Racial and Ethnic Disparities in Peri-and Post-operative Cardiac Surgery.

Autor: Scott SS; Medical Scientist Training Program, Biomedical Sciences Graduate Program, The Ohio State University, Columbus, OH USA.; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, N-809 Doan Hall, 410 W. 10th Ave, Columbus, OH 43210 USA., Gouchoe DA; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, N-809 Doan Hall, 410 W. 10th Ave, Columbus, OH 43210 USA.; COPPER Laboratory, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210 USA., Azap L; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, N-809 Doan Hall, 410 W. 10th Ave, Columbus, OH 43210 USA., Henn MC; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, N-809 Doan Hall, 410 W. 10th Ave, Columbus, OH 43210 USA., Choi K; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, N-809 Doan Hall, 410 W. 10th Ave, Columbus, OH 43210 USA., Mokadam NA; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, N-809 Doan Hall, 410 W. 10th Ave, Columbus, OH 43210 USA., Whitson BA; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, N-809 Doan Hall, 410 W. 10th Ave, Columbus, OH 43210 USA.; COPPER Laboratory, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210 USA., Pawlik TM; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH USA., Ganapathi AM; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, N-809 Doan Hall, 410 W. 10th Ave, Columbus, OH 43210 USA.
Jazyk: angličtina
Zdroj: Current cardiovascular risk reports [Curr Cardiovasc Risk Rep] 2024; Vol. 18 (7), pp. 95-113. Date of Electronic Publication: 2024 Jul 29.
DOI: 10.1007/s12170-024-00739-4
Abstrakt: Purpose of Review: Despite efforts to curtail its impact on medical care, race remains a powerful risk factor for morbidity and mortality following cardiac surgery. While patients from racial and ethnic minority groups are underrepresented in cardiac surgery, they experience a disproportionally elevated number of adverse outcomes following various cardiac surgical procedures. This review provides a summary of existing literature highlighting disparities in coronary artery bypass surgery, valvular surgery, cardiac transplantation, and mechanical circulatory support.
Recent Findings: Unfortunately, specific causes of these disparities can be difficult to identify, even in large, multicenter studies, due to the complex relationship between race and post-operative outcomes. Current data suggest that these racial/ethnic disparities can be attributed to a combination of patient, socioeconomic, and hospital setting characteristics.
Summary: Proposed solutions to combat the mechanisms underlying the observed disparate outcomes require deployment of a multidisciplinary team of cardiologists, anesthesiologists, cardiac surgeons, and experts in health care equity and medical ethics. Successful identification of at-risk populations and the implementation of preventive measures are necessary first steps towards dismantling racial/ethnic differences in cardiac surgery outcomes.
Competing Interests: Competing InterestsThe authors declare no competing interests.
(© The Author(s) 2024.)
Databáze: MEDLINE
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