{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T07:28:03Z","timestamp":1789457283783,"version":"build-2803163510"},"reference-count":33,"publisher":"American Medical Association (AMA)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Cardiol"],"published-print":{"date-parts":[[2022,2,1]]},"DOI":"10.1001\/jamacardio.2021.4641","type":"journal-article","created":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T16:05:05Z","timestamp":1637165105000},"page":"150","source":"Crossref","is-referenced-by-count":104,"title":["Racial, Ethnic, and Socioeconomic Disparities in Access to Transcatheter Aortic Valve Replacement Within Major Metropolitan Areas"],"prefix":"10.1001","volume":"7","author":[{"given":"Ashwin S.","family":"Nathan","sequence":"first","affiliation":[{"name":"Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia"},{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Yang","sequence":"additional","affiliation":[{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Yang","sequence":"additional","affiliation":[{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren A.","family":"Eberly","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia"},{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameed Ahmed M.","family":"Khatana","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia"},{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"},{"name":"Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias J.","family":"Dayoub","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia"},{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sreekanth","family":"Vemulapalli","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard","family":"Julien","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia"},{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"},{"name":"Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Cardiovascular Research Foundation, New York, New York"},{"name":"St Francis Hospital, Roslyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brahmajee K.","family":"Nallamothu","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of Michigan, Ann Arbor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne J.","family":"Baron","sequence":"additional","affiliation":[{"name":"Lahey Hospital and Medical Center, Burlington, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimesh D.","family":"Desai","sequence":"additional","affiliation":[{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"},{"name":"Division of Cardiac Surgery, Hospital of the University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson Y.","family":"Szeto","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Hospital of the University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard C.","family":"Herrmann","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter W.","family":"Groeneveld","sequence":"additional","affiliation":[{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"},{"name":"Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Giri","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia"},{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"},{"name":"Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander C.","family":"Fanaroff","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia"},{"name":"Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","reference":[{"issue":"17","key":"hoi210075r1","doi-asserted-by":"publisher","first-page":"1597","DOI":"10.1056\/NEJMoa1008232","article-title":"Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery.","volume":"363","author":"Leon","year":"2010","journal-title":"N Engl J Med"},{"issue":"17","key":"hoi210075r2","doi-asserted-by":"publisher","first-page":"1609","DOI":"10.1056\/NEJMoa1514616","article-title":"Transcatheter or surgical aortic-valve replacement in intermediate-risk patients.","volume":"374","author":"Leon","year":"2016","journal-title":"N Engl J Med"},{"issue":"19","key":"hoi210075r3","doi-asserted-by":"publisher","first-page":"1790","DOI":"10.1056\/NEJMoa1400590","article-title":"Transcatheter aortic-valve replacement with a self-expanding prosthesis.","volume":"370","author":"Adams","year":"2014","journal-title":"N Engl J Med"},{"issue":"2","key":"hoi210075r4","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1016\/j.jacc.2015.05.017","article-title":"2-Year outcomes in patients undergoing surgical or self-expanding transcatheter aortic valve replacement.","volume":"66","author":"Reardon","year":"2015","journal-title":"J Am Coll Cardiol"},{"issue":"18","key":"hoi210075r5","doi-asserted-by":"publisher","first-page":"1695","DOI":"10.1056\/NEJMoa1814052","article-title":"Transcatheter aortic-valve replacement with balloon-expandable valve in low-risk patients.","volume":"380","author":"Mack","year":"2019","journal-title":"N Engl J Med"},{"issue":"18","key":"hoi210075r6","doi-asserted-by":"publisher","first-page":"1706","DOI":"10.1056\/NEJMoa1816885","article-title":"Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients.","volume":"380","author":"Popma","year":"2019","journal-title":"N Engl J Med"},{"issue":"10","key":"hoi210075r7","doi-asserted-by":"publisher","first-page":"1208","DOI":"10.1016\/j.jacc.2019.12.057","article-title":"TAVR in low-risk patients: FDA approval, the new NCD, and shared decision-making.","volume":"75","author":"Coylewright","year":"2020","journal-title":"J Am Coll Cardiol"},{"issue":"10","key":"hoi210075r8","doi-asserted-by":"publisher","first-page":"936","DOI":"10.1016\/j.jcin.2019.03.007","article-title":"Racial Disparities in the utilization and outcomes of TAVR: TVT registry report.","volume":"12","author":"Alkhouli","year":"2019","journal-title":"JACC Cardiovasc Interv"},{"issue":"11","key":"hoi210075r9","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1161\/CIRCULATIONAHA.119.040788","article-title":"Geographic patterns of growth for transcatheter aortic valve replacement in the United States.","volume":"140","author":"Kundi","year":"2019","journal-title":"Circulation"},{"key":"hoi210075r10","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1016\/j.ahj.2020.03.008","article-title":"Racial disparities and democratization of health care: a focus on TAVR in the United States.","volume":"224","author":"Holmes","year":"2020","journal-title":"Am Heart J"},{"key":"hoi210075r11","article-title":"Socioeconomic and geographic access to novel therapeutics: an analysis of growth in transcatheter aortic valve replacement programs.","author":"Nathan","year":"2021","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"8","key":"hoi210075r12","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCOUTCOMES.119.006245","article-title":"Transcatheter aortic valve replacement in low-population density areas: assessing healthcare access for older adults with severe aortic stenosis.","volume":"13","author":"Damluji","year":"2020","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"9","key":"hoi210075r13","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1161\/CIR.0000000000000228","article-title":"Social determinants of risk and outcomes for cardiovascular disease: a scientific statement from the American Heart Association.","volume":"132","author":"Havranek","year":"2015","journal-title":"Circulation"},{"issue":"2","key":"hoi210075r16","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1111\/1475-6773.13133","article-title":"Adjusting for social risk factors impacts performance and penalties in the hospital readmissions reduction program.","volume":"54","author":"Joynt Maddox","year":"2019","journal-title":"Health Serv Res"},{"issue":"1","key":"hoi210075r19","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1097\/00005650-199801000-00004","article-title":"Comorbidity measures for use with administrative data.","volume":"36","author":"Elixhauser","year":"1998","journal-title":"Med Care"},{"key":"hoi210075r20","first-page":"791","article-title":"Structural racism: building upon the insights of John Calmore.","volume":"86","author":"Powell","year":"2008","journal-title":"North Carolina Law Review"},{"key":"hoi210075r21","doi-asserted-by":"publisher","first-page":"231","DOI":"10.18865\/ed.28.S1.231","article-title":"Toward the science and practice of anti-racism: launching a national campaign against racism.","volume":"28","author":"Jones","year":"2018","journal-title":"Ethn Dis"},{"key":"hoi210075r22","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1146\/publhealth.2019.40.issue-1","article-title":"Racism and health: evidence and needed research.","volume":"40","author":"Williams","year":"2019","journal-title":"Annu Rev Public Health"},{"issue":"24","key":"hoi210075r23","doi-asserted-by":"publisher","first-page":"e454","DOI":"10.1161\/CIR.0000000000000936","article-title":"Call to action: structural racism as a fundamental driver of health disparities, a presidential advisory from the American Heart Association.","volume":"142","author":"Churchwell","year":"2020","journal-title":"Circulation"},{"issue":"3","key":"hoi210075r24","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1016\/j.jacc.2018.07.002","article-title":"2018 AATS\/ACC\/SCAI\/STS expert consensus systems of care document: operator and institutional recommendations and requirements for transcatheter aortic valve replacement: a joint report of the American Association for Thoracic Surgery, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons.","volume":"73","author":"Bavaria","year":"2019","journal-title":"J Am Coll Cardiol"},{"issue":"1","key":"hoi210075r25","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1097\/00005650-200201000-00007","article-title":"Disparities in health care by race, ethnicity, and language among the insured: findings from a national sample.","volume":"40","author":"Fiscella","year":"2002","journal-title":"Med Care"},{"issue":"15","key":"hoi210075r26","first-page":"3543","article-title":"The role of patient navigators in eliminating health disparities.","volume":"117","author":"Natale-Pereira","year":"2011","journal-title":"Cancer"},{"issue":"18","key":"hoi210075r27","doi-asserted-by":"publisher","first-page":"2463","DOI":"10.1161\/CIRCULATIONAHA.108.825133","article-title":"Differences in specialist consultations for cardiovascular disease by race, ethnicity, gender, insurance status, and site of primary care.","volume":"119","author":"Cook","year":"2009","journal-title":"Circulation"},{"issue":"3","key":"hoi210075r28","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.114.000879","article-title":"Racial differences in the prevalence of severe aortic stenosis.","volume":"3","author":"Patel","year":"2014","journal-title":"J Am Heart Assoc"},{"issue":"2","key":"hoi210075r29","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.jcin.2019.08.056","article-title":"Racial and ethnic differences in treatment and outcomes of severe aortic stenosis: a review.","volume":"13","author":"Wilson","year":"2020","journal-title":"JACC Cardiovasc Interv"},{"issue":"3","key":"hoi210075r30","doi-asserted-by":"publisher","first-page":"352","DOI":"10.2105\/AJPH.85.3.352","article-title":"Racial and ethnic differences in the use of invasive cardiac procedures among cardiac patients in Los Angeles County, 1986 through 1988.","volume":"85","author":"Carlisle","year":"1995","journal-title":"Am J Public Health"},{"issue":"5","key":"hoi210075r31","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1016\/j.amjcard.2009.10.071","article-title":"Incidence and progression of aortic valve calcium in the Multi-ethnic Study of Atherosclerosis (MESA).","volume":"105","author":"Owens","year":"2010","journal-title":"Am J Cardiol"},{"issue":"2","key":"hoi210075r32","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1016\/j.jacc.2021.04.078","article-title":"Race\/ethnicity and prevalence of aortic stenosis by echocardiography in the Multi-Ethnic Study of Atherosclerosis.","volume":"78","author":"Czarny","year":"2021","journal-title":"J Am Coll Cardiol"},{"issue":"6","key":"hoi210075r33","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1056\/NEJMoa1109034","article-title":"Genetic associations with valvular calcification and aortic stenosis.","volume":"368","author":"Thanassoulis","year":"2013","journal-title":"N Engl J Med"},{"key":"hoi210075r14","unstructured":"US Census. Decennial census datasets; summary file dataset. Published 2020. Accessed November 1, 2020. https:\/\/www.census.gov\/programs-surveys\/decennial-census\/data\/datasets.html"},{"key":"hoi210075r15","unstructured":"Dartmouth Atlas Data. 2010-2017 zip to median household income crosswalk files. Accessed November 1, 2020. https:\/\/atlasdata.dartmouth.edu\/folder\/list_files\/income_crosswalk"},{"key":"hoi210075r17","unstructured":"Economic Innovation Group. Distressed communities index. Accessed November 1, 2020. https:\/\/eig.org\/dci"},{"key":"hoi210075r18","unstructured":"New York State Department of Health. Age-adjusted rates\u2014statistics teaching tools. Accessed November 1, 2020. https:\/\/www.health.ny.gov\/diseases\/chronic\/ageadj.htm"}],"container-title":["JAMA Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamacardiology\/articlepdf\/2786194\/jamacardiology_nathan_2021_oi_210075_1643922805.44817.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T16:21:34Z","timestamp":1644423694000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamacardiology\/fullarticle\/2786194"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,1]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamacardio.2021.4641","relation":{},"ISSN":["2380-6583"],"issn-type":[{"value":"2380-6583","type":"print"}],"subject":[],"published":{"date-parts":[[2022,2,1]]}}}