Adriana Sudzinova1, Iveta Nagyova2, Jaroslav Rosenberger3, Martin Studencan4, Helena Vargova5, Berrie Middel6, Jitse P van Dijk7, Sijmen A Reijneveld6. 1. 1 East Slovakian Institute for Cardiac and Vascular Diseases, Cardiology Clinic, Kosice, Slovak Republic 2 Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic asudzinova@vusch.sk. 2. 2 Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic 3 Institute of Public Health, Department of Social Medicine, Medical Faculty, Safarik University, Kosice, Slovak Republic. 3. 2 Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic. 4. 4 J.A.Reiman Faculty Hospital, Presov, Slovak Republic. 5. 1 East Slovakian Institute for Cardiac and Vascular Diseases, Cardiology Clinic, Kosice, Slovak Republic 2 Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic. 6. 5 Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, The Netherlands. 7. 2 Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic 5 Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, The Netherlands.
Abstract
BACKGROUND: Ethnicity is associated with differences in clinical course and outcomes of cardiac disease, often in association with a poorer socioeconomic position. The aim of this study was to compare the mortality after coronary angiography (CAG) of Roma and non-Roma patients matched for education and adjusted for gender and age. METHODS: In total, 816 patients were included in the study (167 Roma and 649 non-Roma). Data on socio-demographic background, disease history, use of drugs, coronary findings and type of treatment were obtained from medical records. Mortality was assessed up to seven years after CAG. Kaplan-Meier curves of mortality were plotted, and differences between the Roma and non-Roma patients were assessed using log-rank tests, matched for education and adjusted for gender and age. RESULTS: Mortality after CAG was significantly higher among Roma than non-Roma (log-rank test χ(2) = 7.59, P < 0.01) and remained so after matching for education and adjustment for gender, age, history of previous myocardial infarction and abnormal CAG (hazard ratio: 2.07, 95% confidence interval: 1.13-3.82). CONCLUSION: Mortality after CAG is higher among Roma, and this is not due to differences in age, gender or education. These results warrant further reconsideration of the management of Roma cardiac patients.
BACKGROUND: Ethnicity is associated with differences in clinical course and outcomes of cardiac disease, often in association with a poorer socioeconomic position. The aim of this study was to compare the mortality after coronary angiography (CAG) of Roma and non-Romapatients matched for education and adjusted for gender and age. METHODS: In total, 816 patients were included in the study (167 Roma and 649 non-Roma). Data on socio-demographic background, disease history, use of drugs, coronary findings and type of treatment were obtained from medical records. Mortality was assessed up to seven years after CAG. Kaplan-Meier curves of mortality were plotted, and differences between the Roma and non-Romapatients were assessed using log-rank tests, matched for education and adjusted for gender and age. RESULTS: Mortality after CAG was significantly higher among Roma than non-Roma (log-rank test χ(2) = 7.59, P < 0.01) and remained so after matching for education and adjustment for gender, age, history of previous myocardial infarction and abnormal CAG (hazard ratio: 2.07, 95% confidence interval: 1.13-3.82). CONCLUSION: Mortality after CAG is higher among Roma, and this is not due to differences in age, gender or education. These results warrant further reconsideration of the management of Roma cardiacpatients.
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