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The Journal of Heart and Lung Transplantation
International Society for Heart and Lung Transplantation.

Impact of race and health coverage on listing and waitlist mortality in pediatric cardiac transplantation

  • Danielle Strah
    Affiliations
    Division of Pediatric Cardiology, Department of Pediatrics, University of California San Diego School of Medicine, San Diego, CA, USA
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  • Matthew J. Bock
    Correspondence
    Correspondence: Matthew J. Bock, MD, Division of Pediatric Cardiology, Department of Pediatrics, University of California at San Diego, San Diego, CA, USA
    Affiliations
    Division of Pediatric Cardiology, Department of Pediatrics, University of California San Diego School of Medicine, San Diego, CA, USA
    Search for articles by this author
      In this issue of The Journal of Heart and Lung Transplantation, Bansal et al discuss social determinants of health (SDoH) and their impact on waitlist mortality in pediatric heart transplantation
      • Bansal N.
      • Lal A.K.
      • Koehl D.
      • Cantor R.S.
      • Kirklin J.K.
      • Ravekes W.J.
      • Urschel S.
      Impact of race and health coverage on listing and waitlist mortality in pediatric cardiac transplantation.
      . The authors divided pediatric patients on the pre-transplant waitlist into several groups based on race (Black, White, other), insurance type (Private US, Government US, and non-US single payer), and by clinical conditions including cardiac diagnosis, age, and disease severity at the time of listing (inotropic need, ventricular assist device placement, etc.) to determine which factors contributed to waitlist mortality. The authors further divided the cohort by era (2000-2009 versus 2010-2019) and noted differences between the two.

      Abbreviations:

      SDoH (Social Determinants of Health), ECMO (Extracorporeal Membrane Oxygenation), PHTS (Pediatric Heart Transplant Society), ACA (Affordable Care Act)
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