title: Seven years' mortality in Roma and non-Roma patients after coronary angiography.
abstract: BACKGROUND
  Ethnicity is associated with differences in clinical course and outcomes of cardiac disease, often in association with a poorer socioeconomic position. The aim of this study was to compare the mortality after coronary angiography (CAG) of Roma and non-Roma patients matched for education and adjusted for gender and age.
  
  
  METHODS
  In total, 816 patients were included in the study (167 Roma and 649 non-Roma). Data on socio-demographic background, disease history, use of drugs, coronary findings and type of treatment were obtained from medical records. Mortality was assessed up to seven years after CAG. Kaplan-Meier curves of mortality were plotted, and differences between the Roma and non-Roma patients were assessed using log-rank tests, matched for education and adjusted for gender and age.
  
  
  RESULTS
  Mortality after CAG was significantly higher among Roma than non-Roma (log-rank test χ(2) = 7.59, P < 0.01) and remained so after matching for education and adjustment for gender, age, history of previous myocardial infarction and abnormal CAG (hazard ratio: 2.07, 95% confidence interval: 1.13-3.82).
  
  
  CONCLUSIONS
  Mortality after CAG is higher among Roma, and this is not due to differences in age, gender or education. These results warrant further reconsideration of the management of Roma cardiac patients.
authors.affiliation: 1 East Slovakian Institute for Cardiac and Vascular Diseases, Cardiology Clinic, Kosice, Slovak Republic 2 Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic asudzinova@vusch.sk.
authors.forename: Adriana
authors.initials: A
authors.lastname: Sudzinova
authors.affiliation: 2 Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic 3 Institute of Public Health, Department of Social Medicine, Medical Faculty, Safarik University, Kosice, Slovak Republic.
authors.forename: Iveta
authors.initials: I
authors.lastname: Nagyova
authors.affiliation: 2 Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic.
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Rosenberger
authors.affiliation: 4 J.A.Reiman Faculty Hospital, Presov, Slovak Republic.
authors.forename: Martin
authors.initials: M
authors.lastname: Studencan
authors.affiliation: 1 East Slovakian Institute for Cardiac and Vascular Diseases, Cardiology Clinic, Kosice, Slovak Republic 2 Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic.
authors.forename: Helena
authors.initials: H
authors.lastname: Vargova
authors.affiliation: 5 Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, The Netherlands.
authors.forename: Berrie
authors.initials: B
authors.lastname: Middel
authors.affiliation: 2 Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic 5 Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, The Netherlands.
authors.forename: Jitse P
authors.initials: JP
authors.lastname: van Dijk
authors.affiliation: 5 Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, The Netherlands.
authors.forename: Sijmen A
authors.initials: SA
authors.lastname: Reijneveld
mesh_terms: D017023:Coronary Angiography / Q000401:mortality*; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality; D016016:Proportional Hazards Models; D006178:Romani People / Q000706:statistics & numerical data*; D013997:Time Factors