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Correspondence
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Volume 345:839-840 September 13, 2001 Number 11
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Racial Differences in the Use of Cardiac Catheterization

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To the Editor: I am concerned that in their study of rates of cardiac catheterization among black patients and white patients, Chen et al. (May 10 issue)1 may have used an invalid assumption. If so, their conclusions and those of Epstein and Ayanian2 in their accompanying editorial may need to be reexamined.

Chen et al. assume that the race of the admitting physician is the appropriate variable to use in assessing racial differences in the use of catheterization. I question this assumption. I believe it is the cardiologist to whom the patient is referred who makes the definitive recommendation for . . . [Full Text of this Article]

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