The Impact of Race on the Prognosis of Preclinical Diastolic Dysfunction: A Large Multiracial Urban Population Study

Shan, Jufang; Zhang, Lili; Holmes, Anthony A.; Taub, Cynthia C.

doi:10.1016/j.amjmed.2015.08.036

Cited by 8 publications

(5 citation statements)

References 44 publications

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“…Black, Hispanic, and Native American populations showed higher diabetes prevalence rates ranging from 47% to 56% compared to other racial groups. Recent research has emphasized the role of social determinants of health, including access to care and neighborhood environments, in driving these disparities and highlighted the potential of culturally tailored interventions to reduce cardiovascular risks among minority populations [21][22]. [23].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Hospitalizations of Cardiovascular Disease Complications in Adults with Diabetes: A Comprehensive USDDS Database Analysis

Ken-Eze,

Onyekachukwu,

Anamazobi

et al. 2024

Cardiol. Angiol. Int. J.

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Background: Cardiovascular disease (CVD) is a significant cause of morbidity and mortality among adults with diabetes. Understanding the prevalence and trends in hospitalizations for CVD complications in this population is crucial for informing healthcare strategies and interventions. Aim: This study aimed to analyze the prevalence and hospitalization rates of CVD complications among adults with diabetes using data from the USDSS database. Methods: This retrospective study analyzed USDSS database data from 2000 to 2020, exploring CVD complications' prevalence and hospitalization patterns in adults with diabetes.The study explored prevalence rates of major CVD complications, including heart disease and stroke, alongside demographic factors like age, gender, race/ethnicity, and education level. Hospitalization rates for ischemic heart disease, heart failure, and stroke were calculated. Temporal trends were analyzed graphically, and statistical tests (chi-square, ANOVA) with a significance level of p<0.05 were conducted. Results: The analysis revealed notable temporal trends in major heart disease prevalence and stroke rates among adults with diabetes. Over the study period, major heart disease incidence increased from 2.7 in 2000 to 4.9 in 2022, with an average of 4.22. Prevalence ranged from its lowest at 18.2% in 2014 to its highest at 23.7% in 2001, with the latest at 17.4% in 2022. Stroke cases rose steadily from 1.1 in 2000 to 2.1 in 2022, with the latest prevalence at 7.4%. Subgroup analysis revealed variations across gender, age, race, and education levels. Hospitalization rates for CVD declined from 78.6 per 1,000 in 2000 to 46 per 1,000 in 2020. Rates for ischemic heart disease decreased from 32.2 per 1,000 to 10.2 per 1,000, heart failure from 20.7 per 1,000 to 15 per 1,000, and stroke from 9.4 per 1,000 to 8.4 per 1,000. Conclusion: This study provides valuable insights into the prevalence and hospitalization trends of cardiovascular disease complications among adults with diabetes in the United States. The findings underscore the importance of targeted interventions to reduce the burden of CVD in this population.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Hospitalizations of Cardiovascular Disease Complications in Adults with Diabetes: A Comprehensive USDDS Database Analysis

Ken-Eze,

Onyekachukwu,

Anamazobi

et al. 2024

Cardiol. Angiol. Int. J.

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“…Entre eles, condições como hipertensão, diabetes e doenças cerebrovasculares prevaleceram; porém, a taxa de mortalidade foi mais baixa quando comparados a indivíduos brancos. 24 Goyal et al 25 analisaram 1.889.608 internações de pacientes com IC e descobriram que outras comorbidades, como anemia e doença renal crônica, foram mais comuns entre os negros, mas este grupo apresentou menor mortalidade hospitalar quando comparado aos brancos.…”

Section: Discussionunclassified

Distribuição Espacial de Mortalidade por Insuficiência Cardíaca no Brasil, 1996-2017

Cestari¹,

Garcês²,

Sousa³

et al. 2021

Arquivos Brasileiros De Cardiologia

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Resumo Fundamento Insuficiência cardíaca (IC) é uma das principais causas de mortalidade e morbidade no mundo, e está associada ao alto uso de recursos e custos com saúde. No Brasil, a prevalência de IC é de aproximadamente 2 milhões de pacientes, e sua incidência é de aproximadamente 240.000 novos casos por ano. Objetivo A investigação objetivou analisar a tendência espaço-temporal da mortalidade causada por IC no Brasil, de 1996 a 2017. Métodos Este é um estudo ecológico desenvolvido com dados secundários sobre mortalidade por IC no Brasil. Durante o período, 1.242.014 casos de morte causada por IC foram analisados. A existência da autocorrelação espacial de casos foi calculada utilizando o Índice de Moran Global (IMG) e, quando significativo, o Índice de Moran Local, considerando p <0,05. O risco relativo dos grupos foi calculado. Resultados A taxa de mortalidade causada por IC foi diversificada em regiões brasileiras, com ênfase no sul, sudeste e nordeste. O IMG indicou autocorrelação espacial positiva (p=0,01) em todos os períodos. Cidades localizadas no sul, sudeste, nordeste e centro-oeste mostraram maior risco relativo para mortalidade causada por IC, e a maioria das cidades do norte foi classificada como um fator protetivo contra esta causa de morte. Conclusões O estudo demonstrou declínio nas taxas de mortalidade no território nacional. A maior concentração de taxas de mortalidade está nas regiões norte e nordeste, enfatizando as áreas prioritárias de vulnerabilidade no planejamento e estratégias de controle de serviços de saúde.

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“…Despite Blacks and Hispanics having more hypertension, DM, renal disease, and cerebrovascular disease than Whites, time to HF was similar among the three racial groups. 38…”

Section: Heart Failure Predisposes Patients To Diabetes Mellitusmentioning

confidence: 99%

“…Despite the higher burden of risk factors (DM, hypertension and obesity) and lower ejection fraction among African American and Hispanic HF patients, Whites experienced similar or worse survival after adjustment for known predictors. 24,25,38,41,42 Future studies are required to improve our understanding of the impact of mechanisms of race on HF outcomes.…”

Section: Outcomes Of Heart Failurementioning

confidence: 99%

Influence of Race in the Association of Diabetes and Heart Failure

Lu¹,

Nordin²,

Rahim³

2018

US Cardiology Review

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Heart failure is a global public health problem with high mortality and readmission rates. Race and ethnicity are useful concepts when attempting to understand differential health risks and health disparities. With cardiovascular diseases accounting for most deaths globally, eliminating racial disparities in cardiac care has become a new challenge in cardiology. Significant racial differences exist in patients with heart failure. African American patients in the US have a significantly higher incidence of heart failure, lower ejection fraction and are younger at presentation compared to White, Hispanic and Chinese American patients. These findings are explained by a higher burden of risk factors such as diabetes mellitus, hypertension, obesity and lower household incomes among African Americans. The authors believe that these findings are applicable to other racial groups across the globe. The prevalence of predisposing risk factors probably has a stronger influence on the incidence of heart failure than the racial factor alone. The interaction between race and diabetes mellitus has important public health implications for the management and prevention of heart failure.

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The Impact of Race on the Prognosis of Preclinical Diastolic Dysfunction: A Large Multiracial Urban Population Study

Cited by 8 publications

References 44 publications

Prevalence and Hospitalizations of Cardiovascular Disease Complications in Adults with Diabetes: A Comprehensive USDDS Database Analysis

Prevalence and Hospitalizations of Cardiovascular Disease Complications in Adults with Diabetes: A Comprehensive USDDS Database Analysis

Distribuição Espacial de Mortalidade por Insuficiência Cardíaca no Brasil, 1996-2017

Influence of Race in the Association of Diabetes and Heart Failure

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