ArticleCirculation2021
Impact of Socioeconomic Status, Race and Ethnicity, and Geography on Prenatal Detection of Hypoplastic Left Heart Syndrome and Transposition of the Great Arteries.
Article in Circulation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.
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Who cites it
59 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of social determinants of health on perioperative and interstage outcomes in congenital heart surgery a systematic review.Frontiers in cardiovascular medicine · 2026Pooled it
- Socioeconomic Factors Associated with Fetal Tachyarrhythmia Management and Outcomes: A Single-Center Retrospective Review of a Consistent Protocol.Pediatric cardiology · 2026Article
- The Dual Role of Neonatal Pulse Oximetry Screening and Fetal Echocardiography in Congenital Heart Disease Detection Around the World.International journal of neonatal screening · 2026Review
- Impact of socioeconomic status and remoteness of residence on pregnancy outcome in major congenital heart disease: mediation analysis.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026Article
- Clinical Utility of Acute Maternal Hyperoxygenation Testing for Fetal D-Transposition of the Great Arteries.Pediatric cardiology · 2026Article
- Trends and regional disparities in hypoplastic left heart syndrome prevalence and mortality in the USA: a nationwide study.European journal of pediatrics · 2026Article
- [Factors influencing pregnancy decision-making among parents of fetuses with congenital heart disease].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026Article
- Geospatial Access to Pediatric Cardiac and Cardiac-Surgical Services by Neighborhood-Level Determinants of Health.Journal of the American Heart Association · 2026Article
- Fetal Cardiology Prenatal Care Quality and Social Determinants of Health in Critical Congenital Heart Disease.Pediatric cardiology · 2026Article
- Enhancing Fetal Cardiac Care: Addressing Unwarranted Variation in Prenatal Congenital Heart Disease Detection and Counseling.Current cardiology reports · 2026Review
- The Pandemic Effect: Secondary Impact on the Diagnosis of Clinically Significant Congenital Heart Disease and Role of Deprivation Index.Pediatric cardiology · 2026Article
- Timing of Critical Congenital Heart Defect Detection: A Multisite Population-Based Study.The Journal of pediatrics · 2026Article
- Sex-stratified trends in hypoplastic left heart syndrome-related mortality among children and young adults in the United States, 1999-2024: a pre- and post-COVID-19 analysis.Frontiers in pediatrics · 2026Article
- Neighborhood Income Disparities in Unplanned Hospital Admission and In-Hospital Outcomes Among Children with Congenital Heart Disease.Pediatric cardiology · 2025Article
- Drivers of care and outcomes for people facing fetal conditions in the United States: a conceptual framework.Journal of perinatology : official journal of the California Perinatal Association · 2025Review
- A Novel Prenatal Pipeline for Three-Dimensional Hemodynamic Modeling of the Fetal Aorta.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025Article
- Assessing the Impact of Social Factors on Survival Among Infants Born with Transposition of the Great Arteries, Tetralogy of Fallot, and Diaphragmatic Hernia in Texas, 2011-2019.Maternal and child health journal · 2025Article
- Second-Trimester Ultrasound Receipt Mediates the Relationship Between Public Insurance and Prenatal Diagnosis of a Congenital Heart Defect.Prenatal diagnosis · 2025Article
- Impact of COVID-19 on Prenatal Diagnosis and Surgical Outcomes of Congenital Heart Disease: Fetal Heart Society and Society of Thoracic Surgeons Collaborative Study.Journal of the American Heart Association · 2025Article
- Prenatal diagnosis mediates the relationship between disease complexity and intervention timing for congenital heart defects.Pregnancy (Hoboken, N.J.) · 2025Article
Corrections and comments
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Authors and funding
29 authors.
Funding
Abstract
backgroundPrenatal detection (PND) has benefits for infants with hypoplastic left heart syndrome (HLHS) and transposition of the great arteries (TGA), but associations between sociodemographic and geographic factors with PND have not been sufficiently explored. This study evaluated whether socioeconomic quartile (SEQ), public insurance, race and ethnicity, rural residence, and distance of residence (distance and driving time from a cardiac surgical center) are associated with the PND or timing of PND, with a secondary aim to analyze differences between the United States and Canada.
methodsIn this retrospective cohort study, fetuses and infants <2 months of age with HLHS or TGA admitted between 2012 and 2016 to participating Fetal Heart Society Research Collaborative institutions in the United States and Canada were included. SEQ, rural residence, and distance of residence were derived using maternal census tract from the maternal address at first visit. Subjects were assigned a SEQ
resultsData on 1862 subjects (HLHS: n=1171, 92% PND; TGA: n=691, 58% PND) were submitted by 21 centers (19 in the United States). In the United States, lower SEQ was associated with lower PND in HLHS and TGA, with the strongest association in the lower SEQ of pregnancies with fetal TGA (quartile 1, 0.78 [95% CI, 0.64-0.85], quartile 2, 0.77 [95% CI, 0.64-0.93], quartile 3, 0.83 [95% CI, 0.69-1.00], quartile 4, reference). Hispanic ethnicity (relative risk, 0.85 [95% CI, 0.72-0.99]) and rural residence (relative risk, 0.78 [95% CI, 0.64-0.95]) were also associated with lower PND in TGA. Lower SEQ was associated with later PND overall; in the United States, rural residence and public insurance were also associated with later PND.
conclusionsWe demonstrate that lower SEQ, Hispanic ethnicity, and rural residence are associated with decreased PND for TGA, with lower SEQ also being associated with decreased PND for HLHS. Future work to increase PND should be considered in these specific populations.
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