Temporal Trends in Contemporary Use of Ventricular Assist Devices by Race and Ethnicity

Circulation. Heart Failure
Khadijah BreathettPamela N Peterson

Abstract

The proportion of racial/ethnic minorities receiving ventricular assist devices (VADs) has previously been less than expected. It is unclear if trends have changed since the broadening of access to insurance in 2014 and the rapid adoption of VAD technology. Using the Interagency Registry of Mechanically Assisted Circulatory Support, we analyzed time trends by race/ethnicity for 10 795 patients (white, 67.4%; African-American, 24.8%; Hispanic, 6.3%; Asian, 1.5%) who had a VAD implanted between 2012 and 2015. Linear models were fit to the annual census-adjusted rate of VAD implantation for each racial/ethnic group, stratified by sex and age group. From 2012 to 2015, African-Americans had an increase in the census-adjusted annual rate of VAD implantation per 100 000 (0.26 [95% confidence interval, 0.17-0.34]) while other ethnic groups exhibited no significant changes (white: 0.06 [-0.03 to 0.14]; Hispanic: 0.04 [-0.05 to 0.12]; Asian: 0.04 [-0.04 to 0.13]). Stratified by sex, rates increased in both African-American men and women (P<0.05), but the change in rate was highest among African-American men (men 0.37 [0.28-0.46]; women 0.16 [0.07-0.25]; interaction with sex P=0.004). Stratified by age group, rates increased in African-Am...Continue Reading

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Citations

Nov 12, 2019·Journal of the American Heart Association·Khadijah BreathettNancy K Sweitzer
Nov 12, 2019·Journal of the American Heart Association·Theresa E Shirey, Alanna A Morris
May 13, 2020·Circulation. Cardiovascular Quality and Outcomes·Xiaowen WangKaren E Joynt Maddox
Jul 22, 2020·JAMA Network Open·Khadijah BreathettNancy K Sweitzer
Aug 14, 2020·Circulation. Heart Failure·Aditi NayakAlanna A Morris
Nov 9, 2019·The Journal of Thoracic and Cardiovascular Surgery·Joseph C Cleveland
Apr 30, 2019·The Annals of Thoracic Surgery·Cecillia LuiRobert S D Higgins
Mar 21, 2021·Current Opinion in Cardiology·Rebecca S SteinbergAlanna A Morris
Mar 21, 2021·Current Opinion in Cardiology·Sabra C Lewsey, Khadijah Breathett
Jul 28, 2021·Circulation. Heart Failure·Alexander T SandhuPaul A Heidenreich
Aug 26, 2021·Journal of the American Heart Association·Fouad ChouairiP Elliott Miller
Aug 26, 2021·Journal of the American Heart Association·Sabra C Lewsey, Khadijah Breathett
Sep 11, 2021·Circulation·Alanna A MorrisUNKNOWN American Heart Association Heart Failure and Transplantation Committee of the Council on Clinical Cardiology; Council on Art
Sep 19, 2020·Journal of the American College of Cardiology·Sameed Ahmed M KhatanaPeter W Groeneveld

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