ArticleCirculation. Cardiovascular quality and outcomes2021
Socioeconomic and Geographic Characteristics of Hospitals Establishing Transcatheter Aortic Valve Replacement Programs, 2012-2018.
Article in Circulation. Cardiovascular quality and outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Hospital volume and efficiency in transcarotid transcatheter aortic valve replacement: Insights from a national database of 10,000+ cases.JTCVS structural and endovascular · 2026Article
- Trends and Projections for Aortic Stenosis and Hypertension-Related Mortality Among Older Adults in the United States: A Retrospective Population-Based Analysis.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026Article
- Contrasting Impacts of Social Deprivation and Ethnicity on Transcatheter Aortic Valve Replacement vs Surgical Aortic Valve Replacement.CJC open · 2026Article
- Improving time to TAVI with a local TAVI clinic: A single-centre quality improvement project.Future healthcare journal · 2026Article
- No-Transcatheter Aortic Valve Replacement (TAVR) Zones and Their Effect on Access to Care for Medicare Beneficiaries with Aortic Stenosis.Advances in therapy · 2025Article
- Advancing Health Equity in the Cardiovascular Device Life Cycle.Circulation. Cardiovascular quality and outcomes · 2025Review
- Contribution margins and utilization of transcatheter aortic valve replacement versus surgical aortic valve replacement in the Medicare population.American heart journal · 2025Article
- Trends in complications of cardiac and vascular prosthetic devices, implants, and grafts mortality rate in the United States (1999-2020).Annals of medicine and surgery (2012) · 2025Review
- A Review of "Access to Care" Issues in Aortic Stenosis Patients: A Negative Report Card.Structural heart : the journal of the Heart Team · 2025Review
- Association of socioeconomic status with clinical characteristics, care quality and outcomes in patients undergoing transcatheter aortic valve implantation.International journal of cardiology. Heart & vasculature · 2024Article
- Economic Disparities in Utilization and Outcomes of Structural Heart Disease Interventions in the United States.JACC. Advances · 2024Article
- Socioeconomic disparity in transcatheter and surgical aortic valve replacement: a population study of National Inpatient Sample from 2015 to 2020.Scientific reports · 2024Article
- Racial/Ethnic Disparities in Aortic Valve Replacement Among Medicare Beneficiaries in the United States, 2012-2019.The American journal of medicine · 2024Article
- Limited Access to Aortic Valve Procedures in Socioeconomically Disadvantaged Areas.Journal of the American Heart Association · 2024Article
- Racial, Ethnic, Socioeconomic, and Geographic Inequities in Access to Mechanical Circulatory Support.Journal of the Society for Cardiovascular Angiography & Interventions · 2024Article
- Socioeconomic disparities in procedural choice and outcomes after aortic valve replacement.JTCVS open · 2023Article
- In-hospital Outcomes and the Impact of Transfer Status in Nonelective vs Elective Transcatheter Aortic Valve Replacement.CJC open · 2023Article
- Do PCI Facility Openings and Closures Affect AMI Outcomes Differently in High- vs Average-Capacity Markets?JACC. Cardiovascular interventions · 2023Article
- Racial, Ethnic, and Socioeconomic Inequities in Access to Left Atrial Appendage Occlusion.Journal of the American Heart Association · 2023Article
- Did the COVID-19 Pandemic Just Turn TAVR Into an Outpatient Procedure?JACC. Cardiovascular interventions · 2022Article
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
backgroundDespite the benefits of novel therapeutics, inequitable diffusion of new technologies may generate disparities. We examined the growth of transcatheter aortic valve replacement (TAVR) in the United States to understand the characteristics of hospitals that developed TAVR programs and the socioeconomic status of patients these hospitals served.
methodsWe identified fee-for-service Medicare beneficiaries aged 66 years or older who underwent TAVR between January 1, 2012, and December 31, 2018, and hospitals that developed TAVR programs (defined as performing ≥10 TAVRs over the study period). We used linear regression models to compare socioeconomic characteristics of patients treated at hospitals that did and did not establish TAVR programs and described the association between core-based statistical area level markers of socioeconomic status and TAVR rates.
resultsBetween 2012 and 2018, 583 hospitals developed new TAVR programs, including 572 (98.1%) in metropolitan areas, and 293 (50.3%) in metropolitan areas with preexisting TAVR programs. Compared with hospitals that did not start TAVR programs, hospitals that did start TAVR programs treated fewer patients with dual eligibility for Medicaid (difference of -2.83% [95% CI, -3.78% to -1.89%],
conclusionsDuring the initial growth phase of TAVR programs in the United States, hospitals serving wealthier patients were more likely to start programs. This pattern of growth has led to inequities in the dispersion of TAVR, with lower rates in poorer communities.
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