Race, ethnicity has no impact on long-term mortality in T2DM

Race/Ethnicity has no impact on long-term mortality in T2DM

(HealthDay)—For adults with type 2 diabetes and coronary artery disease, race/ethnicity has no significant impact on the long-term risk of death, according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

As part of the Bypass Angioplasty Revascularization Investigation 2 Diabetes (BARI 2D) trial, Nirat Beohar, M.D., from Columbia University in Miami Beach, and colleagues examined the impact of race/ethnicity on control and on clinical outcomes in a setting with comparable access to medical care. A total of 1,750 adults with and from the United States and Canada were enrolled in the BARI 2D trial, and included 1,189 non-Hispanic whites, 349 non-Hispanic blacks, and 212 Hispanics. Participants were randomized to receive cardiac and glycemic treatment strategies.

During an average follow-up of 5.3 years, the researchers observed no significant variation by race/ethnicity in the long-term risk of death and death/myocardial infarction/stroke (five-year death: 11.0 percent whites; 13.7 percent blacks; 8.7 percent Hispanics; P = 0.19). For the 1,168 patients with suboptimal risk factor control at baseline, higher five-year survival was associated with the ability to attain better risk factor control (71, 86, and 95 percent, respectively, for patients with one, two, or three factors in control); this pattern was seen for all race/ethnicities.

"In conclusion, significant race/ethnic differences in cardiac risk profiles that persisted during follow-up did not translate into significant differences in five-year death or death/myocardial infarction/stroke," the authors write.

The BARI 2D Trial received funding, medications, and supplies from pharmaceutical companies.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Post-CABG risk of death increased for blacks with PAD

Jul 01, 2013

(HealthDay)—For patients undergoing coronary artery bypass grafting (CABG), the risk of death is higher for those with peripheral artery disease (PAD), particularly for black versus white patients, according ...

Racial disparity in diabetes mostly due to lifestyle

Jul 27, 2012

(HealthDay) -- For postmenopausal women there are large racial/ethnic differences in diabetes incidence, but these are mostly attributable to lifestyle factors, according to a study published online July 25 ...

Recommended for you

ASHG: MI without substantial CAD is minimally heritable

6 hours ago

(HealthDay)—The presence of myocardial infarction (MI) without substantial coronary artery disease (CAD) is not familial, according to a study presented at the annual meeting of the American Society of ...

New treatment for inherited cholesterol

11 hours ago

At the London Olympics in 2012, South African swimmer Cameron van den Burgh dedicated his world record-breaking win in the 100m breast stroke to one of his biggest rivals and closest friends, Alexander Dale ...

Alternate approach to traditional CPR saves lives

18 hours ago

A new study shows that survival and neurological outcomes for patients in cardiac arrest can be improved by adding extracorporeal membrane oxygenation (ECMO) when performing cardiopulmonary resuscitation (CPR). The study ...

User comments