Creating a free account will enable you to subscribe to our daily and weekly email newsletters, as well as customize your reading experience to show only the categories most relevant to you.
Signing up only take a few minutes, so why not give it a try and see what you've been missing out on.
Hospital quality was associated with racial disparities in outcomes after coronary artery bypass graft (CABG) surgery in a study by Govind Rangrass, M.D., of the University of Michigan, Ann Arbor, and colleagues.
Racial disparities in mortality rates after CABG surgery are well established, but it is less known how receiving care at high-mortality, low-quality hospitals may contribute to racial disparities in surgical outcomes, according to the study background.
Researchers used the national Medicare database to identify 173,925 patients who underwent CABG surgery, of whom 14,882 (8.6 percent) were nonwhite.
Study findings indicate that nonwhite patients had 33 percent higher mortality rates after CAG surgery than white patients. In hospitals that treated the highest proportion of nonwhite patients (greater than 17.7 percent), the mortality rate was 4.8 percent for nonwhite patients and 3.8 percent in white patients. Patient factors, socioeconomic status and hospital quality explained 53 percent of the disparity seen between white and nonwhite patients. The study acknowledges a significant fraction of the racial disparity remains unexplained.
"Compared with white patients, nonwhite patients have a significantly higher mortality rate after CABG surgery. Decreased access to high-quality, low-mortality hospitals explains a large proportion of the observed racial disparity in mortality rates," the study concludes. "Other factors that may perpetuate racial disparities include regional variations in hospital quality, proximity to high-quality hospitals, and segregated referral patterns. Although our data could not directly address these factors, our study highlights the effects of hospital quality and serves as a springboard for further research in this area."
JAMA Surgery. Published online January 8, 2014. doi:10.1001/jamasurg.2013.4041.
Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our Surgery category page for the latest news on this subject.
Please use one of the following formats to cite this article in your essay, paper or report:
Surgery, JAMA. "Hospital quality associated with racial disparities in cardiac surgery." Medical News Today. MediLexicon, Intl., 9 Jan. 2014. Web.
23 Apr. 2014. <http://www.medicalnewstoday.com/releases/270954>
Surgery, J. (2014, January 9). "Hospital quality associated with racial disparities in cardiac surgery." Medical News Today. Retrieved from
Please note: If no author information is provided, the source is cited instead.
If you write about specific medications, operations, or procedures please do not name healthcare professionals by name.
For any corrections of factual information, or to contact our editorial team, please use our feedback form. Please send any medical news or health news press releases to:
Note: Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a health care professional. For more information, please read our terms and conditions.
This page was printed from: http://www.medicalnewstoday.com/releases/270954.php
Visit www.medicalnewstoday.com for medical news and health news headlines posted throughout the day, every day.
© 2004-2014 All rights reserved. MNT is the registered trade mark of MediLexicon International Limited.