62 [interquartile range, 53-70] vs 66 [interquartile range, 57-75] years), were more likely to have Medicaid insurance (12.2% vs 4.4%), and had more comorbidities (Charlson-Deyo index, 1.9 ± 1.6 vs 1.7 ± 1.6) (all P < .01). After adjustment for patient comorbidities, presence of acute myocardial infarction, insurance status, and geography, African Americans were the least likely of all racial/ethnic groups to undergo coronary artery bypass grafting (odds ratio, 0.76; P < .01), a consistent trend throughout the study. African American patients had higher risk-adjusted mortality after coronary artery bypass grafting (odds ratio, 1.09; P < .01). Race/ethnicity was not associated with increased mortality after percutaneous coronary intervention. African American patients had higher hospitalization costs for coronary artery bypass grafting (+$5816; P < .01) and percutaneous coronary intervention (+$856; P < .01) after controlling for confounders.
conclusionsIn this contemporary national analysis, risk-adjusted frequency of coronary artery bypass grafting versus percutaneous coronary intervention for coronary artery disease differed by race/ethnicity. African American patients had lower odds of undergoing coronary artery bypass grafting and worse outcomes. Reasons for these differences merit further investigation to identify opportunities to reduce potential disparities.
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