Racial Differences in Survival among Hemodialysis Patients after Coronary Artery Bypass Grafting

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Author
Efird, Jimmy T.; O'Neal, Wesley T.; Bolin, Paul Jr.; Davies, Stephen W.; O'Neal, Jason B.; Anderson, Curtis A.; Ferguson, T. Bruce; Chitwood, W. Randolph; Kypson, Alan P.
Abstract
The aim of this study was to examine racial differences in long-term survival among hemodialysis patients after coronary artery bypass grafting (CABG). To our knowledge this has not been previously addressed in the literature. Black and white hemodialysis patients undergoing first-time, isolated CABG procedures between 1992 and 2011 were compared. Survival probabilities were computed using the Kaplan-Meier product-limit method and stratified by race. Hazard ratios (HR) and 95% confidence intervals (CI) were computed using a Cox regression model. A total of 207 (2%) patients were on hemodialysis at the time of CABG. White (n = 80) hemodialysis patients had significantly decreased 5-year survival compared with black (n = 127) patients (adjusted HR = 1.9, 95% CI = 1.2–2.8). Our finding provides useful outcome information for surgeons, primary care providers, and their patients.
URI
http://hdl.handle.net/10342/5418
Subject
 dialysis; mortality; paradox; disparities; heart disease 
Date
2013-09
Citation:
APA:
Efird, Jimmy T., & O'Neal, Wesley T., & Bolin, Paul Jr., & Davies, Stephen W., & O'Neal, Jason B., & Anderson, Curtis A., & Ferguson, T. Bruce, & Chitwood, W. Randolph, & Kypson, Alan P.. (September 2013). Racial Differences in Survival among Hemodialysis Patients after Coronary Artery Bypass Grafting. International Journal of Environmental Research and Public Health, 10(9), 4175- 4185. Retrieved from http://hdl.handle.net/10342/5418

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MLA:
Efird, Jimmy T., and O'Neal, Wesley T., and Bolin, Paul Jr., and Davies, Stephen W., and O'Neal, Jason B., and Anderson, Curtis A., and Ferguson, T. Bruce, and Chitwood, W. Randolph, and Kypson, Alan P.. "Racial Differences in Survival among Hemodialysis Patients after Coronary Artery Bypass Grafting". International Journal of Environmental Research and Public Health. 10:9. (4175-4185), September 2013. September 21, 2023. http://hdl.handle.net/10342/5418.
Chicago:
Efird, Jimmy T. and O'Neal, Wesley T. and Bolin, Paul Jr. and Davies, Stephen W. and O'Neal, Jason B. and Anderson, Curtis A. and Ferguson, T. Bruce and Chitwood, W. Randolph and Kypson, Alan P., "Racial Differences in Survival among Hemodialysis Patients after Coronary Artery Bypass Grafting," International Journal of Environmental Research and Public Health 10, no. 9 (September 2013), http://hdl.handle.net/10342/5418 (accessed September 21, 2023).
AMA:
Efird, Jimmy T., O'Neal, Wesley T., Bolin, Paul Jr., Davies, Stephen W., O'Neal, Jason B., Anderson, Curtis A., Ferguson, T. Bruce, Chitwood, W. Randolph, Kypson, Alan P.. Racial Differences in Survival among Hemodialysis Patients after Coronary Artery Bypass Grafting. International Journal of Environmental Research and Public Health. September 2013; 10(9): 4175-4185. http://hdl.handle.net/10342/5418. Accessed September 21, 2023.
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