Evidence map›Paper›PMID 36580104›Full record

ArticlePediatric cardiology2024

Racial Disparity: The Adult Congenital Heart Disease Surgery Perspective.

Castigliano M Bhamidipati, Ibett Colina Garcia, Bohye Kim, Lidija B McGrath, Abigail M Khan, Craig S Broberg, Ashok Muralidaran, Irving Shen

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

8 authors.

Castigliano M BhamidipatiCardiac Surgery, Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Mail Code: L353, Portland, OR, 97239, USA. bhamidip@ohsu.edu.
Ibett Colina GarciaAdult Congenital Heart Disease, Division of Cardiology, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
Bohye KimPsychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Lidija B McGrathAdult Congenital Heart Disease, Division of Cardiology, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
Abigail M KhanAdult Congenital Heart Disease, Division of Cardiology, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
Craig S BrobergAdult Congenital Heart Disease, Division of Cardiology, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
Ashok MuralidaranPediatric Cardiac Surgery, Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Science University, Portland, OR, USA.
Irving ShenPediatric Cardiac Surgery, Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Science University, Portland, OR, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The influence of race and ethnicity on clinical outcomes in medicine are widely acknowledged. However, the effect of race on adult congenital heart disease (ACHD) surgery is not known. We sought to evaluate the possible association between race and outcomes following ACHD operations. Discharge records for patients who underwent ACHD surgery between 2005 and 2014, were isolated from an all-payer voluntary database in the United States. Hierarchical case-mix regression models and sensitivity analyses examined any complication, in-hospital mortality, and discharge disposition (home/non-home) by race (white-WP, black-BP, non-white non-black-NWNB). Of the 174,370 patients (WP: 80.8%, BP: 5.8%, NWNB: 13.4%), black patients were youngest to undergo surgery (WP: 57.9 ± 15.8 years, BP: 50.2 ± 16.1 years, NWNB: 51.6 ± 16.9 years, P < 0.0001), the most likely to have a comorbidity (WP: 70.3%, BP: 74.3%, NWNB: 68.6%, P < 0.0001), and most likely to have had a post-operative cardiac complication (WP: 9.4%, BP: 15.3%, NWNB: 10.9%, P < 0.0001). BP had similar odds of having any complication (AOR = 0.99, 95%CI = 0.94-1.04), while NWNB had significantly decreased odds of a major complication (AOR = 0.90, 95%CI = 0.87-0.93). BP had equivalent in-hospital mortality compared to WP (AOR = 1.03, 95%CI = 0.91-1.18), while NWNB had significantly increased odds of in-hospital mortality (AOR = 1.29, 95%CI = 1.18-1.41). Among survivors, BP were less likely to discharge home (AOR = 0.88, 95%CI = 0.82-0.94), and NWNB were more likely to discharge home than WP (AOR = 1.26, 95%CI = 1.19-1.33). Race and clinical outcomes are associated among patients undergoing surgery for ACHD. Understanding why and how these factors are impactful will help improve care for this complex population.

Indexed as

Heart Defects, CongenitalHospital MortalityAdultAgedBlack or African AmericanCardiac Surgical ProceduresFemaleHealthcare DisparitiesHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesUnited StatesWhiteAdult congenital heart diseaseCongenital heart surgeryDischargeMortalityOutcomesRace/ethnicity

Identifiers

PMID36580104

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.