Gillum Richard F
Centers for Disease Control and Prevention, Hyattsville, MD 20782, USA.
J Natl Med Assoc. 2005 Jul;97(7):957-62.
Trends in utilization of carotid endarterectomy (CEA) among elderly ethnic minorities have received little attention. Data from the U.S. Centers for Medicare and Medicaid Services were examined for the years 1990 through 2000. In women and men, the rate of CEA per 100,000 non-HMO beneficiaries aged > or = 65 years increased in African Americans and in European Americans between 1990 and 1995, with only small changes thereafter. Between 1990 and 2000, the ratio of rates in European Americans to those in African Americans have decreased slightly, i.e., in women from 2.63 in 1990 to 2.24 (15%) in 2000 and in men from 3.94 to 3.39 (14%). Large ethnic differences in utilization of CEA persist in the elderly requiring further evaluation.
老年少数族裔中颈动脉内膜切除术（CEA）的使用趋势很少受到关注。对美国医疗保险和医疗补助服务中心1990年至2000年的数据进行了研究。在1990年至1995年间，年龄≥65岁的非健康维护组织（HMO）受益的非洲裔美国人和欧洲裔美国人中，每10万人的CEA率有所上升，此后仅有微小变化。1990年至2000年间，欧洲裔美国人与非洲裔美国人的比率略有下降，即女性从1990年的2.63降至2000年的2.24（下降15%），男性从3.94降至3.39（下降14%）。在需要进一步评估的老年人中，CEA使用方面存在巨大的种族差异。
