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4% Asian, and 2.3% Other. The CABG PPR for females was 0.64, Hispanics 0.72, African Americans 0.28, and Asians 3.20. Between 2008-2012 and 2013-2017, the CABG PPR decreased for females (0.67→0.5 and African Americans (0.37→0.17) but increased for Hispanics (0.38→1.32) and Asians (3.51→4.57). Participation in cardiovascular trials by females and minorities (except Asians) remains low. Given that inherent differences among the abovementioned groups could affect outcomes, balance is clearly needed. The engagement of our surgical leader