ArticleClinical transplantation2025
Association of Community Distress With Lung Transplant Waitlist Acceptance.
Article in Clinical transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
Who cites it
2 citing papers in PubMed.
- Association of community distress and risk of adverse events on the lung transplant waitlist.JHLT open · 2026Article
- Association of Community Distress With Lung Transplant Waitlist Acceptance.Clinical transplantation · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
22 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAccess to transplantation is not entirely equitable with several studies demonstrating racial and socioeconomic disparities affecting the transplant process and thereby outcomes. Notably, few studies have focused on disparities prior to waitlisting. This study aimed to characterize the impact of community socioeconomic factors as measured by the Distressed Community Index (DCI) on acceptance for lung transplant waitlisting.
methodsA retrospective review was performed on 463 patients evaluated for lung transplant waitlisting at our institution between 2016 and 2020. Community distress was calculated using the DCI, which yields a composite Distress Index (cDI) and includes data on various community characteristics. Statistical analysis was done using descriptive statistics and logistic regression methods.
resultsOf the 463 patients included, 333 (71.9%) were accepted and 130 (28.1%) were denied for waitlisting. The mean cDI was 42.5 (±30.0) and 44.8 (±30.8) (p = 0.45) for the accepted and declined groups, respectively, indicating mid-tier distress for both groups by DCI metrics. The cDI was not found to be associated with odds of waitlist acceptance (OR 0.997, CI 0.99-1.004, p = 0.455). Furthermore, there was no association between sex, race, ethnicity, public insurance coverage, or any of the subcomponents of the DCI and the odds of successful waitlisting at our institution.
conclusionThis single-center retrospective evaluation found that cDI, as calculated by the DCI, and the DCI subcomponents were not associated with transplant waitlist acceptance. Future studies should be done evaluating community-level socioeconomic disparities and the utility of community disadvantage indexing tools in the lung transplant waitlisting process, with the intentions of conceptually expanding our understanding of the link between transplant outcomes and biopsychosocial candidacy.
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Registered trials
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