Observational studyJournal of the American Heart Association2025
Socioeconomic Status, Race, and Ethnicity in Management of Pediatric Supraventricular Tachycardia.
Observational study in Journal of the American Heart Association, 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.
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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.
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Who cites it
2 citing papers in PubMed.
- Association of Race and Ethnicity with the Diagnosis and Management of Wolff-Parkinson-White Pattern in Children.Pediatric cardiology · 2026Article
- Adenosine Dose and Cardioversion in Pediatric Supraventricular Tachycardia: A Systematic Review and Meta-Analysis.Pediatric cardiology · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn electrophysiology study (EPS) with ablation is often the preferred approach to management of supraventricular tachycardia (SVT) and/or preexcitation (Wolff-Parkinson-White syndrome) in children and adolescents. There are inequities in arrhythmia management in adults, but less is known in children. We aimed to determine whether socioeconomic inequities affect referral for EPS in children with SVT or Wolff-Parkinson-White syndrome.
methodsThis retrospective observational study used the Pediatric Health Information System (49 children's hospitals' administrative data) from 2016 to 2022. We included children with SVT/Wolff-Parkinson-White syndrome at centers performing EPS and excluded those with congenital heart disease. The zip code-based Childhood Opportunity Index (COI; range 1-100) and race and ethnicity were predictors. Multivariable analysis included COI, age, race and ethnicity, census region, and preexcitation. The outcome was a procedure code for EPS.
resultsAmong 37 674 children with preexcitation (10 165) or SVT without preexcitation (27 509), 9840 (26.1%) underwent EPS. The median COI was 58 (interquartile range [IQR], 31-81). The sample was predominantly White non-Hispanic (58%), followed by Hispanic (16%) and Black non-Hispanic (12%). Children who underwent EPS had a higher COI than those who did not (median, 59 [IQR, 34-82] versus 57 [IQR, 30-81];
conclusionsIn this multicenter study of pediatric patients, we found disparities in use of EPS for SVT/Wolff-Parkinson-White syndrome. In adjusted analysis, Black non-Hispanic and Hispanic children and those with a lower COI were less likely to undergo EPS.
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