ArticleThe Journal of surgical research2014
The impact of insurance and socioeconomic status on outcomes for patients with left ventricular assist devices.
Article in The Journal of surgical research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between psychosocial factors and left ventricular assist device implant outcomes: A systematic review.General hospital psychiatryPooled it
- Impact of Insurance Type on Initial Rejection Post Heart Transplant.Heart, lung & circulation · 2017Trial
- Socio-economic position, multimorbidity, and health care utilization among Danish left ventricular assist device patients.ESC heart failure · 2024Article
- Disparities in coronary artery bypass grafting between high- and low-volume surgeons and hospitals.Surgery open science · 2022Article
- Outcomes of Transcatheter and Surgical Aortic Valve Replacement in Distressed Socioeconomic Communities.Cureus · 2022Article
- A scoping review of inequities in access to organ transplant in the United States.International journal for equity in health · 2022Article
- The impact of socioeconomic status in patients with left ventricular assist devices (LVADs).Journal of cardiac surgery · 2021Article
- Association of Health Insurance Payer Type and Outcomes After Durable Left Ventricular Assist Device Implantation: An Analysis of the STS-INTERMACS Registry.Circulation. Heart failure · 2021Article
- Health Insurance and Left Ventricular Assist Device Outcomes: Focus on the Patient Journey, Not the Destination.Circulation. Heart failure · 2021Article
- Impact of Insurance Status on Survival in Gastroenteropancreatic Neuroendocrine Tumors.Annals of surgical oncology · 2020Article
- Disparities and Impact of Medicaid Expansion on Left Ventricular Assist Device Implantation and Outcomes.Circulation. Cardiovascular quality and outcomes · 2020Article
- Impact of Socioeconomic Factors on Patient Desire for Early LVAD Therapy Prior to Inotrope Dependence.Journal of cardiac failure · 2020Article
- Effects of socioeconomic status on clinical outcomes with ventricular assist devices.Clinical cardiology · 2018Article
- Impact of insurance type on eligibility for advanced heart failure therapies and survival.Clinical transplantation · 2018Article
- Mental health service utilization is associated with retention in care among persons living with HIV at a university-affiliated HIV clinic.AIDS research and therapy · 2018Article
- Anticoagulation management following left ventricular assist device implantation is similar across all provider strategies.Interactive cardiovascular and thoracic surgery · 2018Article
- Impact of insurance status on heart transplant wait-list mortality for patients with left ventricular assist devices.Clinical transplantation · 2017Article
- Impact of Socioeconomic Status on Patients Supported With a Left Ventricular Assist Device: An Analysis of the UNOS Database (United Network for Organ Sharing).Circulation. Heart failure · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundThere has been a steady increase of patients living in the community with Left Ventricular Assist Devices (LVADs). There is a significant gap in our fund of knowledge with respect to the impact that insurance and socioeconomic status has on outcomes for LVAD patients. We thus hypothesize that low neighborhood socioeconomic status and receipt of Medicaid, respectively, lead to earlier readmissions, earlier death, as well as longer time to transplantation among LVAD patients.
methodsThis was a retrospective review of 101 patients using existing data in the medical information warehouse database at The Ohio State University Medical Center. Primary outcomes measured included time to first event (first readmission or death), death, and time to rehospitalization. Our secondary outcome of interest included time from LVAD implantation to cardiac transplantation.
resultsRecipients of Medicaid did not have an increased risk of adverse events compared with patients without Medicaid coverage. Low Median Household Income (MHI) was associated with an increased risk of readmission (log-rank P = 0.0069) and time to first event (log-rank P = 0.0088). Bridge to transplantation was the only independent predictor of time to death (Hazard Ratio 2.1, [95% confidence interval = 1.03-4.37]). Low MHI and a history of atherosclerosis were both significant predictors for readmission and time to first event. Aldosterone antagonist use decreased the risk of readmission or time to first event by 46%.
conclusionsLVAD recipients with a low MHI were more likely to be readmitted to the hospital after LVAD implantation. Whether these patients are adequately monitored on an outpatient basis remains unclear.
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