Hospital quality adds to disparities in cardiac surgery

Hospital quality adds to disparities in cardiac surgery

(HealthDay)—Hospital quality contributes to the racial disparities in outcomes after coronary artery bypass graft (CABG) surgery, according to research published online on Jan. 8 in JAMA Surgery.

Govind Rangrass, M.D., of the University of Michigan in Ann Arbor, and colleagues analyzed Medicare data from 173,925 patients to assess the effect of on racial disparities in following CABG surgery.

The researchers found that risk-adjusted mortality was 33 percent higher in nonwhite versus white patients after CABG. Among hospitals with the highest proportion of nonwhite patients (greater than 17.7 percent), mortality after CABG was 4.8 percent in nonwhite patients and 3.8 percent in . When the independent effects of each variable were evaluated, about 35 percent of the racial disparity in mortality after CABG was explained by variation in hospital quality. Adjustment for differences in socioeconomic status also contributed to the observed disparity, but nonwhite patients still had a 16 percent higher mortality rate even after both factors were taken into account.

"Hospital quality contributes significantly to in outcomes after CABG surgery," the authors write. "However, a significant fraction of this racial disparity remains unexplained."

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

Clinical outcomes similar for elderly with PCI, CABG

Aug 27, 2013

(HealthDay)—For older patients with unprotected left main coronary artery disease, clinical outcomes are similar with percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG), ...

Recommended for you

Barriers preventing post-stroke care

Jul 24, 2014

For stroke victims, rehabilitation is crucial to their recovery. But a Flinders University study conducted in Singapore found that rehabilitation rates following discharge from hospital are poor because of gaps in the continuum ...

Home-based rehabilitation for CVD patients

Jul 24, 2014

Patients who are found to suffer from cardiovascular diseases often have long years of treatment ahead of them and are urged to drastically change their lifestyle. But what is probably the most difficult ...

User comments