{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T05:59:16Z","timestamp":1784872756922,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T00:00:00Z","timestamp":1604880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007374","name":"Universidade Federal de Minas Gerais","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007374","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Heart transplant (HT) is an alternative for patients with advanced heart failure (HF). Social inequalities may influence survival, but are still not well understood. The aim of this study was to assess the impact of social and clinical inequalities on the survival of HT recipients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study conducted at a Brazilian hospital from 2006 to 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred and two patients were analyzed. Most HT recipients were male (205, 67.9%), mixed race 146 (48.3%), retired (166, 56.5%), median age 47 (38\u201057) years, and had studied no more than eight years (191, 65.8%), were younger than 60\u00a0years old (256, 84.7%). 149 (51.7%) had per capita monthly income inferior to one Brazilian minimum wage, equivalent to US$250. 123 (95.4%) out of 129 patients had allograft cellular rejection 2R or 3R. Median donor age was 32 (23\u201039) years. The overall survival was 76.6%, 62.2%, and 58.2%, at 1, 5, and 10\u00a0years, respectively. Age &lt;60\u00a0years old and higher income were associated with a greater chance of survival (<jats:italic>p<\/jats:italic>\u2010values .009 and &lt;.001, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Younger age and higher per capita income had positive impact on HT recipient survival. The level of education did not affect survival in this cohort.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.14129","type":"journal-article","created":{"date-parts":[[2020,10,24]],"date-time":"2020-10-24T02:22:03Z","timestamp":1603506123000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impacts of social inequalities on the survival of heart transplant recipients in a developing country"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5669-7084","authenticated-orcid":false,"given":"W\u00e1gner","family":"do Nascimento Carvalho","sequence":"first","affiliation":[{"name":"Faculdade de Medicina Universidade Federal de Minas Gerais Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo dos Santos","family":"Alves Maria","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina Universidade Federal de Minas Gerais Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla Cordeiro","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Hospital das Cl\u00ednicas Universidade Federal de Minas Gerais Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Let\u00edcia","family":"Miranda","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina Universidade Federal de Minas Gerais Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria da Consola\u00e7\u00e3o Vieira","family":"Moreira","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina Universidade Federal de Minas Gerais Belo Horizonte Brazil"},{"name":"Hospital das Cl\u00ednicas Universidade Federal de Minas Gerais Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,9]]},"reference":[{"issue":"3","key":"e_1_2_9_2_1","first-page":"549","article-title":"Long\u2010term outcome following heart transplantation: current perspective","volume":"7","author":"Wilhelm MJ","year":"2015","journal-title":"J Thorac Dis"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2015.10.023"},{"issue":"12","key":"e_1_2_9_4_1","first-page":"1167","article-title":"2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure","volume":"69","author":"Ponikowski P","year":"2016","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1101\/cshperspect.a015636"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.24.2.459"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.19.2579"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.976811"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.011676"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.02.093"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.116.003067"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.116.002652"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2019.05.011"},{"key":"e_1_2_9_14_1","unstructured":"Brazilian Organ Transplantation Society.Organ transplantation in Brazil (2012\u20132019). 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