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冠状动脉手术研究(CASS)中的黑人:种族与临床决策

Blacks in the coronary artery surgery study (CASS): race and clinical decision making.

作者信息

Maynard C, Fisher L D, Passamani E R, Pullum T

出版信息

Am J Public Health. 1986 Dec;76(12):1446-8. doi: 10.2105/ajph.76.12.1446.

DOI:10.2105/ajph.76.12.1446
PMID:3490796
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1646971/
Abstract

For patients enrolled in the Coronary Artery Surgery Study (CASS), surgery was recommended for 46.5 per cent of Blacks and 59.4 per cent of Whites, despite similar clinical and angiographic characteristics. Of those recommended, 80.5 per cent of Blacks and 90.4 per cent of Whites had bypass surgery. These differences were most apparent for Black laborers. Overall, only 38.0 per cent of Blacks had coronary artery bypass surgery, whereas 58.4 per cent of Whites received surgery.

摘要

对于参加冠状动脉手术研究(CASS)的患者,尽管临床和血管造影特征相似,但46.5%的黑人患者和59.4%的白人患者被建议进行手术。在被建议手术的患者中,80.5%的黑人患者和90.4%的白人患者接受了搭桥手术。这些差异在黑人工人中最为明显。总体而言,只有38.0%的黑人患者接受了冠状动脉搭桥手术,而58.4%的白人患者接受了手术。

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本文引用的文献

1
Issues in the natural history and treatment of coronary heart disease in black populations: surgical treatment.黑人人群冠心病的自然史及治疗问题:外科治疗
Am Heart J. 1984 Sep;108(3 Pt 2):688-94. doi: 10.1016/0002-8703(84)90656-2.
2
Institutional differences in therapeutic decision making in the Coronary Artery Surgery Study (CASS).冠状动脉外科研究(CASS)中治疗决策的机构差异。
Med Decis Making. 1986 Jul-Sep;6(3):127-35. doi: 10.1177/0272989X8600600301.
3
Letter: Grading of angina pectoris.信函:心绞痛分级
Circulation. 1976 Sep;54(3):522-3.
4
Sociologic influences on decision-making by clinicians.
Ann Intern Med. 1979 Jun;90(6):957-64. doi: 10.7326/0003-4819-90-6-957.