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

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)

Curtis A. Anderson (Creator)

Paul Bolin (Creator)

W. Randolph Chitwood (Creator)

Stephen W. Davies (Creator)

Jimmy T. Efird (Creator)

T. Bruce Ferguson (Creator)

Alan P. Kypson (Creator)

Jason B. O’Neal (Creator)

Wesley T. O’Neal (Creator)

Institution

East Carolina University (ECU )

Web Site: http://www.ecu.edu/lib/

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.

Additional Information

Publication

Other

International Journal of Environmental Research and Public Health; 10:9 p. 4175-4185

Language: English

Date: 2013

Keywords

disparities, heart disease, mortality, dialysis, paradox

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