Evidence map›Paper›PMID 38983379›Full record

ArticleJACC. CardioOncology2024

Race and Socioeconomic Status Impact Diagnosis and Clinical Outcomes in Transthyretin Cardiac Amyloidosis.

Bairavi Shankar, Lisa Yanek, Artrish Jefferson, Vivek Jani, Emily Brown, Daniel Tsottles, Jennifer Barranco, Serena Zampino, Mark Ranek, Kavita Sharma and 2 more

Abstract read
In one paragraph

Article in JACC. CardioOncology, 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
–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

13 citing papers in PubMed.

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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

12 authors.

Bairavi ShankarDepartment of Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Lisa YanekDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Artrish JeffersonDepartment of Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Vivek JaniDepartment of Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Emily BrownDepartment of Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Daniel TsottlesDepartment of Neurology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Jennifer BarrancoDepartment of Neurology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Serena ZampinoDepartment of Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Mark RanekDepartment of Cardiology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Kavita SharmaDepartment of Cardiology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Michael PolydefkisDepartment of Neurology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Joban VaishnavDepartment of Cardiology, Johns Hopkins Hospital, Baltimore, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Transthyretin amyloid cardiomyopathy (ATTR-CM) is associated with significant mortality. The Val122Ile variant, highly prevalent in Black patients, portends poorer survival compared with other ATTR-CM subtypes. Although Val122Ile is biologically more aggressive, the contribution of race and socioeconomic status (SES) to disease outcomes in patients with ATTR-CM is undefined. Objectives: The aim of this study was to evaluate the impact of race and SES on clinical outcomes in patients with ATTR-CM. Methods: Patients with ATTR-CM who received care at Johns Hopkins Hospital between 2006 and 2022 were included. SES was assessed using area deprivation index (ADI). Associations of race and ADI with heart failure (HF) hospitalization and/or death were measured using multivariable logistic or Cox proportional hazards models. Results: Of 282 patients, 225 (80%) were men, and 129 (46%) were Black. Black vs White patients disproportionately constituted the highest ADI (most deprived) category (66% vs 28%; Conclusions: Black patients with low SES may be at greater risk for underdiagnosis and adverse outcomes compared with White patients. Ongoing efforts are needed to improve outcomes in this subset of patients with ATTR-CM.

Indexed as

cardiac amyloidosishealth care disparitiesoutcomestransthyretin

Identifiers

PMID38983379
PMCPMC11229544

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Registered trials

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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.