ethnicity and race variations in receipt of surgery among veterans with and without depression
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2011
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Abstract
To examine equity in one aspect of care provision in the Veterans Health Administration, this study analyzed factors associated with receipt of coronary artery bypass graft (CABG), vascular, hip/knee, or digestive system surgeries during FY2006–2009. A random sample of patients (N=317,072) included 9% with depression, 17% African-American patients, 5% Hispanics, and 5% women. In the four-year followup, 18,334 patients (6%) experienced surgery: 3,109 hip/knee, 3,755 digestive, 1,899 CABG, and 11,330 vascular operations. Patients with preexisting depression were less likely to have surgery than nondepressed patients (4% versus 6%). In covariate-adjusted analyses, minority patients were slightly less likely to receive vascular operations compared to white patients (Hispanic OR=0.88, P<.01
; African-American OR=0.93, P<.01) but more likely to undergo digestive system procedures. Some race-/ethnicity-related disparities of care for cardiovascular disease may persist for veterans using the VHA.
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| Reference Key |
copeland2011depressionethnicity
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|---|---|
| Authors | ;Laurel A. Copeland;John E. Zeber;Mary Jo Pugh;Karon L. Phillips;Valerie A. Lawrence |
| Journal | advances in hematology |
| Year | 2011 |
| DOI |
10.1155/2011/370962
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| URL | |
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