Tags

Type your tag names separated by a space and hit enter

Racial disparities in the prevalence of cardiovascular disease among incident end-stage renal disease patients.
Nephrol Dial Transplant. 2006 Aug; 21(8):2202-9.ND

Abstract

BACKGROUND

Prevalence of coronary heart disease (CHD) and heart failure (HF) is higher among blacks as compared with whites in general population. This study describes unexpected racial differences in the prevalence of CHD and HF among incident dialysis patients, with whites being at a disadvantage.

METHODS

Data were obtained from Centers for Medicare and Medicaid Services (CMS) 2728 form for incident dialysis patients in Georgia, North Carolina and South Carolina in 1995-2003. The CHD and HF prevalence between races were compared using adjusted odds ratios (ORs). The potential for case ascertainment bias was assessed.

RESULTS

Compared with whites (n = 23 951), black patients (n = 32 642) had lower prevalence of CHD (15.7 vs 31.2%) and HF (28.1 vs 34.1%). After controlling for age, gender, diabetes, hypertension and smoking, the association of race with CHD varied by gender and diabetes status: OR ranged from 0.36 (0.34-0.39) for non-diabetic males to 0.57 (0.53-0.61) for diabetic females. Racial differences were not fully explained by case ascertainment bias. The race-HF association varied by age, gender and diabetes: among patients aged <55, blacks tended to have higher prevalence than whites (OR ranged from 0.99 (0.90-1.09) for diabetic males to 1.25 (1.13-1.39) for non-diabetic females), but among those aged above 55, blacks were less likely to HF (OR ranged from 0.62 (0.58-0.67) for diabetic males to 0.79 (0.73-0.85) for non-diabetic females).

CONCLUSIONS

Substantial racial disparities exist in CHD/HF prevalence among incident dialysis patients that persist after controlling for confounders and cannot be fully explained by disease misclassification.

Authors+Show Affiliations

Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road, N.E., Atlanta, GA 30322, USA. nvolkov@sph.emory.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16522661

Citation

Volkova, Nataliya, et al. "Racial Disparities in the Prevalence of Cardiovascular Disease Among Incident End-stage Renal Disease Patients." Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, vol. 21, no. 8, 2006, pp. 2202-9.
Volkova N, McClellan W, Soucie JM, et al. Racial disparities in the prevalence of cardiovascular disease among incident end-stage renal disease patients. Nephrol Dial Transplant. 2006;21(8):2202-9.
Volkova, N., McClellan, W., Soucie, J. M., & Schoolwerth, A. (2006). Racial disparities in the prevalence of cardiovascular disease among incident end-stage renal disease patients. Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, 21(8), 2202-9.
Volkova N, et al. Racial Disparities in the Prevalence of Cardiovascular Disease Among Incident End-stage Renal Disease Patients. Nephrol Dial Transplant. 2006;21(8):2202-9. PubMed PMID: 16522661.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial disparities in the prevalence of cardiovascular disease among incident end-stage renal disease patients. AU - Volkova,Nataliya, AU - McClellan,William, AU - Soucie,J Michael, AU - Schoolwerth,Anton, Y1 - 2006/03/07/ PY - 2006/3/9/pubmed PY - 2007/4/5/medline PY - 2006/3/9/entrez SP - 2202 EP - 9 JF - Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association JO - Nephrol Dial Transplant VL - 21 IS - 8 N2 - BACKGROUND: Prevalence of coronary heart disease (CHD) and heart failure (HF) is higher among blacks as compared with whites in general population. This study describes unexpected racial differences in the prevalence of CHD and HF among incident dialysis patients, with whites being at a disadvantage. METHODS: Data were obtained from Centers for Medicare and Medicaid Services (CMS) 2728 form for incident dialysis patients in Georgia, North Carolina and South Carolina in 1995-2003. The CHD and HF prevalence between races were compared using adjusted odds ratios (ORs). The potential for case ascertainment bias was assessed. RESULTS: Compared with whites (n = 23 951), black patients (n = 32 642) had lower prevalence of CHD (15.7 vs 31.2%) and HF (28.1 vs 34.1%). After controlling for age, gender, diabetes, hypertension and smoking, the association of race with CHD varied by gender and diabetes status: OR ranged from 0.36 (0.34-0.39) for non-diabetic males to 0.57 (0.53-0.61) for diabetic females. Racial differences were not fully explained by case ascertainment bias. The race-HF association varied by age, gender and diabetes: among patients aged <55, blacks tended to have higher prevalence than whites (OR ranged from 0.99 (0.90-1.09) for diabetic males to 1.25 (1.13-1.39) for non-diabetic females), but among those aged above 55, blacks were less likely to HF (OR ranged from 0.62 (0.58-0.67) for diabetic males to 0.79 (0.73-0.85) for non-diabetic females). CONCLUSIONS: Substantial racial disparities exist in CHD/HF prevalence among incident dialysis patients that persist after controlling for confounders and cannot be fully explained by disease misclassification. SN - 0931-0509 UR - https://www.unboundmedicine.com/medline/citation/16522661/Racial_disparities_in_the_prevalence_of_cardiovascular_disease_among_incident_end_stage_renal_disease_patients_ L2 - https://academic.oup.com/ndt/article-lookup/doi/10.1093/ndt/gfl078 DB - PRIME DP - Unbound Medicine ER -