Race Differences

Blacks Have Elevated Hypertension Risk Through Age 55 Years

Blacks Have Elevated Hypertension Risk Through Age 55 Years

Regardless of BP levels in young adulthood, blacks have increased hypertension risk versus whites

Disparities for Risk of Recurrent Hemorrhagic Stroke Unexplained

Disparities for Risk of Recurrent Hemorrhagic Stroke Unexplained

Higher risk of second hemorrhagic stroke in blacks, Hispanics, not fully explained by hypertension severity.

Improved calculations suggest major changes to statin, aspirin, and blood pressure medication prescribing

1. Updated risk calculations suggest that fewer people should be classified within the high-risk category for CVD. 2. Many Americans, especially those of African American descent, may require reduction and alteration to their statin, aspirin, and/or blood pressure medication. Evidence Rating Level: 2 (Good) Study Rundown: Cardiovascular disease (CVD) affects many people worldwide. Treatment for []

Racial Disparities in RCC Survival Driven by Socioeconomic Factors

Racial Disparities in RCC Survival Driven by Socioeconomic Factors

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Black patients tended to have lower incomes, less education, longer delays to treatment, greater comorbidity burden.

Controlling High Blood Pressure Could Prevent Dementia

Controlling High Blood Pressure Could Prevent Dementia

Findings based on use of commonly available antihypertensive meds in older African-Americans

Barber-facilitated health promotion reduces blood pressure among black male barber patrons

1. Non-Hispanic black male barber patrons prescribed antihypertensive therapy with barber encouragement along with lifestyle modification experienced greater reductions in blood pressures compared to those who received lifestyle modification advice alone. 2. A greater percentage of participants in the intervention group achieved a 130/80 mm Hg blood pressure goal compared to participants in the control []

Many Providers Unaware of Racial Disparities in Kidney Transplants

Many Providers Unaware of Racial Disparities in Kidney Transplants

Nurse managers, white providers more likely to be unaware of national racial disparity in waitlisting

Socioeconomics May Not Explain Racial Gap in Prostate Cancer Mortality

Socioeconomics May Not Explain Racial Gap in Prostate Cancer Mortality

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In a study, race independently predicted prostate cancer-specific mortality beyond a number of risk factors, including health insurance status.

Factors Limiting CKD Screening Among Black Patients

Factors Limiting CKD Screening Among Black Patients

However, culturally sensitive education, engagement can up community screening

Black Atrial Fibrillation Patients Have Increased Risks for Strokes

Black Atrial Fibrillation Patients Have Increased Risks for Strokes

Higher risk of ischemic stroke seen before, after atrial fibrillation diagnosis compared with whites

Inclusion Criteria for PCa Trials Inadvertently Exclude Blacks

Inclusion Criteria for PCa Trials Inadvertently Exclude Blacks

Trials sponsored by academic investigators, cooperative groups more likely to use these criteria

Vitamin D<sub>3</sub> Can Improve Arterial Stiffness

Vitamin D3 Can Improve Arterial Stiffness

Dose-response effect observed in overweight African-Americans with vitamin D deficiency

Cancer Deaths Down in the United States

Cancer Deaths Down in the United States

Continuous drop in combined cancer death rate from 1991 to 2015, resulting in 2,378,600 fewer death.

Racial-Ethnic Gap in Living Donor Kidney Transplantation Widens

Racial-Ethnic Gap in Living Donor Kidney Transplantation Widens

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New findings suggest that national strategies have failed to correct racial/ethnic disparities in live donor kidney transplantation.

Nonmedical Attributes Tied to Later Kidney Transplant Waits

Nonmedical Attributes Tied to Later Kidney Transplant Waits

African-Americans less likely to be wait-listed; higher income positively associated with wait-listing.

Rapid Kidney Function Decline in Blacks Linked to Elevated Uric Acid

Rapid Kidney Function Decline in Blacks Linked to Elevated Uric Acid

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Each 1 standard deviation in baseline uric acid levels was associated with a significant 80% increased odds of rapid kidney function decline.

Lower SBP Goal for Blacks May Prevent Cognitive Decline

Lower SBP Goal for Blacks May Prevent Cognitive Decline

The researchers found that scores on the cognitive tests were linked with the patient's systolic blood pressure.

Blacks Less Likely to Undergo Definitive Prostate Cancer Therapy

Blacks Less Likely to Undergo Definitive Prostate Cancer Therapy

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Study of men with intermediate- or high-risk prostate cancer finds facility-level racial disparity in use of definitive treatment.

Decisional Regret Doesn't Vary by Tx in PCa

Decisional Regret Doesn't Vary by Tx in PCa

Across time, only African-American race correlated with greater regret.

Hospitalizations for Heart Failure Decreasing in US

Hospitalizations for Heart Failure Decreasing in US

Between 2002 and 2013, heart failure hospitalizations declined by 30.8% nationwide, and continue to drop.

Novel Markers May Predict Prostate Cancer in Non-Black Men

Novel Markers May Predict Prostate Cancer in Non-Black Men

No added benefit was seen with the addition of biomarkers for African-American men.

HbA1c Influenced by Race, Socioeconomic Factors

HbA1c Influenced by Race, Socioeconomic Factors

What's important is that doctors and other health-care providers, as well as patients, don't just assume these differences are normal and inconsequential.

New UNOS Kidney Allocation System Narrowed Racial Gaps in Transplant

New UNOS Kidney Allocation System Narrowed Racial Gaps in Transplant

The researchers observed a narrowing of disparities in the average monthly transplantation rates with implementation of the new system.

ESRD Risk Higher Among Black, Male Living Kidney Donors

ESRD Risk Higher Among Black, Male Living Kidney Donors

The researchers found that black race and male sex correlated with increased risk of ESRD in donors.

USPSTF Issues Draft PCa Screening Recommendations

USPSTF Issues Draft PCa Screening Recommendations

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The US Preventive Services Task Force now suggests decisions about PSA testing should be made on an individual basis for men aged 55 to 69.

Prostate Cancer Risk Lower in Black Men With High VDBP

Prostate Cancer Risk Lower in Black Men With High VDBP

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Highest vs lowest quartile of vitamin D binding protein associated with 55% lower odds of prostate cancer.

Statin Guidance Varies for Black Patients

Statin Guidance Varies for Black Patients

The USPSTF guidelines focus statin recommendations on 38% of high-risk African American individuals at the expense of not recommending treatment in nearly 25% of African Americans.

Sickle Cell Trait in Blacks Increases ESRD Risk

Sickle Cell Trait in Blacks Increases ESRD Risk

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Carriers have a 2-fold higher risk of end-stage renal disease compared with non-carriers, study finds.

PSA, PSAD Less Predictive of Aggressive PCa in Black Men

PSA, PSAD Less Predictive of Aggressive PCa in Black Men

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Study finds that PSA and PSAD indicated prostate cancer above Gleason score 6 for white men only.

Black Patients May Be Adversely Affected by Less PSA Screening

Black Patients May Be Adversely Affected by Less PSA Screening

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Black patients who met age criteria for PSA screening were 28% more likely to die of their prostate cancer than patients ineligible for screening.

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