ArticleJHLT open2025
Geographic disparity beyond the physical distance: Heart transplant outcomes in patients living in states without a transplant program.
Article in JHLT open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: In the United States, outcomes of adult heart transplant are not well studied in those living in states without an active transplant program. Methods: Adult heart transplant patients were identified using the United Network of Organ Sharing database (2014-2023). Two groups were formed: out-of-state (OOS) for those in states without a program and in-state (IS) for those with a program. The primary outcome is post-transplant survival. Secondary outcomes examine listing characteristics and patterns using the Center for Disease Control WONDER database. Results: The OOS group (14 states) had 1,561 patients, with Nevada having the highest proportion. Fewer non-White individuals and those with government-sponsored insurance programs were in the OOS group ( Conclusions: Overall, the outcomes for individuals living in states without a transplant program did not differ compared to those in states with a program. However, variations in listing characteristics and patterns suggest a potential geographical disparity. Policy changes are crucial to address these inequalities and improve access to heart transplants in states that lack a transplant program.
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