Related Experiment Video
Updated: Jul 27, 2026
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Do race and gender influence the use of invasive procedures?
R E Watson1, A D Stein, F C Dwamena
1College of Human Medicine, Michigan State University, East Lansing, MI 48824-1315, USA.
Objective:
To assess the influence of race and gender influence on the use of invasive procedures in patients with acute myocardial infarction (AMI) in community hospitals.
Design:
Prospective, observational.
Setting:
Five mid-Michigan community hospitals.
Patients:
All patients (838) identified with AMI between January 1994 and April 1995 in 1 of these hospitals.
Measurements And Main Results:
After adjusting for age, hospital of admission, insurance type, severity of AMI, and comorbidity, using white men as the reference group, the rate of being offered cardiac catheterization (CC) was 0.88 (95% confidence interval [95% CI], 0.60 to 1.29) for white women; 0.79 (95% CI, 0.41 to 1.50) for black men; and 1.14 (95% CI, 0.53 to 2.45)for black women. Among patients who underwent CC, after also adjusting for coronary artery anatomy, the rate of being offered angioplasty, using white men as the reference group, was 1.22 (95% CI, 0.75 to 1.98) for white women; 0.61 (5% CI, 0.29 to 1.28, P =.192) for black men; and 0.40 (95% CI, 0.14 to 1.13) for black women The adjusted rate of being offered bypass surgery was 0.47 (95% CI, 0.24 to 0.89) for white women; 0.36 (95% CI, 0.12 to 1.06) for black men; and 0.37 (95% CI, 0.11 to 1.28)for black women.
Conclusions:
Our study shows that white women are less likely than white men to be offered bypass surgery after AMI. Although black men and women with AMI are less likely than white men to be offered percutaneous transluminal coronary angioplasty or coronary artery bypass grafting in both unadjusted and adjusted analyses, these findings did not reach statistical significance. Our study is limited in power due to the small number of blacks in the sample.
Insights
White women received fewer bypass surgeries after acute myocardial infarction (AMI) compared to white men. Black patients with AMI were less likely to be offered invasive procedures, though not statistically significant.
Area of Science:
- Cardiology
- Health Services Research
- Health Disparities
Background:
- Acute myocardial infarction (AMI) management involves decisions regarding invasive procedures.
- Understanding potential disparities in treatment based on race and gender is crucial for equitable care.
- Previous research suggests variations in healthcare utilization among different demographic groups.
Purpose of the Study:
- To investigate the impact of race and gender on the utilization of invasive procedures for patients experiencing acute myocardial infarction (AMI).
- To identify potential disparities in offering cardiac catheterization, angioplasty, and bypass surgery.
Main Methods:
- A prospective, observational study was conducted across five mid-Michigan community hospitals.
- Data were collected from 838 patients diagnosed with AMI between January 1994 and April 1995.
- Statistical analyses adjusted for age, hospital, insurance, AMI severity, and comorbidities.
Main Results:
- White women were less likely than white men to be offered coronary artery bypass grafting (CABG) (OR 0.47, 95% CI 0.24-0.89).
- Black men and women with AMI showed lower odds of being offered percutaneous transluminal coronary angioplasty (PTCA) or CABG compared to white men.
- These disparities for black patients did not reach statistical significance, possibly due to limited sample size.
Conclusions:
- Significant disparities exist, with white women receiving bypass surgery less often than white men post-AMI.
- While trends suggest underutilization of invasive procedures for black patients, further research with larger samples is needed.
- Addressing racial and gender biases in acute myocardial infarction treatment is essential for improving cardiovascular care equity.
More Related Videos
Related Concept Videos
02:55Stereotypes, Prejudice, and Discrimination
01:21Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:30Psychosurgery
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...