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- Title
Racial Disparity Among Patients Undergoing Surgical Aortic Valve Replacement and Transcatheter Aortic Valve Replacement in the United States.
- Authors
Kulkarni, Abha; Arafat, Mohammod; Hou, Linle; Liang, Shiochee; Kassotis, John
- Abstract
Transcatheter aortic valve replacement (TAVR) has emerged as a minimally invasive alternative to surgical aortic valve replacement (SAVR). However, racial disparities in the utilization of TAVR persist. This meta-analysis attempts to determine whether the prevalence of adverse outcomes (procedure-related complications) represent barriers to the use of TAVR among African Americans (AA). The TAVR cohort consisted of 89.6% Caucasian (C) and 4.7% AA, while the SAVR cohort included 86.9% C and 6.4% AA. The utilization rate (UR) of TAVR was 1.48 and.35 among C and AA, respectively, while the UR of SAVR was 1.44 and.48 among C and AA, respectively. Following TAVR, for AA the odds ratio (OR) was greater for stroke (OR = 1.22, P =.02) and transient ischemic attack (TIA) (OR = 1.57, P <.001) and lower for undergoing the insertion of a permanent pacemaker (OR =.81, P <.001). While there was a significant difference between C and AA in TAVR and SAVR utilization, outcomes between groups following TAVR are comparable; therefore, adverse outcomes do not appear to be a barrier to the use of TAVR among eligible AA.
- Subjects
UNITED States; AFRICAN Americans; RACISM; ONLINE information services; HEART valve prosthesis implantation; META-analysis; CONFIDENCE intervals; AORTIC stenosis; SURGICAL complications; DESCRIPTIVE statistics; HEALTH equity; MEDLINE; ODDS ratio
- Publication
Angiology, 2023, Vol 74, Issue 9, p812
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/00033197221137025