Racial disparities in outcomes of adult heart transplantation

Arman Kilic, Robert Higgins, Bryan A. Whitson, Ahmet Kilic

Research output: Contribution to journalArticle

Abstract

Background - This study evaluated whether minority orthotopic heart transplant (OHT) recipients tend to be transplanted at worse performing centers. Methods and Results - OHT recipients between 2000 and 2010 were identified in the United Network for Organ Sharing database and stratified by race. Center performance was evaluated using observed-to-expected mortality ratios that were calculated using validated indexes for recipient and donor risk in OHT. The primary outcome was 1-year post-OHT mortality. A total of 102 centers performed OHT in 18 085 patients. Blacks had higher unadjusted 1-year mortality, which was confirmed after risk adjustment. Blacks had increased risk-adjusted mortality at poor performing centers (observed-to-expected mortality ratio, >1.2; odds ratio, 1.37 [95% confidence interval, 1.12-1.69]; P=0.002) and a strong trend toward increased mortality at excellent performing centers (observed-to-expected mortality ratio,

Original languageEnglish (US)
Pages (from-to)882-889
Number of pages8
JournalCirculation
Volume131
Issue number10
DOIs
StatePublished - 2015

Fingerprint

Heart Transplantation
Mortality
Transplants
Risk Adjustment
Odds Ratio
Tissue Donors
Databases
Confidence Intervals

Keywords

  • Heart failure
  • Morbidity
  • Mortality
  • Surgery
  • Transplantation

ASJC Scopus subject areas

  • Physiology (medical)
  • Cardiology and Cardiovascular Medicine

Cite this

Racial disparities in outcomes of adult heart transplantation. / Kilic, Arman; Higgins, Robert; Whitson, Bryan A.; Kilic, Ahmet.

In: Circulation, Vol. 131, No. 10, 2015, p. 882-889.

Research output: Contribution to journalArticle

Kilic, Arman ; Higgins, Robert ; Whitson, Bryan A. ; Kilic, Ahmet. / Racial disparities in outcomes of adult heart transplantation. In: Circulation. 2015 ; Vol. 131, No. 10. pp. 882-889.
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