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)

Jimmy T.,O’Neal,Wesley T.,Bolin,Paul Jr,Davies,Stephen Efird (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

Language: English

Date: 2013

Keywords

dialysis; mortality; paradox; disparities; heart disease

Email this document to