Association of Gender and Race With Allocation of Advanced Heart Failure Therapies

JAMA Network Open
Khadijah BreathettNancy K Sweitzer

Abstract

Racial bias is associated with the allocation of advanced heart failure therapies, heart transplants, and ventricular assist devices. It is unknown whether gender and racial biases are associated with the allocation of advanced therapies among women. To determine whether the intersection of patient gender and race is associated with the decision-making of clinicians during the allocation of advanced heart failure therapies. In this qualitative study, 46 US clinicians attending a conference for an international heart transplant organization in April 2019 were interviewed on the allocation of advanced heart failure therapies. Participants were randomized to examine clinical vignettes that varied 1:1 by patient race (African American to white) and 20:3 by gender (women to men) to purposefully target vignettes of women patients to compare with a prior study of vignettes of men patients. Participants were interviewed about their decision-making process using the think-aloud technique and provided supplemental surveys. Interviews were analyzed using grounded theory methodology, and surveys were analyzed with Wilcoxon tests. Randomization to clinical vignettes. Thematic differences in allocation of advanced therapies by patient race a...Continue Reading

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Citations

Aug 21, 2020·JAMA Network Open·Frederick P Rivara, Stephan D Fihn
Nov 5, 2020·Journal of Racial and Ethnic Health Disparities·Sade SololaKhadijah Breathett
Mar 6, 2021·Current Heart Failure Reports·Hunter MwansaKhadijah Breathett
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Jun 15, 2021·Circulation·Amber E JohnsonJeannette E South-Paul
Aug 26, 2021·Journal of the American Heart Association·Fouad ChouairiP Elliott Miller
Sep 2, 2021·Journal of the American Heart Association·Khadijah BreathettNancy K Sweitzer
Sep 2, 2021·Journal of the American Heart Association·Selma Mohammed
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