TY - JOUR
T1 - Racial Disparities in Outcomes After Cardiac Surgery
T2 - the Role of Hospital Quality
AU - Khera, Rohan
AU - Vaughan-Sarrazin, Mary
AU - Rosenthal, Gary E.
AU - Girotra, Saket
N1 - Publisher Copyright:
© 2015, Springer Science+Business Media New York.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Patients from racial and ethnic minorities experience higher mortality after cardiac surgery compared to white patients, both during the early postoperative phase as well as long term. A number of factors likely explain poor outcomes in black and minority patients, which include differences in biology, comorbid health conditions, socioeconomic background, and quality of hospital care. Recent evidence suggests that a major factor underlying excess mortality in these groups is due to their over-representation in low-quality hospitals, where all patients regardless of race have worse outcomes. In this review, we examine the factors underlying racial disparities in outcomes after cardiac surgery, with a primary focus on the role of hospital quality.
AB - Patients from racial and ethnic minorities experience higher mortality after cardiac surgery compared to white patients, both during the early postoperative phase as well as long term. A number of factors likely explain poor outcomes in black and minority patients, which include differences in biology, comorbid health conditions, socioeconomic background, and quality of hospital care. Recent evidence suggests that a major factor underlying excess mortality in these groups is due to their over-representation in low-quality hospitals, where all patients regardless of race have worse outcomes. In this review, we examine the factors underlying racial disparities in outcomes after cardiac surgery, with a primary focus on the role of hospital quality.
KW - CABG
KW - Coronary artery bypass grafting
KW - Health disparities
KW - Hospital outcomes
KW - Hospital quality
KW - Quality improvement
KW - Racial disparity
UR - http://www.scopus.com/inward/record.url?scp=84928345812&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84928345812&partnerID=8YFLogxK
U2 - 10.1007/s11886-015-0587-7
DO - 10.1007/s11886-015-0587-7
M3 - Review article
C2 - 25894800
AN - SCOPUS:84928345812
SN - 1523-3782
VL - 17
JO - Current Cardiology Reports
JF - Current Cardiology Reports
IS - 5
ER -