PMID- 20173268
OWN - NLM
STAT- MEDLINE
DCOM- 20100503
LR  - 20221207
IS  - 1548-6869 (Electronic)
IS  - 1049-2089 (Linking)
VI  - 21
IP  - 1
DP  - 2010 Feb
TI  - The impact of a standardized disease management program on race/ethnicity and 
      gender disparities in care and mortality.
PG  - 264-76
LID - 10.1353/hpu.0.0243 [doi]
AB  - BACKGROUND: Data on racial and gender differences in mortality in patients 
      followed in a standardized heart failure disease management program (HFDMP) are 
      scarce. METHODS: Survival was calculated by race/ethnicity and gender for 837 
      patients enrolled in a HFDMP. (The patients studied were indigent African 
      American and White outpatients [39% African American, 36% female] enrolled into 
      at Leonard J. Chabert Medical Center in Houma, Louisiana.) The hazard ratio 
      associated with demographic and clinical characteristic individually and as a 
      whole, was estimated for the four groups. RESULTS: White males had the highest 
      mortality (African American female: HR=0.64, African American male: HR=0.65, 
      White female: HR=0.67, p<.05). Age (HR=1.04, p<.001), ejection fraction (HR=0.97, 
      p<.001), New York Heart Association (NYHA) (HR=1.57, p<.001), systolic blood 
      pressure (HR=0.99, p<.05), hematocrit (HR=0.96, p<.01), diabetes (HR=0.98, 
      p<.05), and body mass index (HR=0.98, p<.05) were significant predictors of 
      mortality in the univariate model. Age (HR=1.04, p<.001), NYHA (HR=1.40, p<.001), 
      diabetes (HR=2.52, p<.001), and White female (HR=.44, p<.01) were significant 
      predictors of mortality in the multivariate model. CONCLUSION: With the exception 
      of White females, who demonstrated lower mortality, amongst African American 
      males and females and White males who participated in a HFDMP no difference in 
      survival was observed.
FAU - Hebert, Kathy
AU  - Hebert K
AD  - Div. of Cardiology, Miller School of Medicine, University of Miami, 1611 NW 12th 
      Ave., Jackson Memorial Hospital North Wing 210, Miami, FL 33136, USA. 
      Khebert@med.miami.edu
FAU - Lopez, Barbara
AU  - Lopez B
FAU - Horswell, Ron
AU  - Horswell R
FAU - Tamariz, Leonardo
AU  - Tamariz L
FAU - Palacio, Ana
AU  - Palacio A
FAU - Li, Hua
AU  - Li H
FAU - Arcement, Lee M
AU  - Arcement LM
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - United States
TA  - J Health Care Poor Underserved
JT  - Journal of health care for the poor and underserved
JID - 9103800
SB  - IM
MH  - Black or African American/*statistics & numerical data
MH  - Ambulatory Care
MH  - *Disease Management
MH  - Female
MH  - Health Status Disparities
MH  - Healthcare Disparities
MH  - Heart Failure/*ethnology/mortality/therapy
MH  - Humans
MH  - Louisiana
MH  - Male
MH  - Multivariate Analysis
MH  - Poverty
MH  - Program Evaluation
MH  - Proportional Hazards Models
MH  - Sex Factors
MH  - Survival Rate
MH  - White People/*statistics & numerical data
EDAT- 2010/02/23 06:00
MHDA- 2010/05/04 06:00
CRDT- 2010/02/23 06:00
PHST- 2010/02/23 06:00 [entrez]
PHST- 2010/02/23 06:00 [pubmed]
PHST- 2010/05/04 06:00 [medline]
AID - S1548686910100254 [pii]
AID - 10.1353/hpu.0.0243 [doi]
PST - ppublish
SO  - J Health Care Poor Underserved. 2010 Feb;21(1):264-76. doi: 10.1353/hpu.0.0243.