Evidence map›Paper›PMID 28039604›Full record

ArticleJournal of racial and ethnic health disparities2017

Socioeconomic and Racial Disparities: a Case-Control Study of Patients Receiving Transcatheter Aortic Valve Replacement for Severe Aortic Stenosis.

Anna Sleder, Shiloh Tackett, Matthew Cerasale, Chetan Mittal, Iyad Isseh, Ryhm Radjef, Andrew Taylor, Rashad Farha, Oleksandra Lupak, Dana Larkin and 5 more

Abstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 80 citations in OpenAlex.

  1. Trial
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  4. Racial disparities in transcatheter aortic valve replacement: A contemporary nationwide analysis.American heart journal plus : cardiology research and practice · 2026
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  16. Racial disparities in TAVR outcomes in patients with cancer.Frontiers in cardiovascular medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Anna SlederFormerly Department of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA. Anna.Sleder@stvincent.org.
Shiloh TackettDepartment of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Matthew CerasaleDepartment of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Chetan MittalDepartment of Medicine, University of Colorado, Denver, CO, USA.
Iyad IssehDepartment of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Ryhm RadjefDepartment of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Andrew TaylorDepartment of Public Health Sciences, Henry Ford Health System, Detroit, MI, USA.
Rashad FarhaDepartment of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Oleksandra LupakDepartment of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Dana LarkinDepartment of Public Health Sciences, Henry Ford Health System, Detroit, MI, USA.
Lois LameratoDepartment of Public Health Sciences, Henry Ford Health System, Detroit, MI, USA.
George DivineDepartment of Public Health Sciences, Henry Ford Health System, Detroit, MI, USA.
Kimberlydawn WisdomCommunity Health and Equity, Henry Ford Health System, Detroit, MI, USA.
Kimberly Baker-GenawDepartment of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA.
William O'NeillHeart and Vascular Institute, Henry Ford Hospital, Detroit, MI, USA.
Henry Ford Hospital · USHenry Ford Health System · USUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe sought to quantify socioeconomic disparities in patients with severe aortic stenosis (AS) undergoing transcatheter aortic valve replacement (TAVR) at an urban, tertiary referral center.

methodsThis retrospective case-control study identified 67 patients with severe AS (aortic valve [AV] area ≤1 cm

resultsIncome disparity was significant in that with every $10,000 increase in income, the odds of receiving TAVR increased by 10% (p = 0.05). Non-blacks were significantly more likely to receive TAVR than blacks (odds ratio [OR] 2.812, confidence interval [CI] 1.007-7.853; p = 0.048). No differences in comorbidities were found between the two groups. Post hoc analysis to identify etiologies of the found disparities examined differences of AV area and AV area index, indication for two-dimensional echocardiography (echo), symptoms prior to echo, and action after echo within the control group. Black race significantly impacted the TAVR status despite the same AV area (OR 0.33, CI 0.09-0.97, p = 0.043). After echo, blacks were more likely to decline AVR, be lost to follow-up, and not be referred to cardiology (OR 4.41, CI 1.43-13.64; p = 0.010).

conclusionSocioeconomic and racial disparities were associated with patients with severe AS receiving TAVR at a major referral center. This study emphasizes the importance of improving access to standard of care for these subgroups of cardiac patients.

Indexed as

Aortic Valve StenosisBlack or African AmericanCase-Control StudiesFemaleHealthcare DisparitiesHospitals, UrbanHumansMaleRetrospective StudiesSeverity of Illness IndexSocioeconomic FactorsTertiary Care CentersTranscatheter Aortic Valve ReplacementTreatment OutcomeUnited StatesAortic stenosisHealth disparitiesSocioeconomic disparitiesTranscatheter aortic valve replacement

Identifiers

PMID28039604
OpenAlexW2565489839

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.