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  • Title: Racial/ethnic variations in physician recommendations for cardiac revascularization.
    Author: Ibrahim SA, Whittle J, Bean-Mayberry B, Kelley ME, Good C, Conigliaro J.
    Journal: Am J Public Health; 2003 Oct; 93(10):1689-93. PubMed ID: 14534223.
    Abstract:
    OBJECTIVES: We sought to examine whether physician recommendations for cardiac revascularization vary according to patient race. METHODS: We studied patients scheduled for coronary angiography at 2 hospitals, one public and one private, between November 1997 and June 1999. Cardiologists were interviewed regarding their recommendations for cardiac resvacularization. RESULTS: African American patients were less likely than Whites to be recommended for revascularization at the public hospital (adjusted odds ratio [OR] = 0.31; 95% confidence interval [CI] = 0.12, 0.77) but not at the private hospital (adjusted OR = 1.69; 95% CI = 0.69, 4.14). CONCLUSIONS: Physician recommendations for cardiac revascularization vary by patient race. Further studies are needed to examine physician bias as a factor in racial disparities in cardiac care and outcomes.
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