{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:31:47Z","timestamp":1792621907564,"version":"4.5.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Heart Failure"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>The proportion of racial\/ethnic minorities receiving ventricular assist devices (VADs) has previously been less than expected. It is unclear if trends have changed since the broadening of access to insurance in 2014 and the rapid adoption of VAD technology.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p>\n              Using the Interagency Registry of Mechanically Assisted Circulatory Support, we analyzed time trends by race\/ethnicity for 10 795 patients (white, 67.4%; African-American, 24.8%; Hispanic, 6.3%; Asian, 1.5%) who had a VAD implanted between 2012 and 2015. Linear models were fit to the annual census-adjusted rate of VAD implantation for each racial\/ethnic group, stratified by sex and age group. From 2012 to 2015, African-Americans had an increase in the census-adjusted annual rate of VAD implantation per 100 000 (0.26 [95% confidence interval, 0.17\u20130.34]) while other ethnic groups exhibited no significant changes (white: 0.06 [\u22120.03 to 0.14]; Hispanic: 0.04 [\u22120.05 to 0.12]; Asian: 0.04 [\u22120.04 to 0.13]). Stratified by sex, rates increased in both African-American men and women (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.05), but the change in rate was highest among African-American men (men 0.37 [0.28\u20130.46]; women 0.16 [0.07\u20130.25]; interaction with sex\n              <jats:italic>P<\/jats:italic>\n              =0.004). Stratified by age group, rates increased in African-Americans aged 40 to 69 years and Asians aged 50 to 59 years (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.05). The observed differential change in VAD implantation rate by age group was significant among African-Americans (interaction with age,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.01) and Asians (interaction with age,\n              <jats:italic>P<\/jats:italic>\n              =0.02).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>From 2012 to 2015, VAD implantation rates increased among African-Americans but not other racial\/ethnic groups. The greatest increase in rate was observed among middle-aged African-American men, suggesting a decline in racial disparities. Further investigation is warranted to reduce disparities among women and older racial\/ethnic minorities.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circheartfailure.118.005008","type":"journal-article","created":{"date-parts":[[2018,7,18]],"date-time":"2018-07-18T12:07:33Z","timestamp":1531915653000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":72,"title":["Temporal Trends in Contemporary Use of Ventricular Assist Devices by Race and Ethnicity"],"prefix":"10.1161","volume":"11","author":[{"given":"Khadijah","family":"Breathett","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine, Sarver Heart Center (K.B., N.K.S.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larry A.","family":"Allen","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Anschutz Medical Campus (L.A.A., S.L.D., P.K., P.N.P.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Helmkamp","sequence":"additional","affiliation":[{"name":"University of Colorado Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora (L.H.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Colborn","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Informatics, Colorado School of Public Health, Anschutz Medical Campus (K.C.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacie L.","family":"Daugherty","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Anschutz Medical Campus (L.A.A., S.L.D., P.K., P.N.P.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene V.","family":"Blair","sequence":"additional","affiliation":[{"name":"Division of Psychology and Neuroscience (I.V.B.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Nursing (J.J.), University of Colorado, Aurora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prateeti","family":"Khazanie","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Anschutz Medical Campus (L.A.A., S.L.D., P.K., P.N.P.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sula","family":"Mazimba","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of Virginia Health System, Charlottesville (S.M.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marylyn","family":"McEwen","sequence":"additional","affiliation":[{"name":"Division of Community and Systems Health Science, Department of Nursing (M.M.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff","family":"Stone","sequence":"additional","affiliation":[{"name":"Department of Psychology (J.S.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Calhoun","sequence":"additional","affiliation":[{"name":"Division of Population Health Sciences (E.C.), University of Arizona, Tucson"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy K.","family":"Sweitzer","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Sarver Heart Center (K.B., N.K.S.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela N.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Anschutz Medical Campus (L.A.A., S.L.D., P.K., P.N.P.)"},{"name":"Denver Health Medical Center, CO (P.N.P.)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000558"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCO.0000000000000279"},{"key":"e_1_3_3_4_2","unstructured":"INTERMACS Quarterly Statistical Report 2015 Q1 Implant and event dates: June 23 2006 to March 31 2015. Interagency Registry for Mechanically Assisted Circulatory Support: The Data and Clinical Coordinating Center University of Alabama at Birmingham. https:\/\/www.uab.edu\/medicine\/intermacs\/images\/Federal_Quarterly_Report\/Federal_Partners_Report_2015_Q1.pdf. Accessed April 16 2016."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2014-000109"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22638"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2016.10.013"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2012.09.013"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2015.10.003"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2014.02.007"},{"key":"e_1_3_3_11_2","unstructured":"UAB School of Medicine. Interagency Registry for Mechanically Assisted Circulatory Support - Home. https:\/\/www.uab.edu\/medicine\/intermacs\/. Accessed January 4 2018."},{"key":"e_1_3_3_12_2","unstructured":"Centers for Medicare & Medicaid Services (CMS). Decision Memo for Ventricular Assist Devices for Bridge-to-Transplant and Destination Therapy (CAG-00432R). https:\/\/www.cms.gov\/medicare-coverage-database\/details\/nca-decision-memo.aspx?NCAId=268. Accessed January 4 2018."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.0757"},{"key":"e_1_3_3_14_2","unstructured":"SRTR- Scientific Registry of Transplant Recipients. https:\/\/www.srtr.org\/reports-tools\/program-specific-reports\/. Accessed July 6 2018."},{"key":"e_1_3_3_15_2","unstructured":"Medicare C for Baltimore MS 7500 SB USA M. VAD Destination Therapy Facilities. https:\/\/www.cms.gov\/Medicare\/Medicare-General-Information\/MedicareApprovedFacilitie\/VAD-Destination-Therapy-Facilities.html. Accessed January 8 2018."},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.13199"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2013.10.032"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3181f22af4"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2015.10.023"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.116.003552"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-018-0468-z"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2018.02.015"}],"container-title":["Circulation: Heart Failure"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCHEARTFAILURE.118.005008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T01:11:21Z","timestamp":1715562681000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCHEARTFAILURE.118.005008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":21,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1161\/CIRCHEARTFAILURE.118.005008"],"URL":"https:\/\/doi.org\/10.1161\/circheartfailure.118.005008","relation":{},"ISSN":["1941-3289","1941-3297"],"issn-type":[{"value":"1941-3289","type":"print"},{"value":"1941-3297","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8]]},"assertion":[{"value":"2018-02-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e005008"}}