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

Hillel A. Steiner, John Miller

Research output: Contribution to journalArticle

3 Citations (Scopus)

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

Fingerprint

Defibrillators
Implantable Defibrillators
Treatment Failure
Heart Failure
Equipment and Supplies
Sudden Cardiac Death
Heart Diseases
Retrospective Studies
Guidelines
Therapeutics

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Disparity in utilization of implantable cardioverter-defibrillators in treatment of heart failure based on sex and race. / Steiner, Hillel A.; Miller, John.

In: Women's Health, Vol. 4, No. 1, 01.2008, p. 23-25.

Research output: Contribution to journalArticle

@article{e5b6974ee92d4fb6a6c335bcef9e208c,
title = "Disparity in utilization of implantable cardioverter-defibrillators in treatment of heart failure based on sex and race",
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.",
keywords = "Black, Disparity, Heart failure, Implantable cardiac defibrillator, Women",
author = "Steiner, {Hillel A.} and John Miller",
year = "2008",
month = "1",
doi = "10.2217/17455057.4.1.23",
language = "English",
volume = "4",
pages = "23--25",
journal = "Women's health (London, England)",
issn = "1745-5065",
publisher = "Future Medicine Ltd.",
number = "1",

}

TY - JOUR

T1 - Disparity in utilization of implantable cardioverter-defibrillators in treatment of heart failure based on sex and race

AU - Steiner, Hillel A.

AU - Miller, John

PY - 2008/1

Y1 - 2008/1

N2 - 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.

AB - 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.

KW - Black

KW - Disparity

KW - Heart failure

KW - Implantable cardiac defibrillator

KW - Women

UR - http://www.scopus.com/inward/record.url?scp=38049156182&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=38049156182&partnerID=8YFLogxK

U2 - 10.2217/17455057.4.1.23

DO - 10.2217/17455057.4.1.23

M3 - Article

C2 - 19072448

AN - SCOPUS:38049156182

VL - 4

SP - 23

EP - 25

JO - Women's health (London, England)

JF - Women's health (London, England)

SN - 1745-5065

IS - 1

ER -