Racial disparities in the prevalence of cardiovascular disease among incident end-stage renal disease XXXX .

@entity1 @entity712 @entity101 @entity6 @entity301
BACKGROUND: Prevalence of @entity301 ( @entity301 ) and @entity712 ( @entity712 ) is higher among blacks as compared with whites in general population. This study describes unexpected racial differences in the prevalence of @entity301 and @entity712 among incident dialysis @entity1 , with whites being at a disadvantage. METHODS: Data were obtained from Centers for Medicare and Medicaid Services (CMS) 2728 form for incident dialysis @entity1 in Georgia, North Carolina and South Carolina in 1995-2003. The @entity301 and @entity712 prevalence between races were compared using adjusted odds ratios (ORs). The potential for case ascertainment bias was assessed. RESULTS: Compared with whites (n = 23 951), black @entity1 (n = 32 642) had lower prevalence of @entity301 (15.7 vs 31.2%) and @entity712 (28.1 vs 34.1%). After controlling for age, gender, @entity6 , @entity101 and smoking, the association of race with @entity301 varied by gender and @entity6 status: OR ranged from 0.36 (0.34-0.39) for non- @entity6 males to 0.57 (0.53-0.61) for @entity6 females. Racial differences were not fully explained by case ascertainment bias. The race- @entity712 association varied by age, gender and @entity6 : among @entity1 aged <55, blacks tended to have higher prevalence than whites (OR ranged from 0.99 (0.90-1.09) for @entity6 males to 1.25 (1.13-1.39) for non- @entity6 females), but among those aged above 55, blacks were less likely to @entity712 (OR ranged from 0.62 (0.58-0.67) for @entity6 males to 0.79 (0.73-0.85) for non- @entity6 females). CONCLUSIONS: Substantial racial disparities exist in @entity301 / @entity712 prevalence among incident dialysis @entity1 that persist after controlling for confounders and cannot be fully explained by disease misclassification.
