Racial Differences in Myocardial Infarction Outcomes
Authors: John A. Spertus
Journal: Annals of Internal Medicine (2009)

Letters1 December 2009Racial Differences in Myocardial Infarction OutcomesJohn A. Spertus, MD, MPH, Philip G. Jones, MS, and Harlan M. Krumholz, MD, SMJohn A. Spertus, MD, MPHFrom Saint Luke's Mid America Heart Institute and University of Missouri–Kansas City, Kansas City, MO 64111; and Yale–New Haven Hospital and Yale University School of Medicine, New Haven, CT 06520.Search for more papers by this author, Philip G. Jones, MSFrom Saint Luke's Mid America Heart Institute and University of Missouri–Kansas City, Kansas City, MO 64111; and Yale–New Haven Hospital and Yale University School of Medicine, New Haven, CT 06520.Search for more papers by this author, and Harlan M. Krumholz, MD, SMFrom Saint Luke's Mid America Heart Institute and University of Missouri–Kansas City, Kansas City, MO 64111; and Yale–New Haven Hospital and Yale University School of Medicine, New Haven, CT 06520.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-151-11-200912010-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Webster is correct that we found disparities in quality of care by race. The differences were, for the most part, modest in absolute terms, and each measure is relevant to only a subset of the patients. Therefore, we are not surprised that differences in the quality measures did not have a dominant effect in explaining differences in outcomes among the entire cohort. This does not suggest that the indicators are unimportant to the subset of patients to whom they apply or that addressing the disparity is unimportant. But when the entire group and the differences in outcomes ...Reference1. Spertus JA, Peterson ED, Rumsfeld JS, Jones PG, Decker C, Krumholz H; Cardiovascular Outcomes Research Consortium. The Prospective Registry Evaluating Myocardial Infarction: Events and Recovery (PREMIER)—evaluating the impact of myocardial infarction on patient outcomes. Am Heart J. 2006;151:589-97. [PMID: 16504619] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Saint Luke's Mid America Heart Institute and University of Missouri–Kansas City, Kansas City, MO 64111; and Yale–New Haven Hospital and Yale University School of Medicine, New Haven, CT 06520.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoFactors Associated With Racial Differences in Myocardial Infarction Outcomes John A. Spertus , Philip G. Jones , Frederick A. Masoudi , John S. Rumsfeld , and Harlan M. Krumholz Racial Differences in Myocardial Infarction Outcomes James R. Webster Racial Differences in Myocardial Infarction Outcomes Yu Han , Liu Hong , and Jianhua Qiu Metrics 1 December 2009Volume 151, Issue 11Page: 823KeywordsConflicts of interestHealth care qualityMedical risk factorsMyocardial infarctionPatient advocacyRacial and ethnic issues ePublished: 1 December 2009 Issue Published: 1 December 2009 Copyright & PermissionsCopyright © 2009 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...