ArticleCirculation. Heart failure2016
Impact of Socioeconomic Status on Patients Supported With a Left Ventricular Assist Device: An Analysis of the UNOS Database (United Network for Organ Sharing).
Article in Circulation. Heart failure, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Psychosocial challenges with transplantation.Current opinion in pulmonary medicine · 2026Review
- An overview of the association between socioeconomic deprivation and heart failure.Heart failure reviews · 2025Review
- Geographic disparity beyond the physical distance: Heart transplant outcomes in patients living in states without a transplant program.JHLT open · 2025Article
- Outcomes After Heart Transplantation Among Non-Native English-Speaking Recipients.Journal of cardiac failure · 2025Article
- The application of neighborhood area deprivation index to improve health equity across the spectrum of heart failure: a review.Heart failure reviews · 2025Review
- Why Is Social Reintegration Support for Patients With Left Ventricular Assist Device Necessary?Circulation reports · 2025Review
- Increased disparities in waitlist and post-heart transplantation outcomes according to socioeconomic status with the new heart transplant allocation system.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024Article
- Adherence to Pharmacotherapies After Heart Transplantation in Relation to Multimorbidity and Socioeconomic Position: A Nationwide Register-Based Study.Transplant international : official journal of the European Society for Organ Transplantation · 2023Article
- Individual-Level Socioeconomic Position and Long-Term Prognosis in Danish Heart-Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2023Article
- Disparities in coronary artery bypass grafting between high- and low-volume surgeons and hospitals.Surgery open science · 2022Article
- Patient factors associated with left ventricular assist device infections: A scoping review.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 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
- 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
- Usage of a Digital Health Workplace Intervention Based on Socioeconomic Environment and Race: Retrospective Secondary Cross-Sectional Study.Journal of medical Internet research · 2018Article
- County socioeconomic characteristics and heart transplant outcomes in the United States.American heart journal · 2017Article
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12 authors.
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Abstract
backgroundLow socioeconomic status (SES) is a known risk factor for heart failure, mortality among those with heart failure, and poor post heart transplant (HT) outcomes. This study sought to determine whether SES is associated with decreased waitlist survival while on left ventricular assist device (LVADs) support and after HT. METHODS AND
resultsA total of 3361 adult patients bridged to primary HT with an LVAD between May 2004 and April 2014 were identified in the UNOS database (United Network for Organ Sharing). SES was measured using the Agency for Healthcare Research and Quality SES index using data from the 2014 American Community Survey. In the study cohort, SES did not have an association with the combined end point of death or delisting on LVAD support (P=0.30). In a cause-specific unadjusted model, those in the top (hazard ratio, 1.55; 95% confidence interval, 1.14-2.11; P=0.005) and second greatest SES quartile (hazard ratio 1.50; 95% confidence interval, 1.10-2.04; P=0.01) had an increased risk of death on device support compared with the lowest SES quartile. Adjusting for clinical risk factors mitigated the increased risk. There was no association between SES and complications. Post-HT survival, both crude and adjusted, was decreased for patients in the lowest quartile of SES index compared with all other SES quartiles.
conclusionsFreedom from waitlist death or delisting was not affected by SES. Patients with a higher SES had an increased unadjusted risk of waitlist mortality during LVAD support, which was mitigated by adjusting for increased comorbid conditions. Low SES was associated with worse post-HT outcomes. Further study is needed to confirm and understand a differential effect of SES on post-transplant outcomes that was not seen during LVAD support before HT.
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