One drug for heart failure works very well
in black patients but not in white patients.
Mucosal melanomas account for 5 % to 13 % of melanomas
in black patients, 23 % of melanomas in Chinese patients, and only 1 % to 2 % of melanomas in white patients.
But the others caused less dilation
in the black patients» veins than in the whites».
In recent years reports have mounted that many drugs work better in white patients than
in black patients, and vice versa.
Not exact matches
Often, that translates to employees on the front lines stealing
patient medical data or client social security numbers, which can then be sold on the
black market or used to commit fraud like collecting someone else's social security benefits, opening new credit card accounts
in another's name, or applying for health insurance by assuming the identity of someone else.
Simultaneously there arose
in my mind the image of an epileptic
patient whom I had seen
in the asylum, a
black - haired youth with greenish skin, entirely idiotic, who used to sit all day on one of the benches, or rather shelves against the wall, with his knees drawn up against his chin, and the coarse gray undershirt, which was his only garment, drawn over them inclosing his entire figure.
This journey has taken me to minister
in vacation Bible schools
in Appalachia, to
black migrant camps
in South Carolina and to
patients suffering
in mental hospitals.
To boost a pregnant woman's nutritional status, Harris and other experts recommend their
patients limit eating processed gluten - free substitutes and instead choose foods that are naturally gluten - free — vegetables, fruits, nuts, seeds, beans, poultry, fish (varieties that are high
in omega 3 and low
in mercury, such as wild salmon and trout) and whole grains, such as quinoa, teff, buckwheat and brown and
black rice.
Using their triage system, they began to place tags near
patients, using green and yellow markers for those likely to survive the crash, red tags for those
in critical condition and
black ones for the deceased.
Researchers used stem cells to create retinal pigment epithelium cells, which were transplanted into a
patient's retina (left)
in an area depicted by the
black circle.
In fact,
black patients were nearly three times more likely than white
patients to develop 12 of the 13 complications identified by researchers.
To conduct this work, Drs. Carmen
Black and Brian Miller at Georgia Regents University collected and pooled data from 18 published studies, resulting
in a combined total of 583 psychiatric
patients with suicidality, 315 psychiatric
patients without suicidality and 845 healthy control subjects.
Researchers found that
patients were less likely to undergo surgery if they were older than 50 years,
black, unmarried or located
in regions outside the East, among other factors.
Using data from the Pediatric Health Information System database, a large, regionally diverse system, the researchers examined racial disparities
in the treatment and outcomes of hospitalized white and
black pediatric
patients with moderate to severe Crohn's disease.
«One
in 5
patients report discrimination
in health care:
Blacks most likely to name race; whites and Hispanics age, weight or income.»
«Gene variant explains racial disparities
in adverse reactions to urate - lowering drug: Findings support screening for risk - associated variant
in Asian,
black patients with gout.»
Meanwhile, his research teams are moving several other novel therapies toward clinical trials, each of which has potential for use
in the synergistic model of cancer treatment that
Black believes will offer the best hope for his
patients.
«We found that Asian and
black patients have a substantially higher risk of severe cutaneous adverse reactions to urate - lowering drugs than do white or Hispanic
patients, which correlates with the frequency of the HLA - B * 5801 gene
in their U.S. populations,» says Hyon K. Choi, MD, DrPH, of the MGH Division of Rheumatology, Allergy and Immunology, senior author of the report that has been published online
in Seminars
in Arthritis and Rheumatism.
«And yet more than six of every 10
black trauma
patients are served each year
in high - mortality hospitals, which increases their risk of death.
The Food and Drug Administration has issued a «
Black Box» warning about the use of sirolimus
in lung transplant
patients, at least when started at the time of transplantation.
And 64 percent of
black patients in the study group were treated at these high - mortality centers compared to only 41 percent of white
patients.
«Other studies have looked at racial disparities
in treatment and still others have focused on racial differences
in survival rates of cancer
patients, but our research attempted to go further by demonstrating the impact of race - based inequalities
in cancer treatment on survival rates of
black colorectal cancer
patients,» said James D. Murphy, MD, MS, assistant professor and chief of the Radiation Oncology Gastrointestinal Tumor Service at UC San Diego Moores Cancer Center.
The answers, I learned, lay
in the grinding poverty and entrenched corruption of India, the desperation of
patients on dialysis, and the transnational nature of the
black market transplant business — which, though dominated by the kidney exchange, includes livers and hearts as well.
To become ill, the
patients (
black)
in the above group had to inherit a gene variant from both parents.
Black said the researchers will aim to replicate these findings
in additional
patients and determine if and how the brain regions they identified may contribute to Tourette's syndrome, with a goal of developing more effective therapies.
«Although we do not know the reasons for the racial and ethnic differences we saw, one explanation could be that the
black and Hispanic
patients had surgery when they are much heavier and sicker than the non-Hispanic white
patients,» said study lead author, Karen J. Coleman, PhD, of the Kaiser Permanente Department of Research & Evaluation
in Pasadena, Calif. «Our study highlights that surgery may be an important intervention tool for people earlier
in their weight gain trajectory.
So he designed a study of 1,050 self - identified
black patients and found
in 2004 that the medication decreased their death rates by 43 percent.
The research explored how
patients, who identified as
Black or African American, perceived their interactions with law enforcement at a trauma center
in Philadelphia.
Appropriate
patients with early stage breast cancer should not opt for less than this standard
in care if properly educated,»
Black continues.
There has been a substantial reduction
in racial differences
in survival after
in - hospital cardiac arrest, with a greater improvement
in survival among
black patients compared with white
patients, according to a study published by JAMA Cardiology.
The authors also concluded that there was no evidence of a lower likelihood of
black patients receiving a cardiac stress test with imaging (odds ratio, 0.91 [95 % CI, 0.69 to 1.21]-RRB- than their white counterparts — although some modest evidence of disparity
in Hispanic
patients was found (odds ratio, 0.75 [CI, 0.55 to 1.02]-RRB-.
A reduction
in survival differences between
black and white
patients was attributable to elimination of racial differences
in acute resuscitation survival (
black individuals: 44.7 percent
in 2000 and 64.1 percent
in 2014; white individuals: 47.1 percent
in 2000 and 64 percent
in 2014).
They found the absolute 5 - year survival difference between
black and white CRC
patients in the entire cohort was 9.2 % (57.3 % vs 66.5 %).
Mayo Clinic researchers conducted a statistical analysis to determine the degree of divergence
in differentially expressed RNAs
in patients with c9ALS (
black) with those
in patients with sALS (purple) or healthy individuals (green, controls).
Results published
in Arthritis & Rheumatology, a journal of the American College of Rheumatology (ACR), show that
black and Hispanic SLE
patients were more likely to be readmitted than white
patients.
Compared with hospitals with fewer
black patients, hospitals with a higher proportion of
black patients with
in - hospital cardiac arrest achieved larger survival gains over time.
The
patient base
in this study was ethnically diverse; the group of
patients analyzed were 68 percent white, 15 percent
black, 12 percent Hispanic, and 4 percent Asian / Pacific Islander.
The researchers analyzed data on more than 69,000
black and white
patients with acute myocardial infarction (AMI) treated at 253 hospitals
in three states during 2006 - 07.
Numerous studies have documented poorer health care and outcomes for
black patients in the U.S., but few have asked why or compared racial bias across nations.
The study looked at differences
in the characteristics of hospitals where
black versus white
patients were treated, including whether nursing care needs were unmet «rarely, sometimes, or frequently.»
While all of these factors seemed to play some role
in the rates of genetic testing among
black and white
patients, the most important factor, by far, turned out to be something more disturbing: the doctors» behavior.
Stratified reports could also raise awareness of racial disparities
in care, provide a framework for feedback and accountability of health plans and clinicians, and ideally promote effective efforts to improve care for
patients who experience worse outcomes, particularly
black Americans with diabetes, hypertension, or heart disease.
The researchers looked at several factors that might explain this racial difference, such as whether there were differences
in tumor characteristics between
black patients and white
patients, or differences
in a family history of breast cancer — both factors that a doctor must consider before deciding whether a genetic test will likely benefit a particular
patient.
According to a study published last year — which looked at genetic testing among 3,000 breast cancer
patients in Pennsylvania and Florida —
black patients were less than half as likely as white
patients to undergo genetic testing.
Yet we have a medical system that, due to high costs and doctors who treat
black patients differently, presents important advances
in medical care — like genetic tests — as something optional for African Americans.
Patients with Stargardt disease often develop symptoms including difficulty reading,
black spots
in their central vision, or changes
in color perception between the ages of 10 and 40.
Montgomery SR, Hoffman, RL, Aarons, CB, Butler PD, Kelz, RR: Racial disparities
in surgical outcomes of
patients with inflammatory bowel disease Society for
Black Academic Surgeons, Chicago, IL: 2017.
Black arrows show the brain region responsible for producing seizures
in a
patient involved
in a new study showing that loss of the protein CLOCK may be a key factor
in severe forms of focal epilepsy.
Testing for the human leukocyte antigen HLA - B * 5801 allele before initiating allopurinol was found to be cost effective for
black and Asian
patients but not for white or Hispanic
patients, according to results of a cost - effectiveness analysis published
in Seminars
in Arthritis and Rheumatism.
In the new Kaiser Permanente study, people who were Asian,
Black, and Hispanic were 30 % less likely to start depression treatment after a diagnosis than non-Hispanic white
patients.