Publication:

Racial Differences in Survival among Hemodialysis Patients after Coronary Artery Bypass Grafting

Thumbnail Image

Open/View Files

3799526.pdf (211.5 KB)

Date

2013

Authors

Published Version

10.3390/ijerph10094175

Journal Title

Journal ISSN

Volume Title

Publisher

MDPI
The Harvard community has made this article openly available. Please share how this access benefits you.

Research Projects

Organizational Units

Journal Issue

Citation

Efird, Jimmy T., Wesley T. O’Neal, Paul Bolin, Stephen W. Davies, Jason B. O’Neal, Curtis A. Anderson, T. Bruce Ferguson, W. Randolph Chitwood, and Alan P. Kypson. 2013. “Racial Differences in Survival among Hemodialysis Patients after Coronary Artery Bypass Grafting.” International Journal of Environmental Research and Public Health 10 (9): 4175-4185. doi:10.3390/ijerph10094175. http://dx.doi.org/10.3390/ijerph10094175.

Abstract

The aim of this study was to examine racial differences in long-term survival among hemodialysis patients after coronary artery bypass grafting (CABG). To our knowledge this has not been previously addressed in the literature. Black and white hemodialysis patients undergoing first-time, isolated CABG procedures between 1992 and 2011 were compared. Survival probabilities were computed using the Kaplan-Meier product-limit method and stratified by race. Hazard ratios (HR) and 95% confidence intervals (CI) were computed using a Cox regression model. A total of 207 (2%) patients were on hemodialysis at the time of CABG. White (n = 80) hemodialysis patients had significantly decreased 5-year survival compared with black (n = 127) patients (adjusted HR = 1.9, 95% CI = 1.2–2.8). Our finding provides useful outcome information for surgeons, primary care providers, and their patients.

Description

Other Available Sources

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3799526/pdf/

Research Data

Keywords

dialysis, mortality, paradox, disparities, heart disease

Terms of Use

This article is made available under the terms and conditions applicable to Other Posted Material (LAA), as set forth at Terms of Service

URI

http://nrs.harvard.edu/urn-3:HUL.InstRepos:11878902

Collections

HMS Scholarly Articles

Endorsement

Review

Supplemented By

Related Stories