Blacks in the coronary artery surgery study (CASS): race and clinical decision making

For patients enrolled in the Coronary Artery Surgery Study (CASS), surgery was recommended for 46.5 per cent of Blacks and 59.4 per cent of Whites, despite similar clinical and angiographic characteristics. Of those recommended, 80.5 per cent of Blacks and 90.4 per cent of Whites had bypass surgery....

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Bibliographic Details
Published in:American journal of public health (1971) 1986-12, Vol.76 (12), p.1446-1448
Main Authors: Maynard, C, Fisher, L D, Passamani, E R, Pullum, T
Format: Article
Language:English
Subjects:
African Americans
Biological and medical sciences
Cardiology. Vascular system
Coronary Artery Bypass
Coronary Disease - surgery
Coronary heart disease
Data Collection
European Continental Ancestry Group
Female
Heart
Humans
Male
Medical sciences
Middle Aged
Occupations
Tropical medicine
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Summary:For patients enrolled in the Coronary Artery Surgery Study (CASS), surgery was recommended for 46.5 per cent of Blacks and 59.4 per cent of Whites, despite similar clinical and angiographic characteristics. Of those recommended, 80.5 per cent of Blacks and 90.4 per cent of Whites had bypass surgery. These differences were most apparent for Black laborers. Overall, only 38.0 per cent of Blacks had coronary artery bypass surgery, whereas 58.4 per cent of Whites received surgery.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.76.12.1446