Abstract 19401: Gender, Racial and Insurance Disparities in the Cardiac Resynchronization Therapy: Trends Over the Last Decade
Background: Cardiac Resynchronization Therapy (CRT), a time-tested treatment for patients with heart failure, has shown a greater survival benefit in women. The gender, race and health insurance disparity in CRT utilization never been studied.
Objective: To explore gender, race and health insurance disparities in CRT use in the US population during last decade.
Method: We identified adult patients who underwent CRT (ICD 9 code 00.51) using the Nationwide Inpatient Sample (2000-2011). We stratified patients by gender, race (White, Black, Hispanic, and other minority racial groups) and insurance status. Utilization trends compared with Chi-square test of trend for proportions using the Cochrane Armitage test.
Results: A total of 258,728 patients were treated with CRT from 2003-2011. CRT implants increased from 72 per million population (14,901 procedures) in 2003 to 103 per million population (23,318 procedures) in 2011 (p<0.001). In absolute numbers, most procedures were performed in male (72.8%), Whites (79.3%) and patients with Medicare (72.6%). Similar gender, racial and insurance disparities were observed throughout study period.
Conclusion: Women receive CRT less often in comparison to men. Uninsured patients are less likely to undergo implantation of CRT as compared to the insured patients and white patients are more likely to receive CRT device then other races. The under utilization of CRT devices needs to be addressed to achieve better survival rates in these under served populations.
Author Disclosures: N. Patel: None. N.J. Patel: None. S. Solanki: None. B. Thakkar: None. A. Deshmukh: None. V. Panchal: None. S. Manvar: None. G. Dhaduk: None. J. Patel: None. N. Patel: None. A.O. Badheka: None. A. Patel: None. A. Guha: None. S. Arora: None. N. Shah: None. A. Chothani: None. S. Pant: None. R.D. Mitrani: None. H. Paydak: None. J.F. Viles Gonzalez: None. M. Kowalski: None.
- © 2014 by American Heart Association, Inc.