2009
Health Care Workplace Discrimination and Physician Turnover
Nunez-Smith M, Pilgrim N, Wynia M, Desai MM, Bright C, Krumholz HM, Bradley EH. Health Care Workplace Discrimination and Physician Turnover. Journal Of The National Medical Association 2009, 101: 1274-1282. PMID: 20070016, PMCID: PMC3833271, DOI: 10.1016/s0027-9684(15)31139-1.Peer-Reviewed Original ResearchRace/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians
Nunez-Smith M, Pilgrim N, Wynia M, Desai MM, Jones BA, Bright C, Krumholz HM, Bradley EH. Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians. Journal Of General Internal Medicine 2009, 24: 1198. PMID: 19727966, PMCID: PMC2771235, DOI: 10.1007/s11606-009-1103-9.Peer-Reviewed Original Research
2008
Healthcare Workplace Conversations on Race and the Perspectives of Physicians of African Descent
Nunez-Smith M, Curry LA, Berg D, Krumholz HM, Bradley EH. Healthcare Workplace Conversations on Race and the Perspectives of Physicians of African Descent. Journal Of General Internal Medicine 2008, 23: 1471-1476. PMID: 18618190, PMCID: PMC2518023, DOI: 10.1007/s11606-008-0709-7.Peer-Reviewed Original ResearchConceptsRace-related issuesAfrican descentRange of perspectivesRace-related concernsConstant comparative methodRace relationsQualitative interviewsExternal support systemsHonest dialogueProfessional identityWorkplace silenceFormal medical trainingWork experienceHealthcare experiencesWorkplace conversationsComparative methodSupportive environmentResultsFive themesRaceNew England statesPerspectiveHealthcare discriminationConversationConstructive wayHealthcare workforce
2007
Acute Coronary Care in the Elderly, Part II
Alexander KP, Newby LK, Armstrong PW, Cannon CP, Gibler WB, Rich MW, Van de Werf F, White HD, Weaver WD, Naylor MD, Gore JM, Krumholz HM, Ohman EM. Acute Coronary Care in the Elderly, Part II. Circulation 2007, 115: 2570-2589. PMID: 17502591, DOI: 10.1161/circulationaha.107.182616.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAge FactorsAgedAged, 80 and overAngina, UnstableAngioplasty, Balloon, CoronaryCardiovascular AgentsClinical Trials as TopicCombined Modality TherapyDisease ManagementDisease SusceptibilityEvidence-Based MedicineFemaleFibrinolytic AgentsGeriatricsHumansMaleMiddle AgedMulticenter Studies as TopicMyocardial InfarctionMyocardial RevascularizationPatient RightsPractice Guidelines as TopicPrejudiceQuality of LifeRegistriesRisk FactorsStentsThrombolytic TherapyTreatment OutcomeConceptsST-segment elevation myocardial infarctionElderly patientsMyocardial infarctionInvasive treatmentAmerican Heart Association scientific statementOlder adultsComplex health statusGuideline-recommended careTreatment-associated risksAcute coronary syndromeAcute coronary careTreatment-related benefitsAge 85 yearsPatient-centered mannerQuality of lifeLimited trial dataCoronary syndromeReperfusion strategyAbsolute contraindicationAdjunctive therapyCardiovascular medicationsOlder patientsCoronary careGeriatric conditionsElderly subgroupImpact of race on the professional lives of physicians of African descent.
Nunez-Smith M, Curry LA, Bigby J, Berg D, Krumholz HM, Bradley EH. Impact of race on the professional lives of physicians of African descent. Annals Of Internal Medicine 2007, 146: 45-51. PMID: 17200221, DOI: 10.7326/0003-4819-146-1-200701020-00008.Peer-Reviewed Original Research
2004
Differences, disparities, and biases: clarifying racial variations in health care use.
Rathore SS, Krumholz HM. Differences, disparities, and biases: clarifying racial variations in health care use. Annals Of Internal Medicine 2004, 141: 635-8. PMID: 15492343, DOI: 10.7326/0003-4819-141-8-200410190-00011.Peer-Reviewed Original ResearchConceptsHealth care useCare useRacial variationRacial differencesHealth care system factorsAdverse consequencesClinical factorsClinical contraindicationsTreatment eligibilityPatient preferencesObservational studyEvidence of differencesMedical literatureRacial disparitiesHealth careInitial reportSystem factorsDifferent causesTreatmentReports of variationReportDisparitiesContraindicationsDifferencesCare
2003
Is there evidence of implicit exclusion criteria for elderly subjects in randomized trials? Evidence from the GUSTO-1 study
Krumholz HM, Gross CP, Peterson ED, Barron HV, Radford MJ, Parsons LS, Every NR. Is there evidence of implicit exclusion criteria for elderly subjects in randomized trials? Evidence from the GUSTO-1 study. American Heart Journal 2003, 146: 839-847. PMID: 14597933, DOI: 10.1016/s0002-8703(03)00408-3.Peer-Reviewed Original ResearchConceptsCooperative Cardiovascular ProjectRandomized trialsExclusion criteriaEligibility criteriaMortality rateClinical practiceKillip class III/IVClass III/IVOccluded Coronary Arteries (GUSTO-I) trialCoronary Arteries trialHospital mortality rateMyocardial infarction careTrial eligibility criteriaHigh mortality rateRetrospective registryBaseline characteristicsClinical characteristicsElderly patientsOlder patientsCCP patientsClinical presentationClinical eventsMyocardial infarctionHealthy cohortHospital characteristics
2002
Sex differences in cardiac catheterization after acute myocardial infarction: the role of procedure appropriateness.
Rathore SS, Wang Y, Radford MJ, Ordin DL, Krumholz HM. Sex differences in cardiac catheterization after acute myocardial infarction: the role of procedure appropriateness. Annals Of Internal Medicine 2002, 137: 487-93. PMID: 12230349, DOI: 10.7326/0003-4819-137-6-200209170-00008.Peer-Reviewed Original ResearchConceptsCardiac catheterization useAcute myocardial infarctionCardiac catheterizationMyocardial infarctionMultivariable adjustmentEquivocal indicationsSex differencesProcedure useChart-abstracted dataLower crude ratesRisk-standardized ratesU.S. acute care hospitalsDays of hospitalizationAcute care hospitalsClinical guidelinesHospital characteristicsMedicare patientsCrude rateInappropriate treatmentRetrospective analysisCatheterizationInfarctionPatientsElderly personsWomen
1992
Selection of patients for coronary angiography and coronary revascularization early after myocardial infarction: is there evidence for a gender bias?
Krumholz HM, Douglas PS, Lauer MS, Pasternak RC. Selection of patients for coronary angiography and coronary revascularization early after myocardial infarction: is there evidence for a gender bias? Annals Of Internal Medicine 1992, 116: 785-90. PMID: 1567092, DOI: 10.7326/0003-4819-116-10-785.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAged, 80 and overAngioplasty, Balloon, CoronaryCardiac CatheterizationCoronary AngiographyCoronary Artery BypassFemaleHospitalizationHumansMaleMiddle AgedMyocardial InfarctionMyocardial RevascularizationOdds RatioPatient SelectionPrejudiceReferral and ConsultationRetrospective StudiesSeverity of Illness IndexSex FactorsVentricular Function, LeftConceptsCoronary artery diseaseSelection of patientsMyocardial infarctionCoronary angiographyArtery diseaseCoronary artery bypass graft surgeryArtery bypass graft surgeryCoronary artery bypass surgerySevere coronary artery diseasePercutaneous transluminal coronary angioplastyCreatine kinase MB fractionTertiary care teaching hospitalThree-vessel diseaseTwo-vessel diseaseArtery bypass surgeryBypass graft surgeryLeft main stenosisRetrospective cohort studyTransluminal coronary angioplastyPrincipal discharge diagnosisAcute myocardial infarctionAbnormal ejection fractionAge-adjusted ratesTherapeutic cardiovascular proceduresCoronary revascularization