To the Editor: Dr Hernandez and colleagues1 provide evidence that women and black patients are treated differently and less aggressively than white men with respect to ICD use. However, I found their final conclusions to be concerning. The authors assert that “[p]rograms for awareness and promotion of evidence-based use of medical devices” are needed and that ICD therapy should be considered as a “publicly reported” measure.
Matlock D. Implantable Cardioverter-Defibrillators, Heart Failure, and Patient Characteristics. JAMA. 2008;299(3):285–286. doi:10.1001/jama.299.3.285-b
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