Racial disparities in cardiac transplantation: Chronological perspective and outcomes
The objective of this study was to evaluate annual heart transplant volumes and 3-year post-transplant outcomes since establishment of United Network for Organ Sharing (UNOS) database stratified by race. The UNOS thoracic transplant database was evaluated for adult patients since 1987. The available...
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| Veröffentlicht in: | PloS one 2022-01, Vol.17 (1), p.e0262945 |
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| creator | Trivedi, Jaimin R Pahwa, Siddharth V Whitehouse, Katherine R Ceremuga, Bradley M Slaughter, Mark S |
| description | The objective of this study was to evaluate annual heart transplant volumes and 3-year post-transplant outcomes since establishment of United Network for Organ Sharing (UNOS) database stratified by race.
The UNOS thoracic transplant database was evaluated for adult patients since 1987. The available database was then stratified by Race: Black, White and Other and era of transplant: group 1(1987-1991), group 2(1992-1996), group 3(1997-2001), group 4(2002-2006), group 5(2007-2011), group 6(2012-2016) and group 7(2017 and later). Demographic and clinical factors were evaluated.
A total of 105,266 adults have been listed since 1987 and 67,824 have been transplanted. Of the transplanted patients 11,235 were Black, 48,786 White and 6803 were of Other race. The proportion of Black patients listed increased from 7% in 1987 to 13.4% in 1999 and 25% in 2019 and those transplanted increased from 5% in 1987 to 13.4% in 2001 and 26% in 2019. The survival of Black patients gradually improved.
Historically, fewer Black patients received cardiac transplantation however, their access gradually improved over the years and account for over 25% of cardiac transplantations performed in recent years. The historically poor survival of Black patients has recently improved and became comparable to the rest. |
| doi_str_mv | 10.1371/journal.pone.0262945 |
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The UNOS thoracic transplant database was evaluated for adult patients since 1987. The available database was then stratified by Race: Black, White and Other and era of transplant: group 1(1987-1991), group 2(1992-1996), group 3(1997-2001), group 4(2002-2006), group 5(2007-2011), group 6(2012-2016) and group 7(2017 and later). Demographic and clinical factors were evaluated.
A total of 105,266 adults have been listed since 1987 and 67,824 have been transplanted. Of the transplanted patients 11,235 were Black, 48,786 White and 6803 were of Other race. The proportion of Black patients listed increased from 7% in 1987 to 13.4% in 1999 and 25% in 2019 and those transplanted increased from 5% in 1987 to 13.4% in 2001 and 26% in 2019. The survival of Black patients gradually improved.
Historically, fewer Black patients received cardiac transplantation however, their access gradually improved over the years and account for over 25% of cardiac transplantations performed in recent years. The historically poor survival of Black patients has recently improved and became comparable to the rest.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0262945</identifier><identifier>PMID: 35081136</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Black People ; Cardiac arrest ; Demographic aspects ; Diabetes ; Engineering and Technology ; Female ; Health care disparities ; Health risks ; Healthcare Disparities ; Heart ; Heart failure ; Heart Transplantation ; Heart transplants ; Humans ; Inequality ; Male ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Patients ; Pulmonary arteries ; Race ; Race factors ; Racial differences ; Racism ; Risk factors ; Social aspects ; Surgical outcomes ; Survival ; Survival analysis ; Thoracic surgery ; Thorax ; Tissue and Organ Procurement ; Transplantation ; United States ; Variables ; Waiting Lists ; White People</subject><ispartof>PloS one, 2022-01, Vol.17 (1), p.e0262945</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Trivedi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Trivedi et al 2022 Trivedi et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-b9b1294357d9afa6f94b07e92eab31228d22c15aeb54c4ffd965143b5e1d241e3</citedby><cites>FETCH-LOGICAL-c692t-b9b1294357d9afa6f94b07e92eab31228d22c15aeb54c4ffd965143b5e1d241e3</cites><orcidid>0000-0001-7152-1338 ; 0000-0001-5412-762X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8791525/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8791525/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35081136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Cannatà, Antonio</contributor><creatorcontrib>Trivedi, Jaimin R</creatorcontrib><creatorcontrib>Pahwa, Siddharth V</creatorcontrib><creatorcontrib>Whitehouse, Katherine R</creatorcontrib><creatorcontrib>Ceremuga, Bradley M</creatorcontrib><creatorcontrib>Slaughter, Mark S</creatorcontrib><title>Racial disparities in cardiac transplantation: Chronological perspective and outcomes</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The objective of this study was to evaluate annual heart transplant volumes and 3-year post-transplant outcomes since establishment of United Network for Organ Sharing (UNOS) database stratified by race.
The UNOS thoracic transplant database was evaluated for adult patients since 1987. The available database was then stratified by Race: Black, White and Other and era of transplant: group 1(1987-1991), group 2(1992-1996), group 3(1997-2001), group 4(2002-2006), group 5(2007-2011), group 6(2012-2016) and group 7(2017 and later). Demographic and clinical factors were evaluated.
A total of 105,266 adults have been listed since 1987 and 67,824 have been transplanted. Of the transplanted patients 11,235 were Black, 48,786 White and 6803 were of Other race. The proportion of Black patients listed increased from 7% in 1987 to 13.4% in 1999 and 25% in 2019 and those transplanted increased from 5% in 1987 to 13.4% in 2001 and 26% in 2019. The survival of Black patients gradually improved.
Historically, fewer Black patients received cardiac transplantation however, their access gradually improved over the years and account for over 25% of cardiac transplantations performed in recent years. The historically poor survival of Black patients has recently improved and became comparable to the rest.</description><subject>Adult</subject><subject>Black People</subject><subject>Cardiac arrest</subject><subject>Demographic aspects</subject><subject>Diabetes</subject><subject>Engineering and Technology</subject><subject>Female</subject><subject>Health care disparities</subject><subject>Health risks</subject><subject>Healthcare Disparities</subject><subject>Heart</subject><subject>Heart failure</subject><subject>Heart Transplantation</subject><subject>Heart transplants</subject><subject>Humans</subject><subject>Inequality</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Pulmonary arteries</subject><subject>Race</subject><subject>Race factors</subject><subject>Racial differences</subject><subject>Racism</subject><subject>Risk factors</subject><subject>Social 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one</jtitle><addtitle>PLoS One</addtitle><date>2022-01-26</date><risdate>2022</risdate><volume>17</volume><issue>1</issue><spage>e0262945</spage><pages>e0262945-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The objective of this study was to evaluate annual heart transplant volumes and 3-year post-transplant outcomes since establishment of United Network for Organ Sharing (UNOS) database stratified by race.
The UNOS thoracic transplant database was evaluated for adult patients since 1987. The available database was then stratified by Race: Black, White and Other and era of transplant: group 1(1987-1991), group 2(1992-1996), group 3(1997-2001), group 4(2002-2006), group 5(2007-2011), group 6(2012-2016) and group 7(2017 and later). Demographic and clinical factors were evaluated.
A total of 105,266 adults have been listed since 1987 and 67,824 have been transplanted. Of the transplanted patients 11,235 were Black, 48,786 White and 6803 were of Other race. The proportion of Black patients listed increased from 7% in 1987 to 13.4% in 1999 and 25% in 2019 and those transplanted increased from 5% in 1987 to 13.4% in 2001 and 26% in 2019. The survival of Black patients gradually improved.
Historically, fewer Black patients received cardiac transplantation however, their access gradually improved over the years and account for over 25% of cardiac transplantations performed in recent years. The historically poor survival of Black patients has recently improved and became comparable to the rest.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35081136</pmid><doi>10.1371/journal.pone.0262945</doi><tpages>e0262945</tpages><orcidid>https://orcid.org/0000-0001-7152-1338</orcidid><orcidid>https://orcid.org/0000-0001-5412-762X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Black People Cardiac arrest Demographic aspects Diabetes Engineering and Technology Female Health care disparities Health risks Healthcare Disparities Heart Heart failure Heart Transplantation Heart transplants Humans Inequality Male Medicine Medicine and Health Sciences Middle Aged Patients Pulmonary arteries Race Race factors Racial differences Racism Risk factors Social aspects Surgical outcomes Survival Survival analysis Thoracic surgery Thorax Tissue and Organ Procurement Transplantation United States Variables Waiting Lists White People |
| title | Racial disparities in cardiac transplantation: Chronological perspective and outcomes |
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