Access to invasive procedures can be audited by ethnic group

doi:10.1136/bmj.324.7351.1454

BMJ 2002;324:1454 ( 15 June )

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Access to invasive procedures can be audited by ethnic group

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EDITOR $---$ Feder et al reported findings from the appropriateness of coronary revascularisation (ACRE) study showing that amongpatients deemed clinically appropriate for coronary artery bypassgrafting, south Asians are less likely than white patients toundergo procedures.¹ They pointed out the lack of a mechanismto monitor ethnic differences in invasive management of coronarydisease in the NHS. The quality of hospital episode statisticshas improved significantly in many trusts since the ACRE study.In 1999-2000 the quality index for our local trust data on ethnicgroup was 92.8% compared with a national average of 65.4%.²This contrasts with a rate of invalid coding in 1995-6 of 62.9%.³

We conducted an audit of all patients admitted with unstable angina or acute myocardial infarction in a local trust betweenJuly 1999 and June 2000. Information was obtained on age, sex,ethnic group, and Carstairs socioeconomic deprivation categoryderived from postcode of residence. Record linkage . . . [Full text of this article]

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Ethnic differences in invasive management of coronary disease: prospective cohort study of patients undergoing angiography: Gene Feder, Angela M Crook, Patrick Magee, Shrilla Banerjee, Adam D Timmis, and Harry Hemingway
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