Disparity in utilization of implantable cardioverter-defibrillators in treatment of heart failure based on sex and race

Hillel A. Steiner, John M. Miller

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Disparity of utilization of proven therapies for treatment of cardiac disease according to gender and ethnicity has been well documented in various aspects of cardiac care. Implanted cardiac defibrillators (ICDs) are devices that have been proven to prevent sudden cardiac death. This retrospective study examined ICD use in heart-failure patients who had an indication for ICD implantation, from the "Get with the Guidelines" program. The patients were stratified by gender and ethnicity (Black vs White). The overall rate of utilization (or intention for utilization) of ICDs was 35%, while among women and Black people the rate was significantly lower, at 27 and 23%, respectively, with the lowest rate being for Black women (28%). These findings suggest a bias against implantation of such devices in women and Black people, which is not explained by clinical variables.

Original languageEnglish (US)
Pages (from-to)23-25
Number of pages3
JournalWomen's Health
Volume4
Issue number1
DOIs
StatePublished - Jan 1 2008

Keywords

  • Black
  • Disparity
  • Heart failure
  • Implantable cardiac defibrillator
  • Women

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Disparity in utilization of implantable cardioverter-defibrillators in treatment of heart failure based on sex and race'. Together they form a unique fingerprint.

  • Cite this