Evidence map›Paper›PMID 38166429›Full record

ArticleJournal of the American Heart Association2024

Disparities by Sex, Race, and Ethnicity in Use of Left Ventricular Assist Devices and Heart Transplants Among Patients With Heart Failure With Reduced Ejection Fraction.

Scott W Rose, Braden W Strackman, Olivia N Gilbert, Karen E Lasser, Michael K Paasche-Orlow, Meng-Yun Lin, Georgia Saylor, Amresh D Hanchate

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

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  5. Comparative Outcomes FollowingOpen forum infectious diseases · 2025
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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

8 authors at 3 institutions in 1 country.

Scott W RoseSection of Cardiology Medicine, Department of Medicine Wake Forest University School of Medicine Winston-Salem NC USA.
Braden W StrackmanDepartment of Social Sciences and Health Policy, Division of Public Health Sciences Wake Forest University School of Medicine Winston-Salem NC USA.
Olivia N GilbertSection of Cardiology Medicine, Department of Medicine Wake Forest University School of Medicine Winston-Salem NC USA.ORCID 0000-0003-3151-6029
Karen E LasserSection of General Internal Medicine Boston University School of Medicine Boston MA USA.ORCID 0000-0003-3777-6075
Michael K Paasche-OrlowDepartment of Medicine Tufts University School of Medicine and Tufts Medical Center Boston MA USA.ORCID 0000-0002-9276-7190
Meng-Yun LinDepartment of Social Sciences and Health Policy, Division of Public Health Sciences Wake Forest University School of Medicine Winston-Salem NC USA.ORCID 0000-0002-8507-031X
Georgia SaylorSection of Cardiology Medicine, Department of Medicine Wake Forest University School of Medicine Winston-Salem NC USA.
Amresh D HanchateDepartment of Social Sciences and Health Policy, Division of Public Health Sciences Wake Forest University School of Medicine Winston-Salem NC USA.ORCID 0000-0002-7038-4463
Wake Forest University · USBoston University · USTufts University · US

Funding

National estimates of the impact of the affordable care act on healthcare utilization, outcomes and quality among hispanicsR01MD011594 · NIMHD · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HANCHATE, AMRESH D · 2018 to 2022
$2.9M
NIMHD NIH HHS R01 MD011594
6 · The paper itself

Abstract

backgroundThe extent to which sex, racial, and ethnic groups receive advanced heart therapies equitably is unclear. We estimated the population rate of left ventricular assist device (LVAD) and heart transplant (HT) use among (non-Hispanic) White, Hispanic, and (non-Hispanic) Black men and women who have heart failure with reduced ejection fraction (HFrEF). METHODS AND

resultsWe used a retrospective cohort design combining counts of LVAD and HT procedures from 19 state inpatient discharge databases from 2010 to 2018 with counts of adults with HFrEF. Our primary outcome measures were the number of LVAD and HT procedures per 1000 adults with HFrEF. The main exposures were sex, race, ethnicity, and age. We used Poisson regression models to estimate procedure rates adjusted for differences in age, sex, race, and ethnicity. In 2018, the estimated population of adults aged 35 to 84 years with HFrEF was 69 736, of whom 44% were women. Among men, the LVAD rate was 45.6, and the HT rate was 26.9. Relative to men, LVAD and HT rates were 72% and 62% lower among women (

conclusionsAmong adults with HFrEF, the use of LVAD and HT is lower among women and Black men. Health systems and policymakers should identify and ameliorate sources of sex and racial inequities.

Indexed as

Heart-Assist DevicesHeart FailureHeart TransplantationAdultEthnicityFemaleHumansMaleRetrospective StudiesStroke Volumeethnicityheart failureheart transplantleft ventricular assist deviceracereduced ejection fraction

Identifiers

PMID38166429
PMCPMC10926796
OpenAlexW4390539249

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.