Racial Disparities in Prescriptions for Cardioprotective Drugs and Cardiac Outcomes in Veterans Affairs Hospitals

February 15th, 2010    Posted by: admin

Publication year: 2010
Source: The American Journal of Cardiology, In Press, Corrected Proof, Available online 13 February 2010

Jawahar L., Mehta , Zoran, Bursac , Paulette, Mehta , Darpan, Bansal , Louis, Fink , …

Previous reports have suggested that blacks receive life-saving cardioprotective therapies less often than whites, probably because of a lower socioeconomic status, which leads to poor access to physicians. We questioned whether racial disparity existed in the Veterans Affairs Healthcare System. We examined the Veterans’ Integrated Service Network (VISN 16) database with regard to the prescription rates for 4 cardiovascular agents—aspirin, β blockers, statins, and angiotensin-converting enzyme inhibitors. The database, encompassing 474,565 patients (117,071 blacks and 357,494 whites), was analyzed. Cardioprotective drugs were prescribed significantly less often to black patients than compared to white patients (β blockers 19.7% vs 24.8%, odds…

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