Race, sex and age disparities in echocardiography among Medicare beneficiaries in an integrated healthcare system
| العنوان: | Race, sex and age disparities in echocardiography among Medicare beneficiaries in an integrated healthcare system |
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| المؤلفون: | Jiaman Xu, Changyu Shen, Lawrence J. Markson, Warren J. Manning, Patrick M Hyland, Jordan B. Strom |
| المصدر: | Heart |
| بيانات النشر: | BMJ, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Pulmonary disease, Medicare, Article, Race (biology), symbols.namesake, medicine, Humans, Poisson regression, Healthcare Disparities, Aged, Black women, Delivery of Health Care, Integrated, business.industry, Racial Groups, Medicare beneficiary, Infant, Hispanic or Latino, medicine.disease, United States, Echocardiography, Heart failure, Relative risk, symbols, Female, Cardiology and Cardiovascular Medicine, business, Healthcare system, Demography |
| الوصف: | ObjectiveTo identify potential race, sex and age disparities in performance of transthoracic echocardiography (TTE) over several decades.MethodsTTE reports from five academic and community sites within a single integrated healthcare system were linked to 100% Medicare fee-for-service claims from 1 January 2005 to 31 December 2017. Multivariable Poisson regression was used to estimate adjusted rates of TTE utilisation after the index TTE according to baseline age, sex, race and comorbidities among individuals with ≥2 TTEs. Non-white race was defined as black, Asian, North American Native, Hispanic or other categories using Medicare-assigned race categories.ResultsA total of 15 870 individuals (50.1% female, mean 72.2±12.7 years) underwent a total of 63 535 TTEs (range 2–55/person) over a median (IQR) follow-up time of 4.9 (2.4–8.5) years. After the index TTE, the median TTE use was 0.72 TTEs/person/year (IQR 0.43–1.33; range 0.12–26.76). TTE use was lower in older individuals (relative risk (RR) for 10-year increase in age, 0.91, 95% CI 0.89 to 0.92, pConclusionsAmong Medicare beneficiaries with multiple TTEs in a single large healthcare system, the median TTE use after the index TTE was 0.72 TTEs/person/year, although this varied widely. Adjusted for comorbidities, female sex, non-white race and advancing age were associated with decreased TTE utilisation. |
| تدمد: | 1468-201X 1355-6037 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0b5b1fa5f65c04fbe38cd7d616bb13f5 https://doi.org/10.1136/heartjnl-2021-319951 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....0b5b1fa5f65c04fbe38cd7d616bb13f5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1468201X 13556037 |
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