Health Inequities in Coronary Artery Bypass Grafting Literature: A Scoping Review

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Zachariah Fisher1, Griffin Hughes1, Jordan Staggs1

  • 1Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK.

Current Problems in Cardiology
|February 15, 2023
PubMed

Insights

Health disparities in Coronary Artery Bypass Grafting (CABG) access and outcomes disproportionately affect marginalized groups. Further research is crucial to address these inequities and improve care for all patients.

Area of Science:

  • Cardiovascular Surgery
  • Health Services Research
  • Health Equity

Background:

  • Coronary Artery Bypass Grafting (CABG) is a life-saving procedure.
  • Significant health inequities persist in CABG access and patient outcomes.
  • These disparities disproportionately impact marginalized and minoritized populations.

Purpose of the Study:

  • To conduct a scoping review of existing literature on health inequities in CABG.
  • To identify gaps in current research regarding CABG disparities.
  • To inform future research directions for improving equitable cardiovascular care.

Main Methods:

  • Adherence to Joanna Briggs Institute guidelines and PRISMA extension for scoping reviews.
  • Systematic literature search for articles published between 2016 and 2022.
  • Inclusion of studies examining CABG in relation to NIH-defined inequity groups.

Main Results:

  • Fifty-seven articles were included in the final review.
  • Race/Ethnicity (39), Sex/Gender (29), and Income (17) were most frequently examined inequity factors.
  • Significant disparities noted for LGBTQ+, Native American, and Black communities; LGBTQ+ was notably absent (0 instances).

Conclusions:

  • Substantial disparities in CABG access and outcomes exist, particularly for LGBTQ+, Native American, and Black individuals.
  • Further research is urgently needed to understand and address the root causes of these health disparities.
  • Targeted interventions are necessary to improve health outcomes for minoritized groups undergoing CABG.

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