{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T03:50:46Z","timestamp":1791345046238,"version":"4.3.1"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Over 4,500 individuals undergo heart transplantation (HT) in the United States every year. Limited qualitative data exist evaluating challenges and barriers in the evaluation and post\u2010transplant process and their association with primary language spoken.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted semi\u2010structured interviews with individuals who received HT at a high\u2010volume urban academic medical center between 2015 and 2024. Primary English and Spanish speaking patients were included; interviews were conducted by a certified Spanish speaker. Interviews were audio\u2010recorded and transcribed for thematic analysis. Themes were compared based on primary language spoken.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      34 HT recipients (median age 61 years, 38% women) participated in this study. Forty\u2010one percent (\n                      <jats:italic>n<\/jats:italic>\n                      = 14) identified Spanish as their primary language. Three key thematic differences emerged based on primary language spoken: (1) perception of the transplant process and emotional needs, (2) financial concerns while awaiting transplant, and (3) methods of communication. Spanish speaking patients more commonly relied on family support, faith, and public assistance programs to navigate the transplant process. English speaking patients, on the other hand, more frequently struggled with the morality of accepting a transplant. Additionally, English speaking patients more commonly had increased financial resources, highlighting the intersection with education and other social determinants of health (SDOH).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study identifies key differences in the experiences of HT recipients based on the patient's primary spoken language and inter\u2010related SDOH. This study can inform future studies focused on the impact of health policy changes and the expansion of social support systems on transplant allocation among linguistically diverse communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70660","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T17:10:13Z","timestamp":1788023413000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Primary Language, Social Determinants of Health, and the Lived Patient Experience After Heart Transplantation: A Comparative Qualitative Study"],"prefix":"10.1111","volume":"40","author":[{"given":"Mansi K.","family":"Shah","sequence":"first","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zara","family":"Latif","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Lemos","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adi","family":"Hertz","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Donald","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byron","family":"Fuselier","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Lindekens","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Vargas","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afsana","family":"Rahman","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhana","family":"Latif","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin J.","family":"Clerkin","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Sayer","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nir","family":"Uriel","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ersilia M.","family":"DeFilippis","sequence":"additional","affiliation":[{"name":"Center For Advanced Cardiac Care Division of Cardiology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","unstructured":"M. M.Colvin J. M.Smith Y. S.Ahn et\u00a0al. \u201cOPTN\/SRTR 2023 Annual Data Report: Heart American Journal of Transplantation \u201d25 no.2(2025):S329\u2013421.","DOI":"10.1016\/j.ajt.2025.01.024"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2023.05.020"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2009.06.277"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.15240"},{"issue":"4","key":"e_1_2_9_6_1","article-title":"Comparison of Quality of Life between Patients on the Waiting List and Heart Transplant Recipients","volume":"37","author":"Mantovani V. 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A.Bittner et\u00a0al. \u201cAddressing Social Determinants of Health in the Care of Patients with heart Failure: A Scientific Statement from the American heart association \u201dCirculation141 no.22(2020): e841\u201363 https:\/\/doi.org\/10.1161\/CIR.0000000000000767.","DOI":"10.1161\/CIR.0000000000000767"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10903\u2010018\u20100816\u20104"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2016.08.024"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.31640"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.2196\/medinform.8026"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.70660","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ctr.70660","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.70660","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T03:16:31Z","timestamp":1791342991000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.70660"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,29]]},"references-count":30,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/ctr.70660"],"URL":"https:\/\/doi.org\/10.1111\/ctr.70660","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,29]]},"assertion":[{"value":"2026-06-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70660"}}