{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:49:38Z","timestamp":1780397378361,"version":"3.54.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":1992,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T00:00:00Z","timestamp":1593993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study investigated outcomes after continuous flow left ventricular assist device (CF-LVAD) implantation as bridge to heart transplantation (BTT) in advanced heart failure patients stratified by race.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>De-identified data from the United Network for Organ Sharing database was obtained for all patients who had a CF-LVAD as BTT from 2008 to 2018. Patients were stratified into four groups on the basis of ethnicity [Caucasian, African American (AA), Hispanic, and others (Asian, Pacific Islanders, and American Indian)]. Outcomes investigated were waitlist mortality or delisting and post-transplant 5 year survival. Cox proportional hazards modelling was used to identify independent predictors of waitlist mortality or delisting and post-transplant survival. We used Kaplan\u2013Meier survival curves and the log-rank test to estimate and compare survival among groups. A total of 14 234 patients who had CF-LVADs as BTT were identified. Of these, 64% (n = 9058) were Caucasians, 26% (n = 3677) were AA, 7% (n = 997) were Hispanic, and 3% (n = 502) had a different race. Compared with Caucasian, AA, and Hispanic patients had higher body mass indexes and a lower level of education and are more likely to be public health insurance beneficiaries. There was a significantly lower incidence of transplantation in AAs compared with Caucasians, Hispanics, and others at 12, 24, and 60 months, respectively (Gray's test, P &amp;lt; 0.001). The AA race was a significant predictor of waitlist mortality or delisting owing to worsening clinical status [hazard ratio, 95% confidence interval: 1.10 (1.01 to 1.16; P &amp;lt; 0.001)]. Among those who were successfully BTT, risk-adjusted post-transplant survival was similar among the four groups (log-rank test: P = 0.589).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Disparities exist among different races that receive a CF-LVAD as a BTT. These disparities translate into increased waitlist morbidity and mortality but not long-term post-transplant survival among those who successfully reach transplant.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ehf2.12866","type":"journal-article","created":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T07:48:35Z","timestamp":1594021715000},"page":"2744-2751","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Racial Disparities and Outcomes of Left Ventricular Assist Device Implantation as a Bridge to Heart Transplantation"],"prefix":"10.1093","volume":"7","author":[{"given":"Alexis Kofi","family":"Okoh*","sequence":"first","affiliation":[{"name":"Cardiovascular Research Unit, RWJ Barnabas Health Heart Centers, Newark Beth Israel Medical Center , 201 Lyons Avenue, Suite G5, Newark, NJ ,","place":["USA"]},{"name":"Department of Surgery, Division of Cardiac Surgery, Rutgers Robert Wood Johnson University Hospital , New Brunswick, NJ ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariam","family":"Selevanny","sequence":"additional","affiliation":[{"name":"Cardiovascular Research Unit, RWJ Barnabas Health Heart Centers, Newark Beth Israel Medical Center , 201 Lyons Avenue, Suite G5, Newark, NJ ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supreet","family":"Singh","sequence":"additional","affiliation":[{"name":"Cardiovascular Research Unit, RWJ Barnabas Health Heart Centers, Newark Beth Israel Medical Center , 201 Lyons Avenue, Suite G5, Newark, NJ ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer","family":"Hirji","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery, Brigham and Women's Hospital , Boston, MA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swaiman","family":"Singh","sequence":"additional","affiliation":[{"name":"Cardiovascular Research Unit, RWJ Barnabas Health Heart Centers, Newark Beth Israel Medical Center , 201 Lyons Avenue, Suite G5, Newark, NJ ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nawar","family":"Al. Obaidi","sequence":"additional","affiliation":[{"name":"Cardiovascular Research Unit, RWJ Barnabas Health Heart Centers, Newark Beth Israel Medical Center , 201 Lyons Avenue, Suite G5, Newark, NJ ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard Y.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery, Rutgers Robert Wood Johnson University Hospital , New Brunswick, NJ ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarita","family":"Camacho","sequence":"additional","affiliation":[{"name":"Cardiovascular Research Unit, RWJ Barnabas Health Heart Centers, Newark Beth Israel Medical Center , 201 Lyons Avenue, Suite G5, Newark, NJ ,","place":["USA"]},{"name":"Department of Surgery, Division of Cardiac Surgery, Rutgers Robert Wood Johnson University Hospital , New Brunswick, NJ ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark J.","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery, Rutgers Robert Wood Johnson University Hospital , New Brunswick, NJ ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,7,6]]},"reference":[{"key":"2026012114063036400_ehf212866-bib-0001","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1097\/00000658-199509000-00010","article-title":"Improved mortality and rehabilitation of transplant candidates treated with a long-term implantable left ventricular assist system","volume":"222","author":"Rose","year":"1995","journal-title":"Ann Surg"},{"key":"2026012114063036400_ehf212866-bib-0002","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1067\/mtc.2001.118274","article-title":"Left ventricular assist system. 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