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Racial and geographic disparities in timing of bidirectional Glenn and Fontan stages of single-ventricle palliation.

Publication ,  Journal Article
Milazzo, AS; Sanders, SP; Armstrong, BE; Li, JS
Published in: J Natl Med Assoc
October 2002

OBJECTIVE: In adults, race-based disparity in access to cardiovascular care has been documented. Racial differences in cardiac care for children have not been evaluated previously. METHODOLOGY: We analyzed timing of single-ventricle palliation as a function of race and geography at Duke University Medical Center (DUMC) from 1997-2000. RESULTS: African American children underwent bidirectional Glenn (BDG) at a median age of 11 months (13.8 +/- 10.8, n = 11); white children at five months (5.6 +/- 2.3, n = 29), p = 0.01. African American children underwent Fontan at 60 months (106.8 +/- 84.0, n = 9); white children at 36 months (45.6 +/- 36.0, n = 18), p = 0.005. CONCLUSIONS: African American children at DUMC underwent palliation at a later age and with more variability in age than did white children. Further investigation is needed to determine possible causes of these race-associated differences in health care delivery.

Duke Scholars

Published In

J Natl Med Assoc

ISSN

0027-9684

Publication Date

October 2002

Volume

94

Issue

10

Start / End Page

873 / 878

Location

United States

Related Subject Headings

  • White People
  • United States
  • Statistics, Nonparametric
  • Socioeconomic Factors
  • Public Health
  • Palliative Care
  • Infant
  • Humans
  • Heart Defects, Congenital
  • Health Services Accessibility
 

Citation

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Milazzo, A. S., Sanders, S. P., Armstrong, B. E., & Li, J. S. (2002). Racial and geographic disparities in timing of bidirectional Glenn and Fontan stages of single-ventricle palliation. J Natl Med Assoc, 94(10), 873–878.
Milazzo, Angelo S., Stephen P. Sanders, Brenda E. Armstrong, and Jennifer S. Li. “Racial and geographic disparities in timing of bidirectional Glenn and Fontan stages of single-ventricle palliation.J Natl Med Assoc 94, no. 10 (October 2002): 873–78.
Milazzo AS, Sanders SP, Armstrong BE, Li JS. Racial and geographic disparities in timing of bidirectional Glenn and Fontan stages of single-ventricle palliation. J Natl Med Assoc. 2002 Oct;94(10):873–8.
Milazzo, Angelo S., et al. “Racial and geographic disparities in timing of bidirectional Glenn and Fontan stages of single-ventricle palliation.J Natl Med Assoc, vol. 94, no. 10, Oct. 2002, pp. 873–78.
Milazzo AS, Sanders SP, Armstrong BE, Li JS. Racial and geographic disparities in timing of bidirectional Glenn and Fontan stages of single-ventricle palliation. J Natl Med Assoc. 2002 Oct;94(10):873–878.
Journal cover image

Published In

J Natl Med Assoc

ISSN

0027-9684

Publication Date

October 2002

Volume

94

Issue

10

Start / End Page

873 / 878

Location

United States

Related Subject Headings

  • White People
  • United States
  • Statistics, Nonparametric
  • Socioeconomic Factors
  • Public Health
  • Palliative Care
  • Infant
  • Humans
  • Heart Defects, Congenital
  • Health Services Accessibility